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| Sr. | Under LRS? (Yes/No) | Purpose Code | Description |
|---|---|---|---|
| 1 |
| I | Name, Code of designated AD bank and branch | Route | |||||||||||
| II | Investment under (Please tick) | ||||||||||||
| III | Particulars of the IE / RI / Trust / Society | ||||||||||||
| i. | Name of IE / RI / Trust / Society | ||||||||||||
| ii. | PAN | ||||||||||||
| iii. | Legal Entity Identifier (LEI) | ||||||||||||
| iv. | Group company of IE (where guarantee is extended by group company) | ||||||||||||
| v. | Activity code of IE | NIC-1987 (3-digit) | NIC-2008 (5-digit) | ||||||||||
| vi. | Address of IE / RI / Trust / Society | ||||||||||||
| vii. | City | ||||||||||||
| viii. | State | ||||||||||||
| ix. | PIN code | ||||||||||||
| x. | Net worth in INR as on last audited balance sheet (₹ in crores) | FC Limit (400% NW for manufacturing/software): auto-calculated | |||||||||||
| xi. | Sum of Financial Commitment (FC) w.r.t. all foreign entities made until date of current transaction and FC being undertaken currently | In Foreign Currency (FCY) | In INR | ||||||||||
| xii. | Contact Person | ||||||||||||
| xiii. | Designation of the contact person | ||||||||||||
| xiv–xv. | Telephone / Mobile Number | ||||||||||||
| xvi. | E-mail ID | ||||||||||||
| IV | Status of IE / RI / Trust / Society: (Please tick appropriate category)
| ||||||||||||
| V | Whether the IE / RI / group company / Trust / Society making FC or undertaking disinvestment is under Investigation / is a wilful defaulter / has account as NPA (Rule 10, OI Rules). If yes, mention below:
| ||||||||||||
| VI | Particulars of existing foreign entities of the IE / RI already in operation or under implementation
| ||||||||||||
| VII | Particulars of foreign entity | ||||||||||||||||||
| i. | Name | ||||||||||||||||||
| ii. | Address | ||||||||||||||||||
| iii. | Name of the country / jurisdiction | ||||||||||||||||||
| iv. | Whether the foreign entity is a start-up / strategic sector / financial services | ||||||||||||||||||
| v. | Date of incorporation of the foreign entity | ||||||||||||||||||
| vi. | Legal Entity Identifier (LEI) of the foreign entity | ||||||||||||||||||
| vii. | E-mail ID of the foreign entity | ||||||||||||||||||
| viii. | Accounting year followed by the foreign entity | ||||||||||||||||||
| ix. | Activity code of the foreign entity |
NIC-1987 (3-digit)
NIC-2008 (5-digit)
| |||||||||||||||||
| x. | Financial commitment being made w.r.t. above foreign entity (in INR and FCY) |
Equity capital:
Loan:
Non-fund based commitment:
| |||||||||||||||||
| VIII | Proposed / updated share-holding pattern in the foreign entity
| ||||||||||||||||||
| IX | Whether the person resident in India has control in the foreign entity (refer to definition of "control" in OI Rules) | ||||||||||||||||||
| X | Furnish details of SDS of foreign entity in respect of which the FC is being undertaken (if applicable)
| ||||||||||||||||||
| S.No | Method or source of investment | Category | Date (DD/MM/YYYY) | Amount (USD) | Other details / Remarks |
|---|---|---|---|---|---|
| 1 | Banking channel | ||||
| 2 | ECB | ||||
| 3 | ADR | ||||
| 4 | GDR | ||||
| 5 | Swap of securities | ||||
| 6 | Capitalisation — exports | ||||
| 7 | Capitalisation — others (specify) | ||||
| 8 | Others — fund based (specify) | ||||
| 9 | Corporate or personal guarantee issued | ||||
| 10 | Performance guarantee issued | ||||
| 11 | Bank Guarantee issued (mention name of Bank) | ||||
| 12 | Rollover / Change in guarantee | ||||
| 13 | Pledge / creation of charge — foreign assets | ||||
| 14 | Creation of charge — domestic assets (name of overseas lender) | ||||
| 15 | Conversion of loan to equity | ||||
| 16 | FC as a result of merger of foreign entity / SDS | ||||
| 17 | FC as a result of sale / transfer / merger by / of Indian entities | ||||
| 18 | Others (specify) — e.g. deferred payment / gift / inheritance | ||||
| Total Amount of Financial Commitment (USD) | |||||
FORM FC: Section D — Declaration by the Indian Entity (IE) / Resident Individual (RI)
(Strike out whichever is not applicable)
(a) I / We have an account appearing as Non-Performing Asset (NPA) / wilful defaulter, or am / are under investigation by a financial sector regulator, or am / are under investigation by investigative agencies in India, viz., Central Bureau of Investigation or Directorate of Enforcement or Serious Frauds Investigation Office.
Accordingly:
(b) Wherever applicable, the Share certificate / other evidence as required in Regulation 9 and other reporting requirement as required in terms of Regulation 10 of OI Regulations, as stipulated by the Reserve Bank from time to time, in respect of the foreign entity under this UIN has been submitted / completed.
(c) Financial commitment undertaken by means of debt is in compliance with OI Rules and OI Regulations, or corresponding extant Regulations in case where the transaction has been done under the earlier overseas investment framework, as stipulated by the Reserve Bank from time to time.
(d) Pricing and valuation norms as per OI Rules and OI Regulations, or corresponding extant Regulations in case where the transaction has been done under the earlier overseas investment framework, as stipulated by the Reserve Bank from time to time, wherever applicable, have been complied with.
(e) It is certified that no delay in reporting is pending for regularization as required under Regulation 12 of OI Regulations.
(f) The foreign securities acquired by way of gift from a person resident outside India, is in accordance with the provisions contained in Foreign Contribution (Regulation) Act, 2010, and the rules and regulations made thereunder and Para 2 of Schedule III of OI Rules.
(g) This remittance / transaction amount together with earlier remittances / transactions relating to all the current and capital account transactions under the Liberalised Remittance Scheme during this Financial Year is within the limit as provided under the scheme. The total amount of remittances / transactions done by me during the Financial Year until the date of this certificate is (in FCY) the INR equivalent of which works out to INR .
I / We hereby certify that the information furnished above are true and correct. I / We also duly acknowledge that if any information furnished by me / us is found to be false and / or incorrect, it shall be construed that the reporting requirements under FEMA, 1999, have not been complied with.
List of enclosures:
FORM FC: Section E — Certificate by the Statutory Auditors of the Indian Entity (IE) / Group Company, as applicable
(Strike out whichever is not applicable)
It is certified that the terms and conditions contained in OI Rules and OI Regulations have been complied with by the Indian Entity / Group Company, as applicable, in respect of the investment under report. In particular, it is certified that (strike out whichever is not applicable):
(i) The investment is not in violation of the provisions contained in Rule 19 of Foreign Exchange Management (Overseas Investment) Rules, 2022 or corresponding extant Regulations in case where the transaction has been done under the earlier overseas investment framework, as stipulated by the Reserve Bank from time to time.
(ii) The NOC as required in terms of Rule 10 of Foreign Exchange Management (Overseas Investment) Rules, 2022 has been obtained, wherever applicable.
(iii) The remittance / transaction amount towards the investment together with earlier Financial Commitment is within the limit as stipulated by the Reserve Bank from time to time. The total financial commitment of the Indian entity is (in foreign currency) the INR equivalent of which works out to INR that works out to % of its Net Worth which is INR /-, as on the date of last audited balance sheet, i.e., (date ).
(iv) Indian entity has complied with the pricing / valuation norms prescribed in Foreign Exchange Management (Overseas Investment) Rules, 2022. The valuation for the investment in is arrived at . (Note: Valuation certificate is attached.)
(v) Indian entity has complied with the conditions prescribed in para 2 of Schedule I of Foreign Exchange Management (Overseas Investment) Rules, 2022 on ODI in Financial services activity, wherever applicable.
(vi) We have verified the records and certify that no delay in reporting is pending for regularization as required under Regulation 12 of Foreign Exchange Management (Overseas Investment) Regulations, 2022.
(vii) The amount of the guarantee(s) given by the group company of the Indian entity together with the Financial Commitment/s of the group company, if any, are within the limit as provided in FEM (OI) Rules, 2022 read with FEM (OI) Regulations, 2022 and FEM (OI) Directions, 2022. The total financial commitment of the Indian entity is (in FCY), INR equivalent that works out to % of Net Worth which is INR /- as on date .
Note: Exchange rate of INR shall be taken on the date of financial commitment or this certificate, whichever is earlier.
| I | PAN and Name of the Indian Entity (IE) | |
| II | Name of the foreign entity | |
| III | % Stake held by IE in the foreign entity | |
| IV | Total amount of Financial Commitment undertaken by IE in this UIN till date | |
| a) | ||
| b) | ||
| c) | ||
| V | Total accumulated losses (based on latest audited financial statements) | |
| VI | Proportionate amount of accumulated losses based on share of the IE | |
| VII | Date of restructuring | |
| VIII | Total outstanding dues towards the IE as on date of restructuring | |
| IX | Amount of diminution in the total value of the outstanding dues | |
| a) | ||
| b) | ||
| c) | Receivables | |
| i. | ||
| ii. | ||
| iii. | ||
| X | Date of the valuation certificate | |
| XI | Total amount of financial commitment post restructuring | |
| a) | ||
| b) | ||
| c) | ||
| XII | % stake held by IE post restructuring | |
Declaration by the Indian Entity (IE) (Strike out whichever is not applicable)
a. The foreign entity has been incurring losses for last 2 years.
b. The amount of original investment is less than USD 10 million
OR
The amount of original investment is more than USD 10 million and the diminution in value has been duly certified on an arm's length basis by a registered valuer as per the Companies Act, 2013 or corresponding valuer registered with the regulatory authority or certified public accountant in the host jurisdiction and the certificate is dated not more than six months before the date of restructuring.
c. The amount of diminution in value of the outstanding dues is less than twenty per cent of the total value of the outstanding dues towards the IE
OR
The amount of diminution in value of the outstanding dues is more than twenty per cent of the total value of the outstanding dues towards the IE and the diminution in value has been duly certified on an arm's length basis by a registered valuer and the certificate is dated not more than six months before the date of restructuring.
I / We hereby certify that the information furnished above are true and correct. I / We also duly acknowledge that if any information furnished by me / us is found to be false and / or incorrect, it shall be construed that the reporting requirements under FEMA, 1999, have not been complied with.
| I | Date of submission of last APR and period to which last APR relates | |||||||||||||
| II | Disinvestment route (tick) | |||||||||||||
| III | Disinvestment type (tick) | |||||||||||||
| IV | Date of disinvestment | |||||||||||||
| V | PAN and name of the disinvesting person resident in India | |||||||||||||
| VI | % Stake held at the time of disinvestment / % stake disinvested (in case of partial) | |||||||||||||
| VII | Method of disinvestment (strike out whichever method is not applicable) | |||||||||||||
| i. | ||||||||||||||
| ii. | ||||||||||||||
| iii. | ||||||||||||||
| iv. | ||||||||||||||
| v. | ||||||||||||||
| vi. | ||||||||||||||
| VIII | Summary of the financial commitment (cumulative amount) in respect of the foreign entity
| |||||||||||||
| IX | Date-wise details of remittances / transactions (attach separate sheet if necessary)
| |||||||||||||
| X | Fair value of the total disinvestment as per the valuation report and date of valuation report (wherever applicable) | |||||||||||||
| XI | Whether there is write off (difference between original investment and consideration received, where latter is less)?
| |||||||||||||
| Equity | ||||||||||||||
| Loan | ||||||||||||||
| Others (specify) | ||||||||||||||
| XII | Amount repatriated on disinvestment | |||||||||||||
| Equity | ||||||||||||||
| Loan | ||||||||||||||
| Others (specify) | ||||||||||||||
| XIII | Amount repatriated since reporting of the last APR (except the disinvestment proceeds) | |||||||||||||
| Equity | ||||||||||||||
| Loan | ||||||||||||||
| Others (specify) | ||||||||||||||
Declaration
(a) The transfer is subject to a price arrived on an arm's length basis. Copies of the necessary documents / valuation as required by the AD bank have been furnished to the AD bank.
(b) In case the transfer is on account of merger, amalgamation or demerger or on account of buyback of foreign securities, such transfer, or liquidation (in case of liquidation of the foreign entity), it has the approval of the competent authority as per the laws in India and / or the host country / jurisdiction, as the case may be.
(c) The transferor, in case of full disinvestment other than by way of liquidation, does not have any dues outstanding for receipt, which the transferor is entitled to receive from the foreign entity as an investor in equity capital and debt.
(d) The transferor has stayed invested for at least a year from the date of making ODI.
(e) All the remittances / transactions have been reported to Reserve Bank and it reconciles with the remittances / transaction details reported to the Reserve Bank.
(f) All the guarantees issued on behalf of the foreign entity and its SDS are either novated to another entity or the guarantees are closed.
(g) In case any SDS has become the direct foreign entity as a result of disinvestment in the foreign entity then it is certified that relevant sections of the Form FC with respect to all such SDS are submitted to Reserve Bank through the AD bank for allotment of UIN.
(h) I / We hereby certify that the information furnished above are true and correct. I / We also duly acknowledge that if any information furnished by me / us is found to be false and / or incorrect, it shall be construed that the reporting requirements under FEMA, 1999 have not been complied with.
| 1 | Return Type |
| 2 | Legal Name | |||||||||
| 3 | Registered Office Address | |||||||||
| 4 | Contact No. | |||||||||
| 5 | E-Mail ID | |||||||||
| 6 | Registration Number Type | |||||||||
| 7 | PAN | |||||||||
| 8 | LEI 20 alphanumeric characters | |||||||||
| 9 | Whether an investigation / adjudication by a law enforcing agency is in process or an appeal is pending for any contravention under FEMA, 1999? |
|
||||||||
| 10 | Borrower Type | |||||||||
| 11 | Applicable Act(s) & Section for entities other than Companies and LLPs | |||||||||
| 12 | Borrower Category | |||||||||
| 13 | Borrower Classification 6-Digit NIC-2025 Code | |||||||||
| 14 | Net Worth (last audited balance sheet) | INR: USD equiv: | ||||||||
| 15 | Outstanding Domestic Borrowing (INR, as on date of application) |
|
||||||||
| 16 | Outstanding External Borrowing (USD, as on date of application) |
|
||||||||
| 17 | Total Outstanding (auto-calculated) | Domestic INR: Domestic USD equiv: External USD: | ||||||||
| 18 | Proposed ECB (USD) & Available ECB Limit |
Proposed ECB (USD):
Available ECB Limit (USD):
Higher of (USD 1 bn − outstanding ECBs) or (3×net worth − total outstanding external borrowing)
|
| 19 | Legal Name of Lender | |
| 20 | Country | |
| 21 | Contact No. | |
| 22 | E-Mail ID | |
| 23 | Lender Category |
| 24 | Borrowing Permission Type | ||||||||||||||||
| 25 | Form of Borrowing | ||||||||||||||||
| 26 | Borrowing Agreement Date | ||||||||||||||||
| 27 | Average Maturity (Years) Computed from Borrowing Schedule | ||||||||||||||||
| 28–29 | Borrowing Currency & Amount (up to 4 currencies) |
|
|||||||||||||||
| 30 | Call Option | ||||||||||||||||
| 31 | Put Option | ||||||||||||||||
| 32 | Is the loan secured? | ||||||||||||||||
| 33–36 | End-Use Purpose(s) (up to 4) |
|
|||||||||||||||
| 37–40 | End-Use Sector(s) (up to 4) |
|
| 41 | Interest Rate Type | |
| 42 | Floating Rate Cap or Floor | |
| 43 | First Interest Payment Date | |
| 44 | Number of Payments / Year |
| Q | Charge Type | Applicable? | Expected Date | Currency | Amount |
|---|---|---|---|---|---|
| 45 | Upfront Fee | ||||
| 46 | Management Fee | ||||
| 47 | Commitment Fee (Fixed) | ||||
| 48 | Guarantee Fee | ||||
| 49 | Export Credit Agency Charges | ||||
| 50 | Other Charges | ||||
| 51 | Total (USD) | ||||
| 52 | Penal Interest — Late Payments (Fixed) | ||||
| 53 | Penal Interest — Late Payments (Floating) | ||||
| 54 | Commitment Fee (Variable) | ||||
| 55 | Due Date & Actual Date of Submission |
Due Date:
Actual Date:
Delay: LSF: |
| 56 | AD Certification |
It is certified that we have scrutinized the application / return and found the transaction to be in compliance with FEMA, 1999 and rules / regulations / directions issued thereunder. Further, it has been ensured that all the fields in the sheet named “Borrowing Schedule” have been duly entered.
|
| 57 | AD Comments |
| Loan Registration Number (LRN) | ||
| Borrower Registered Address | Pincode: | |
| Reporting Period (Month/Year) |
| Sr. | Date (YYYY-MM-DD) | Currency | Amount | Amt (USD) | Recipient Bank | Recipient Country |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 |
| Sr. | Date (YYYY-MM-DD) | Currency | Amount | Amt (USD) |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 |
| Sr. | Date | Currency | Amount | Amt (USD) | Benef. Bank | Benef. Country | Paymt Benef. Country |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 | |||||||
| 3 | |||||||
| 4 | |||||||
| 5 |
| Sr. | Investment Particulars | Currency | Amount | Amt (USD) | Investment Country |
|---|---|---|---|---|---|
| 1 | |||||
| 2 | |||||
| 3 |
| Tranch | Date | Currency | Amount | Amt (USD) | Manner of Debt Servicing | Others (Specify) | Prepayment? |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 | |||||||
| 3 | |||||||
| 4 | |||||||
| 5 |
| Tranch | Date | Currency | Amount | Amt (USD) | Manner of Debt Servicing | Others (Specify) |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 |
| Tranch | Date | Currency | Amount | Amt (USD) | Manner of Debt Servicing | Others (Specify) | Payable Type |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 | |||||||
| 3 | |||||||
| 4 | |||||||
| 5 |
| Sr. | Hedge Type | Outstanding Principal Hedged (%) | Principal Effectiveness Range (From–To) | Outstanding Interest Hedged (%) | Interest Effectiveness Range (From–To) | Annualised Cost of Financial Hedge (%) |
|---|---|---|---|---|---|---|
| 1 | % | to | % | to | % | |
| 2 | % | to | % | to | % | |
| 3 | % | to | % | to | % |
| 1 | Request for closure of LRN | |
| 2 | Whether any principal, interest or current account payable is outstanding? |
|
| 3 | Whether all principal drawdowns have been reported in Form ECB 2? | |
| 4 | Whether all repayments of principal, interest and other current account payables (including outstanding interest waived off, if any) have been duly reported in Form ECB 2? |
| 1 | AD Certification |
It is certified that we have scrutinized the application / return and found the transaction to be in compliance with FEMA, 1999 and rules / regulations / directions issued thereunder. Further, it has been ensured that the “due date of submission” and “actual date of submission” has been duly entered in the “LSF Calculation” sheet.
|
| 2 | AD Comments |
| Due Date of Submission | ||
| Actual Date of Submission | ||
| Gross Inflow during Reporting Period (INR) | ||
| Gross Outflow incl. interest & charges during Reporting Period (INR) | ||
| Delay in Months (rounded up) / Delay in Years | months years | |
| LSF Payable |
| Amount (FCY) | % Share | |
|---|---|---|
| i) Indian | ||
| ii) Foreign |
| Person resident in India | % Stake | Foreign partner(s) | % Stake |
|---|---|---|---|
| Previous Year (FCY) | Current Year (FCY) | |
|---|---|---|
| i) Net Profit / (Loss) | ||
| ii) Dividend | ||
| iii) Net worth |
| Current Year (FCY) | Since Commencement of Business (FCY) | |
|---|---|---|
| (i) Dividend | ||
| (ii) Repayment of loan | ||
| (iii) Non-Equity Exports Realised (in INR) | ||
| (iv) Royalties | ||
| (v) Technical know-how Fees | ||
| (vi) Consultancy fees | ||
| (vii) Others (please specify) |
I / We hereby declare that the particulars given above are true and correct and that the foreign exchange representing the full export value of the goods / services exported will be realised and repatriated to India within the stipulated period in accordance with the FEMA Export & Import Regulations 2026 and the directions issued by the Reserve Bank of India from time to time.
I / We hereby declare that the import of goods / services described above is genuine, and the foreign exchange being remitted will be used exclusively for the stated purpose. I confirm compliance with the FEMA Export & Import Regulations 2026 and all applicable RBI directives.
In terms of FEMA Notification No. FEMA 400/2022-RB and RBI AP (DIR) Circular No. 12, we request regularization of delayed ODI/OPI reporting through payment of Late Submission Fee (LSF).
| Sr. | Particulars | Details |
|---|---|---|
| 1 | Name of Applicant | |
| 2 | Email ID | |
| 3 | PAN | |
| 4 | Nature of Applicant (IE / RI) | |
| 5 | UIN (13-digit) | |
| 6 | Name of Return (select applicable) |
ODI / OPI Returns
|
| 7 | Nature of Delay | |
| 8 | Actual Date of Reporting | |
| 9 | Due Date of Reporting | |
| 10 | Date of LSF Application | |
| 11 | Amount in FCY |
|
| 12 | INR Equivalent (as on date of transaction) |
@ ₹ per 1 FCY
|
| Delay (in days) | — days | |
| LSF Payable (computed) | — | |