FORM    FC-GPR

 

We (Name of theIndian Company)  -----------

 

declare that, being eligible to issue shares to non-residents underthe automatic route of RBI, furnish to following information in connection  with shares issued.

 

1. Name andaddress (Regd.office)

    of the Indian company issuing

    shares to non-residents.

 

2. Whether  existing company or

    New company recently formed

 

3. Activities ofthe company

 

   NIC Code                                                        Description

   ------------                                                      ---------------

 

 

 

4. Particularsof shares issued 

 

  (a) Name and country of the

       foreign investor

 

  (b) No. of shares issued :  (Furnish equity & preference separately)

 

       No. of shares               Face value of shares        Total face value  

   

 

Issue Price     At par (Rs.)         /    premium of  Rs.    per share

 

                       Total inflow on accountof           }     Rs.

                       issue of shares tonon-residents  } 

                       (including premium, ifany)         }

                      

                       vide original FIRCfrom  (Bank) --------------  enclosed.

 

 

                                             -2 -

 

 (c)   (i) We are listed company ; market related price per share is Rs.

                                    

                                    OR

   

        (ii) Other company ; Fair value ofshare is Rs.

                                              

 

5. Capital structureof the company

    (after issue of shares as per item 4)                                                                                                                   

                                                                                  ( Rupees )

                                                                Equity                Preference

 

   I. Paid up capital

 

  II. (a) Non-resident

           Investment       (i) NRIs/OCBs }

                                  (ii)  Otheres       }

                                                              

 

      (b) Resident Investment

                                                                  -------------     ---------------

                                               Total

                                                                  -------------     ---------------

    

III. Existingpercentage of      }   NRI/OCBs ------- %      

      non-resident investment  }  Others        ------- %

      in the paid up capital       }

 

                                                                    -----------

      (II(a) as percentage  of I)      Total                   %

                                                                    -----------                                                                                                           

 

 

 

 

 

 

 

 

 

 

 

                                                 - 3 -     

Declaration :

We hereby certify that

1. We have carefully followed the procedure for issue of sharesunder the automatic route of RBI vide Notification FERA. 215/2000-RBdated        22^nd March 2000.

2. The foreign entity(ies) (other than individuals)  to whom we have issued shares does/do nothave any previous joint venture or technical collaboration or trade markagreement in India in the same or allied field.

3. We don’t require an Industrial Licence under the Industries(Development and Regulation) Act, 1951 or in terms of locational policynotified by the Government under the New Industrial Policy of 1991.

4.  We are an SSI unit andthe investment limit of 24% has been observed  OR

          We are not an SSIunit

                          (Delete whichever is not aplicable under signature)   

5.  Our proposal is withinthe sectoral policy/cap permissible under the automatic route of RBI.

6.  Our proposal does notfall under sector(s) in which FDI is not permitted.

                     For  ----------------  (Name of the company/seal)

 

     Signature

 

    (Name) :

  * Designation :

    Date :

    Place  :   

 

(* To be signedby senior official/responsible person in the company.)