FC-GPR PART - A

(To be filed by the company through its Authorised Dealer Category I bank with the Regional Office of the R I under whose !urisdiction the Registered Office of the company making the declaration is situated as and when fresh in"estment in the Company is recei"ed# along with the documents mentioned in item no$ % of the undertaking enclosed in this form&

Permanent Account Number (PAN) of the investee company given by the IncomeTax Department

A & 4 G ?

@ 2 @ P

Date of issue of shares

Sl. No. 1. Name

Particulars

(In Block Letters) G !"A #T$!% &NGIN&&$ING INDIA P$I'AT& I(IT&D N* 1+ PA ",I DING- G$&&N PA$. &/T&N#I!N- N&0 D& 1I * 112213

A))ress of the $egistere) !ffice

N&0 D& 1I #tate $egistration No. given by $egistrar of 4ompanies &xisting company 8 Ne5 4ompany 0hether existing company or ne5 company (stri6e off 5hichever is not app7icab7e) If existing company- give registration number a77otte) by $"I for 9DI- if any 211* :3;<=1<= Te7ephone 9ax ne5*)e7hi>singhania.com e*mai7

Description of the main business <. activity

&NGIN&&$ING #&$'I4&#

NI4 4o)e ocation of the proAect an) NI4 co)e for the )istrict 5here the proAect is 7ocate) Percentage of 9DI a77o5e) as per 9DI po7icy #tate 5hether 9DI is a77o5e) un)er Automatic $oute or Approva7 $oute (stri6e out 5hichever is not app7icab7e) = Automatic $oute 8 Approva7 $oute

Details of t e forei!n in"estor# colla$orator Name A))ress $,##IA 4ountry 4!(PAN% 4onstitution B#pecify 5hether
1. <. =. :. ;. 3. +. @. ?. 12. 11. In)ivi)ua7 4ompany 9II 9'4I 9oreign Trust Private &Cuity 9un) Pension8 Provi)ent 9un) Partnership8 Proprietorship firm 9inancia7 Institution N$Is8PI!s others (p7ease specify)D

G !"A #T$!% GI$$!.A41,. $,##IA (!#4!0- $,##IA

Date of incorporation Name

I(IT&D IA" IT% 4!(PAN% G#&

If there are more than one foreign investor/collaborator, separate Annex may be included for item s 3 and 4.

A))ress

4ountry

$,##IA

4onstitution B#pecify 5hether

1. <. =. :. ;. 3. +. @. ?. 12. 11. In)ivi)ua7 4ompany 9II 9'4I 9oreign Trust Private &Cuity 9un) Pension8 Provi)ent 9un) Partnership8 Proprietorship firm 9inancia7 Institution N$Is8PI!s others (p7ease specify)D

4!(PAN%

Date of incorporation

: (a)

Particulars of S ares # Con"erti$le De$entures Issue% Nature an% %ate of issue

Nature of issue

Date of issue

Number of shares/ convertible debentures

21 2<

IP! 8 9P! Preferentia7 a77otment 8 private p7acement $ights "onus 4onversion of &4" 4onversion of roya7ty (inc7u)ing 7ump sum payments) &#!Ps #hare #5ap !thers (p7ease specify) Total

2= 2: 2; 23

2+ 2@ 2?

(b)

T&'e of securit& issue%

No. Nature of securit& Nu($er )aturit& Face "alue Pre(iu( Issue Price 'er s are A(ount of inflo*+ (Rs) 1-32-22-222

21

&Cuity

13-22-22 2 N8A N8A

12

2<

4ompu7sori7 y 4onvertib7e Debentures 4ompu7sori7 y 4onvertib7e Preference shares !thers

N8A

2=

2:

(p7ease specify) Total 13-22-22 2 12 1-32-22-222

i) In case the issue price is greater than the face va7ue p7ease give brea6 up of the premium receive) ii) F In case the issue is against conversion of &4" or roya7ty- a 4hartere) AccountantGs 4ertificate certifying the amount of the outstan)ing on the )ate of conversion

(c)

Break u' of 're(iu( 4ontro7 Premium Non competition fee !thers> Total

A(ount
N8A N8A N8A N8A

>

please specify the nature

())

Total inflo* (in $upees) on account of $s8* 1-32-22-222 issue of shares to non*resi)ents (inc7u)ing (!ne 4rore sixty a6hs !n7y) premium- if any) vi)e (i) $emittance through ADH (ii) Debit to N$&894N$ A8c 5ith "an6EEEEEEEEE (iii) !thers (p7ease specify) Date of reporting of (i) an) (ii) above to $"I un)er Para ? (1) A (i) of Notification No. 9&(A <28<222*$" )ate) (ay =- <222- as amen)e) from time to time.
(As Per Annexure* 1)

(e)

Disclosure of fair "alue of s ares issue%++ 0e are a 7iste) company an) the mar6et va7ue of a share as on )ate of the issue isF 0e are an un*7iste) companyI an) the fair va7ue of a share isF
N8A

128*

FF before issue of shares

*(Please indicate as applicable)

;. Post issue 'attern of s are ol%in! Equity Compulsorily convertible Preference Shares/ Debentures
(9ace 'a7ue) $s.Amount J sharesof No. J

sharesof No.

a)

Non-Resi%ent ,,. In%i"i%uals Co('an& -- G !"A #T$!% GI$$!.A41,. 4 $,##IA (!#4!0- $,##IA Co('an& .- I(IT&D IA" IT% 4!(PAN% G#&
E E E E E E E E E

1;-? ?-@: 2 132

12

(9ace 'a7ue) $s.Amount

Investor category

??. ?? J 22. 21 J
E E E E E E E E E

12

,/ ,0 ,2 ,3 ,6 ,7 ,8 -, --

FIIs F1CIs Forei!n Trusts Pri"ate 45uit& Fun%s Pension# Pro"i%ent Fun%s Partners i'# Pro'rietors i' fir(s Financial Institutions NRIs#PI9s 9t ers ('lease s'ecif&) Su$ Total

E E E E E E E E E

E E E E E E E E E

E E E E E E E E E

E E E E E E E E E

E E E E E E E E E

"

$)

Resi%ent

Total

D4CLARATI9N T9 B4 FIL4D B: T;4 A<T;9RIS4D R4PR4S4NTATI14 9F T;4 INDIAN C9)PAN: (Delete hichever is not applicable and authenticate)

0e hereby )ec7are thatH 1. 0e comp7y 5ith the proce)ure for issue of shares as 7ai) )o5n un)er the 9DI scheme as in)icate) in Notification No. 9&(A <28<222*$" )ate) =r) (ay <222 as amen)e) from time to time <. The investment is 5ithin the sectora7 po7icy8cap permissib7e un)er the Automatic $oute of $"I an) 5e fu7fi77 a77 the con)itions 7ai) )o5n for investments un)er the Automatic $oute name7y (stri6e off 5hichever is not app7icab7e) a) 9oreign entity8entitiesK(other than in)ivi)ua7s)- to 5hom 5e have issue) shares have existing Aoint venture or techno7ogy transfer or tra)e mar6 agreement in In)ia in the same fie7) an) 4on)itions stipu7ate) in Press Note 1 of <22; #eries )ate) Lanuary 1<- <22; have been comp7ie) 5ith. 9R b) 9oreign entity8entitiesK(other than in)ivi)ua7s)- to 5hom 5e have issue) shares )o not have any existing Aoint venture or techno7ogy transfer or tra)e mar6 agreement in In)ia in the same fie7). c) 0e are8 are not an ##I unit an) the investment 7imit of <: J of pai)*up capita7 has been observe)8 reCuisite approva7s have been obtaine). )) #hares have been issue) on rights basis an) the shares are issue) to non*resi)ents at a price that is not 7o5er than that at 5hich shares have been issue) to resi)ents. 9R e) #hares issue) are bonus shares. 9R f) #hares have been issue) un)er a scheme of merger an) ama7gamation of t5o or more In)ian companies or reconstruction by 5ay of )e*merger or other5ise of an In)ian company- )u7y approve) by a court in In)ia. 9R g) #hares are issue) un)er &#!P an) the con)itions regar)ing this issue have been satisfie) =. #hares have been issue) in terms of #IA89IP" approva7 No.EEEEEEEEEEEEEEEEEEE )ate) EEEEEEEEEEEEEEEEEEEE

:. 0e enc7ose the fo77o5ing )ocuments in comp7iance 5ith Paragraph ? (1) (")H (i) A certificate from our 4ompany #ecretary certifying that (a) a77 the reCuirements of the 4ompanies Act- 1?;3 have been comp7ie) 5ithI (b) terms an) con)itions of the Government approva7- if any- have been comp7ie) 5ithI the company is e7igib7e to issue shares un)er these $egu7ationsI an) the company has a77 origina7 certificates issue) by authorise) )ea7ers in In)ia evi)encing receipt of amount of consi)eration in accor)ance 5ith paragraph ? of #che)u7e 1 of Notification No. 9&(A <28<222*$" )ate) (ay =- <222 as amen)e) from time to timeI

(c) ())

(ii)

A certificate from #tatutory Au)itors 8 4hartere) Accountant in)icating the manner of arriving at the price of the shares issue) to the persons resi)ent outsi)e In)ia.

(#ignature of the App7icant)F HEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE (Name in "7oc6 etters) HEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

(Designation of the signatory) HEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE P7aceH DateH (F To be signe) by Authorise) signatory of the 4ompany) C4RTIFICAT4 T9 B4 FIL4D B: T;4 C9)PAN: S4CR4TAR: 9F T;4 INDIAN C9)PAN: ACC4PTING T;4 IN14ST)4NT (!s per Para " (#) ($) (i) of Schedule # to Notification No% &E'! ()/()))*+$ dated 'ay ,- ()))- as amended from time to time) In respect of the abovementione) )etai7s- 5e certify the fo77o5ing H 1. A77 the reCuirements of the 4ompanies Act- 1?;3 have been comp7ie) 5ith. <. Terms an) con)itions of the Government approva7- if any- have been comp7ie) 5ith. =. The company is e7igib7e to issue shares un)er these $egu7ations. :. The company has a77 origina7 certificates issue) by AD 4ategory M I ban6s in In)ia- evi)encing receipt of amount of consi)eration in accor)ance 5ith paragraph ? of #che)u7e 1 to Notification No. 9&(A <28<222*$" )ate) (ay =- <222 as amen)e) from time to time.

(Name N #ignature of the 4ompany #ecretary) (#ea7) F9R <S4 9F T;4 R4S4R14 BAN= 9NL:>

<ni5ue I%entification Nu($er !i"en for t e FC-GPR>

FC-GPR PART- B (i) This part of the return to be submitte) to the Director- "a7ance of Payment #tatistica7 Division- Department of #tatistica7 Ana7ysis N 4omputer #ervices- $eserve "an6 of In)ia- 4@- =r) 97oor- "an)ra*.ur7a 4omp7ex- "an)ra (&)- (umbai M :222;1I Te7H <3;+ 1<3;- <3;+ <;1=- 9axH <3;+2@:@I emai7Hsurveyf7a>rbi.org.in (ii) This is an annua7 return to be submitte) by =1 st of Lu7y every year by a77 companiespertaining to a77 investments by 5ay of )irect8portfo7io investments8re*investe) earnings8others in the In)ian company ma)e )uring the previous years (i.e. the information in Part " submitte) by =1st Lu7y <22+ 5i77 pertain to a77 the investments ma)e in the previous years up to (arch =1- <22+). The )etai7s of the investments to be reporte) 5ou7) inc7u)e a77 foreign investments ma)e into the company 5hich is outstan)ing as on the ba7ance sheet )ate. The )etai7s of overseas investments in the company both un)er Direct 8 portfo7io investment may be separate7y in)icate). P7ease use en)*(arch (ar6et prices8exchange rates for compi7ing the re7evant information. ---------------------------------------------------------------------------------------------------------------------

Permanent Account Number (PAN) of the investee company given by the IncomeTax Department

A A

&

No. 1.

Particulars Name A))ress

(In Block Letters) G !"A #T$!% &NGIN&&$ING INDIA P$I'AT& I(IT&D N* 1+ PA ",I DING- G$&&N PA$. &/T&N#I!N- N&0 D& 1I * 112213

#tate $egistration No. given by the $egistrar of 4ompanies

N&0 D& 1I* INDIA 112213

1&

<.

Name of the 4ontact PersonH AN#1,(AN TI0A$I DesignationH DI$&4T!$ Te7. ??;@23;3;3 &*mai7H ne5*)e7hi>singhania.com 9axH Account c7osing )ateH Detai7s of changes if any- 5ith regar) to information furnishe) ear7ier (4hange in name of company 8 4hange of 7ocation- activities- etc.) =1st !ctober- <21=

=. :.

'/A

11

2.

? et er liste% co('an& or unliste% co('an& If 7iste)i) ii) (ar6et va7ue per share as at en)*(arch Net Asset 'a7ue per share as on )ate of 7atest Au)ite) "a7ance #heet

Liste% # unliste%

;.1

'/A

;.< If un7iste)- Net Asset 'a7ue per share as on )ate of 7atest Au)ite) "a7ance #heet 3. Forei!n Direct In"est(ent (FDI)

'/A

Amount in a6hs of $upees Forei!n Lia$ilities In In%ia Forei!n Assets 9utsi%e In%ia &

!utstan)ing at en)* (arch of Pre"ious %ear 3.2 45uit& Ca'ital 3.1 !ther 4apita7

!utstan)ing at en)* (arch of Current %ear

!utstan)ing at en)* (arch of Pre"ious %ear

!utstan)ing at en)* (arch of Current %ear

3.< Disinvestments )uring the year

P7ease furnish the outstan)ing investments of non-resi%ent in"estors (Direct In"estors) 5ho 5ere ho7)ing -, 'er cent or (ore or)inary shares of your 4ompany on the reporting )ate.
(

P7ease furnish your tota7 investments outsi)e the country in each of 5hich &our Co('an& he7) -, 'er cent or (ore or)inary shares of that non*resi)ent enterprise on the reporting )ate. !ther 4apita7 inc7u)es transactions bet5een the non*resi)ent )irect investor an) investee 8 reporting company- re7ating to i) #hort Term "orro5ing from overseas investors- ii) ong Term "orro5ing from overseas investors- iii) Tra)e 4re)it- iv) #upp7iers 4re)it- v) 9inancia7 easing- vi) 4ontro7 Premium- vii) Non* 4ompetition 9ee in case of transactions not invo7ving issue of shares- viii) Non*cash acCuisition of shares against technica7 transfer- p7ant an) machinery- goo)5i77- business )eve7opment an) simi7ar consi)erations an) ix) investment in immovab7e property ma)e )uring the year.

3.= $etaine) earnings )uring the year +

,n)er foreign 7iabi7ities- for retaine) earnings (un)istribute) profit)- p7ease furnish the proportionate amount as per the share ho7)ing of non*resi)ent investors (Direct investors). #imi7ar7y un)er foreign assets outsi)e In)ia- the retaine) earnings of your company 5ou7) be proportionate to your shareho7)ing of or)inary shares in the non*resi)ent enterprise.

13

+. Portfolio an% 9t er In"est(ent

B'lease furnish here the outstanding in"estments other than those mentioned under (DI abo"eD

A(ount in Lak s of Ru'ees Forei!n Lia$ilities In In%ia !utstan)ing at en)* (arch of Pre"ious %ear +.2 +.1 &Cuity #ecurities Debt #ecurities +.1.1 "on)s an) Notes +.1.< (oney (ar6et Instruments +.< Disinvestments )uring the year @. Financial Deri"ati"es (notiona7 va7ue) ?. 9t er In"est(ent ?.1 Tra)e 4re)it ?.1.1 #hort Term ?.1.< ?.< oans ong Term P7ease see the note be7o5 !utstan)ing at en)* (arch of Current %ear Forei!n Assets 9utsi%e In%ia !utstan)ing at en)* (arch of Pre"ious %ear !utstan)ing at en)* (arch of Current %ear

?.=

!thers

Note> As the )etai7s of the oans avai7e) of by your company are co77ecte) through Authorise) Dea7ers separate7y by 9oreign &xchange Department of the $eserve "an6 in &4" returns- the )etai7s of externa7 7oans avai7e) by your company nee) not be fi77e) in. 1o5ever- the externa7 7oans exten)e) by your company to non*resi)ent enterprises other than 0!#8L's outsi)e In)ia shou7) be reporte) un)er O9oreign Assets outsi)e In)iaP.

14

?.=.1 #hort Term ?.=.< ong Term

1!

-,. S are ol%in! 'attern as at en%-)arc

Equity Compulsorily convertible Preference Shares/ Debentures
J (9ace 'a7ue) $s.Amount sharesof No. J

sharesof No.

In"estor cate!or&

a) Non-Resi%ent ,,. ,/ ,0 ,2 ,3 ,6 ,7 ,8 -, -In%i"i%uals Co('anies FIIs F1CIs Forei!n Trusts Pri"ate 45uit& Fun%s Pension# Pro"i%ent Fun%s Partners i'# Pro'rietors i' fir(s Financial Institutions NRIs#PI9s 9t ers ('lease s'ecif&) Su$ Total $) Resi%ent Total

11.

Persons emp7oye) )uring the financia7 year en)ing (ach =1Q

(9ace 'a7ue) $s.Amount

1"

Direct7y In)irect7y Tota7 #ignature of the authorise) !fficia7 HEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE Name (in b7oc6 7etters) Designation HEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE HEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

P7aceH

DateH

P7ease in)icate the number of persons recruite) by your company )uring the financia7 year for 5hich the return is being submitte). ,n)er ODirect7yR- in)icate the number of persons on the ro77 of your company- 5hereas un)er OIn)irect7yP- in)icate the number of persons other5ise engage) by your company )uring the year.

1#