TCD

[Paragraph 10 B.1(iii) and (iv)]

Foreign Collaboration Agreement - Return for the year ended 31st December......

INSTRUCTIONS:

1. This Return should be submitted (in duplicate) duly filled in and signed by an authorised signatory of the firm / company. No column should be left blank. Instead, write "Not applicable" wherever necessary.

2. It should reach the concerned office of the Reserve Bank of India in the first fortnight of January each year.

3. It shall contain information on calendar year-wise basis beginning from the date of first remittance.

4. Please attach separate sheet, wherever necessary.

5. Wherever technical know-how has not been received in full, necessary explanation may be furnished by way of a separate note.

1.	Name of the company		cccccccccccccccccc
2.	Registration No.		ccc cc cc c cccc
3.	Details of foreign investment received :

Date of FIRC     Currency     Amount                       Equivalent Indian Rupees

cc cc cccc ccc ccccccccccc cccccccccccc

DD     MM     YYYY

4.	Date of Agreement		cc cc cccc
			DD     MM     YYYY
5.	Date of commencement of production		cc cc cccc
			DD    MM     YYYY
		from                          to
6.	Total period determined for payment of royalty	cc cc cccc cc cc cccc
		DD     MM    YYYY      DD    MM     YYYY
7.	Detail of remittances made during the calendar year under report, (Please enclose copies of relevant certificates from Chartered Accountants)
	Purpose                     Date(s) of remittance	Equivalent Indian Rupees	Remittance in foreign currency
		(net of taxes)	(specify currency)

	(i)	Know-how fee	cc cc cccc cccccccccccc cccccccccc
			DD     MM     YYYY
	(ii)	Royalty	cc cc cccc cccccccccccc ccccccccc
	(iii)	Dividend & Profit	cc cc cccc cccccccccccccc ccccccccc
	(iv)	Others	cc cc cccc ccccccccccccc ccccccccc
		(Please specify)
		Total                                        cccccccc

8.

Details of total royalty remitted till 31st December of the year of this Return.

		Sales	Rate of Royalty	Amount (Rupees)
	Domestic	cccccccccccc ccccccc ccccccccccccc
	Exports	cccccccccccc ccccccc ccccccccccccc
	Total	cccccccccccc Y ccccccccccccc X
	Percentage of X to Y			ccccccc

			Indian Rupees Amount remitted in foreign
			currency (specify currency)
9.	(a)	Amount of lumpsum know-how	cccccccccccc cccccccccccc
		fee paid so far
	(b)	Amount of Royalty paid	cccccccccccc cccccccccccc
		so far
	(c)	Total of (a)+(b)	cccccccccccc cccccccccccc
	(d)	Sales value on which	cccccccccccc cccccccccccc
		royalty has been paid
	(e)	Percentage of (c) to (d)	cccccccccccc cccccccccccc

10A.	Details of foreign technicians deputed to India under the collaboration during the calendar year under report
	a) Number of technicians	: cccc
	b) Number of man-days involved	: cccc
	c) Fees remitted (Indian rupees equivalent)	: Rs.ccccccccc
10B.	Details of Indian personnel deputed abroad for training during the calendar year under report.
	a) Number of Indian trainees	: cccc
	b) Number of man-days	: cccc
	c) Trining fees, if any	: Rs.ccccccccc
	d) Other costs (living etc.)	: Rs.ccccccccc
11.	Utilisation of foreign exchange from the beginning of the project upto the 31st December of the year of this Return, towards Indian Rupees equivalent
	(i) Imports of machinery, raw material, etc.	ccccccccc
	(ii) Know-how fee	ccccccccc
	(iii) Royalty	ccccccccc
	(iv) Dividends & profits	ccccccccc
	(v) Others (Please specify)	ccccccccc
	Total	ccccccccc
12.	Inflow of foreign exchange during the same period as for Item no. 11 above:
		Indian Ruppes equivalent
	(i) F.O.B. valueof exports realised	ccccccccc
	(ii) Foreign exchange savings (c.i.f.)	ccccccccc
	as a result of import substitution
	Total	ccccccccc

13.	Between items nos. 11 and 12 above, which is more? Please Rthe appropriate box.
	Outflow c               Inflow c

We hereby certify that -

(i) the particulars furnished above are true and correct to the best of our knowledge;

(ii) the remittances have been made strictly in accordance with the terms and conditions of approval granted by RBI/ Government of India (delete whichever is not applicable) for the collaboration in question

(iii) the technical know-how (including drawings and designs, relevant documents etc.) have been received in full as contemplated under the collaboration agreement.

(iv) prior approval of Reserve Bank of India,___________________, was obtained for all remittances other than those of technical know-how fee and royalty, which have been made by us and are included in this Return.

.................................................................
(Signature of the authorised signatory with seal)
Name:___________________________________
Designation:______________________________
Address:_________________________________

Place:______________
Date:______________

Countersigned
Place:______________
Date:______________

.................................................................
(Signature of the Authorised Official)
Name:___________________________________
Designation:______________________________
Name and Address of:______________________
Authorised Dealer:_________________________