f_RCD2RCD 2
[Paragraph 10 B.6(i) and (iii)]
Statement giving particulars of non-resident shareholders to whom dividend is to be remitted, details of their shareholdings and the amount of dividend to be
remitted to each of them
Name and address of the company | : |
Year/Period for which dividend is payable | : |
Rate of dividend declared per share | : |
Sr. | Name of non- | Nationality | Shares held | No.and | If shares are | Amount | Tax | Net | Remarks |
No. | resident | (if share- | Number | Face | % | date of | held since prior | of gross | deducted | amount | |
| shareholder | holder is an | | value | | Reserve | to 1.1.1974, | dividend | at source | of | |
| and place/ | individual) | | | | Bank | number and | | | divid- | |
| country of | or place of | | | | approval | date of Reserve | | | end | |
| permanent | incorpora- | | | | for issue | Bank licence | | | remit- | |
| residence | tion (if | | | | of shares | obtained by | | | table | |
| | shareholder | | | | by the | non-resident | | | | |
| | is a | | | | company | shareholder | | | | |
| | corporate | | | | | under Section | | | | |
| | body) | | | | | 29(4)(a) of | | | | |
| | | | | | | FERA1973 for | | | | |
| | | | | | | holding the | | | | |
| | | | | | | shares | | | | |
1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 10. | 11. | 12. |
Total for (4) (5) (9) (10) (11)
We hereby certify that the particulars given above are true and correct.
We also certify that to the best of our knowledge and belief none of the above mentioned non-resident shareholders had at any time undertaken to Reserve Bank of India or Government of India not to seek repatriation outside India of dividend accruing on his/its shareholding in our company or is the legal heir, executor, successor or assign of any investor/s who had given such undertaking.
Place:......... | | | ........................................................... |
| Stamp | | (Signature of Authorised Official) |
Date :......... | | | Name:................................................ |
| | | Designation:........................................ |
Notes : | (1) | If any shares covered by column(4) above were acquired after remittance of the last dividend, please give details thereof against the respective entry in column (12) with number and date of Reserve Bank approval. |
| | |
| (2) | In case shares of the company were sold by any non-resident shareholder/s after remittance of the last dividend, please furnish details of such sales with number and date of Reserve Bank approval. |