All amounts in INR and FC should be
in thousands

For office use only

:

Date of receipt

:

Inward Number

:

Date of Approval

:

1.

NATURE AND CATEGORY OF APPLICATION (Please cross (X) the appropriate box)

(a)

(b)

(i)

Enhancement of equity in existing JV/WOS by ___________ (please indicate the amount)

[

]

(i)

Category

A

[

]

(ii)

Grant of/enhancement of loan by___________ (please indicate the amount)

[

]

(ii)

Category

B

[

]

(iii)

Extension/enhancement of guarantee for _________ (please indicate the amount)

[

]

(iii)

Category

C

[

]

(iv)

Others ___________________

[

]

(iv)

Category

D

[

]

(please specify)

2.

BRIEF PARTICULARS OF THE INDIAN PROMOTER(S) AND THE JV/WOS

(i)

Name of Indian Promoter

:

(ii)

Name of the Group (if any)

:

(iii)

Name of the JV/WOS

:

(iv)

Country of location of JV/WOS

:

(v)

No.of RBI/GOI Approval

:

(vi)

Date of Approval

:

(vii)

Line of activity of the JV/WOS

:

(viii)

Date of latest QPR/APR submitted to RBI/MOC :

3.

FINANCIAL PARTICULARS OF THE INDIAN PROMOTER FOR THE LAST THREE YEARS

Sr. No.

Nature of
overseas
concern

Name of Indian
promoter/
place

Name of overseas
concern/
country

amount of
Investment

(1)

(2)

(3)

(4)

(5)

i.

Ii.

Iii.

Iv.

v.

REPATRIATIONS DURING THE FIRST FIVE YEARS OF OPERATIONS

TOTAL REPATRIATIONS TILL DATE

Dividend

Others

E

R

E

R

E

R

(6)

(7)

(8)

(9)

(10)

(11)

i.

i.

ii.

ii.

iii.

iii.

iv.

iv.

v.

v.

[E = Entitlement

R = Repatriation]

5.

PERFORMANCE OF THE JV/WOS SO FAR (LATEST APR AS ON ___________ )

(a)

Date of incorporation :

(b)

Date of commencement of operations :

(c)

Capital structure of the JV/WOS :

Amount approved

Actual amount held

% to the total -

% to the total

equity

FC

INR

equity

FC

INR

(i)

Indian equity

(ii)

Foreign equity

(d)

Method of acquiring equity shares by Indian Promoter:

Total amount approved

Actual amount held

FC

INR

FC

INR

(i)

Cash remittance

(ii)

Capitalisation of

1.

Exports of plants and machinery/goods

2.

Technical know-how fees

3.

Royalty

4.

Engineering Technical Services fees

5.

Consultancy/Management fees

6.

Selling agency Commission

(iii)

GDR/FC Loans raised abroad

(iv)

Bonus Shares

(v)

Out of balances in EEFC Account

(vi)

Other methods (

)

Please specify

TOTAL

6.

POSITION OF TERM/WORKING CAPITAL LOANS (Amount in FC)

Total amount

Outstanding

Overdue amount

Approved

amount

Principal

Interest

Total

(i)

Term Loan from :

(a)

Indian promoters

(b)

Banks/Financial Institutions (FIs)

(c)

Others (

)

Please specify

(ii)

Working capital Loans from :

(a)

Indian promoters

(b)

Banks/FIs

(c)

Others (

)

Please specify

7.

POSITION OF GUARANTEES

Total amount approved/ extended

Total amount invoked/ claimed

Date of invocation

Amount paid
so far

Guarantees from :

(a)

Indian promoters

(b)

Indian Banks/(FIs)

(c)

Others (

)

Please specify

8.

OPERATIONAL DETAILS OF THE JV/WOS FOR THE LAST THREE YEARS

(Year ended_____)

(Year ended_____)

(Year ended_____)

(i)

Gross Sales/Receipts

(ii)

Net Profit(+)/Loss(-)

(iii)

Dividend

(iv)

Transfer to reserves

(v)

Free reserves and surplus(+)

(vi)

Accumulated losses (-)

(vii)

Net worth

9.

ENTITLEMENTS (E) AND REPATRIATION (R) (NET OF TAXES) FROM THE JV/WOS

During the last(year ended.....)

Since commencement of business

Total outstanding entitlements due for repatriation

(E)

(R)

[

]

(E)

(R)

[

]

(E-R)

[

]

(i)

Dividend

(ii)

Technical know-how fees

(iii)

Royalty

(iv)

Engineering/Technical Services fees

(v)

Consultancy/Management fees

(vi)

Selling agency Commission

(vii)

Others (

)

Please specify