New Page 1TS 4
[Paragraph 10 C.27(ii)]
Application for permission underSection 19(5) of
Foreign Exchange Regulation Act, 1973 for transfer through
stock exchange in India of shares/debentures of a company registered in India
acquired with repatriation benefits by non-residents of Indian
nationality/origin or overseas corporate bodies predominantly
owned by such persons under Direct Investment Scheme
Instruction:
The application should be completed in duplicate and submitted through an authorised dealer to the Chief General Manager, Exchange Control Department (Foreign Investment Division-NRI Cell), Reserve Bank of India, Central Office, Mumbai - 400 023.
| 1. | | Particulars of the non-resident seller | |
| | (i) | | Full Name (first holder) | | (i) |
| | (ii) | | Full overseas address | | (ii) |
| | (iii) | | Nationality and country of origin
(if the seller is an individual) | | (iii) |
| | (iv) | | Place of incorporation/registration
(if the seller is a corporate body) | | (iv) |
| 2. | | Name and address of bank branch through | |
| | | which this application is being forwarded | |
| 3. | | Particulars of shares/debentures to be sold/transferred (to be furnished separately in duplicate as per Annexure) | |
| 4. | | Whether the sale proceeds will be remitted | |
| | | abroad or credited to the sellers NRE/FCNR account with a bank in India; in the latter case please indicate the number of NRE/FCNR account and the name and address of the bank maintaining the account | |
I/We hereby declare that the particulars givenabove and in the Annexure are true and correct to the best of my/our knowledgeand belief. I/We also certify that the shares/debentures, as detailed in theAnnexure have been acquired by me/us directly from the companies concernedthrough public issue with repatriation benefits under the Direct InvestmentScheme and that I/We have not given any undertaking to the ReserveBank/Government of India not to seek repatriation of sale proceeds of theshares/debentures in question.
Place: ..................................................................................................
(Signature of Applicant/Authorised Official)
Date : .......................... (Firstholder/Power of Attorney holder)
Name:............................................................
Designation:..................................................
(to be completed by theauthorised dealer)
We hereby certify that the applicant is a bonafide constituent of our bank holding NRE/FCNR Account No...............
........................................................................
(Signature of Applicant/Authorised Official)
(First holder/Power of Attorney holder)
Name and address:........................................
Date : .......................... of AuthorisedDealer .....................................
Annexure to form TS4
(To be furnished in duplicate)
Particulars of shares/debenturesto be transferred
through stock exchange in India acquired under the
Direct Investment Scheme
| Name of the Indian Company | Total No.
of shares | Total No. of debentures | Cost of
acquisi-
tion
(including premium, if
any paid) Rs. | Folio
number / s | Reference No. and date of Reserve Banks approval to the company for issue of shares/ debentures with repatriation benefits |
| (1) | (2) | (3) | (4) | (5) | (6) |
| | | | | | |
Place: ..................................................................................................
(Signature of Applicant/Authorised Official)
Date : .......................... (Firstholder/Power of Attorney holder)
Name:............................................................
Designation:..................................................
| NOTES: | 1. | In respect of sale of convertible debentures after due date of their conversion, separate details should be given in respect of the non-convertible portion of the debentures and the shares acquired by way of conversion. |
| | | |
| | 2. | Shares/debentures acquired by way of original issue, conversion, bonus, rights, etc. should be shown separately under Column No.1. |
| | | |
| | 3. | In respect of partly paid shares/debentures, only actual amount paid up should be shown under Column No.4. |