APPLICATION FORM FOR OWNERSHIP Under Royal Western India Turf Club, Ltd., Rules of Racing. The under mentioned particulars are required by the Stewards of the RWITC Ltd., (Please note that an incomplete application will not be considered.) Photograph CONFIDENTIAL PART- A 1. Full Name : ___________________________________________________________ 2. Date of Birth : ___________________________ Age: -___________________________ 3. Resi. Address & Tel/Fax : ___________________________________________________________ ___________________________________________________________ 4. 5. Office Address & Tel/Fax : ___________________________________________________________ Mobile Phone : _____________________________ ___________________________________________________________ For Official use only No. 6. E-mail address : _____________________________ 7. Nationality : _____________________________ 8. Passport No. : _____________________________ 9. PAN No. : _____________________________ (Please enclose a self attested photocopy of the PAN Card) PART-B 10. Have you or any of your family member/s (Father, Mother, Brother, Sister, Son, Daughter, Grand-son, Grand-daughter) been excluded/ warned off or any other action taken by any Club against you or any of your family member/s?: Yes / No If “Yes” then please state name of the Club and reason for the action: _________________________________________________________________________ 11. Have you been arrested in the past?___________________________________________ 12. Have you served any prison term or detained by Police in the past? __________________ 13. Are you a member of RWITC Ltd? If yes, it should be stated whether you are a Stand/ Club/ Life Member and since when: _________________________________________________ 14a. Are you a member of any other Club? :__________________________________________ 14 b Please state if you or any of your family members (Father, Mother, Brother, Sister, Son, Daughter, Grand-son, Grand-daughter etc) have been/ is/ are licensed as a Bookmakers and/or operate and/ or work with a Licensed Bookmakers’ Firm? If yes, please give details.___________________________________________________________________ 15. Have you been refused membership or expelled, suspended from any Club? Give details.___________________________________________________________________ _________________________________________________________________________ PART – C 16. Profession or Occupation: ____________________________________________________ 17. Name, Nature and Details of Work/Business in detail (including Annual turnover): _________________________________________________________________________ _________________________________________________________________________ 18. Designation/Position in firm/s or Company: ______________________________________ _________________________________________________________________________ _________________________________________________________________________ 19. If Partner/Director, give proportion of shares and names of other Partners/Directors: _________________________________________________________________________ _________________________________________________________________________ 20. Annual Income: ____________________________________________________________ 21. Details of Income Tax and Wealth Tax: _________________________________________ _________________________________________________________________________ _________________________________________________________________________ 22. Names/Addresses of Bankers : (1. It should be clearly stated whether the account is in the name of the applicant or in the name of the firm; 2. Please attach bank certificate): _________________________________________________________________________ _________________________________________________________________________ PART – D 23a. Have you previously owned horses under the RWITC Ltd’s Rules of Racing or any other Race Club or Turf Authority of India or abroad? If yes, give details. It should also be mentioned if such permission has been refused or withdrawn giving reasons, if known, for this refusal or withdrawal of permission. ________________________________________ ________________________________________________________________________ 23b. Has any of your family member/s (Father, Mother, Brother, Sister, Son, Daughter, Grand-son, Grand-daughter) been refused permission or revoked the permission given to own and race horses under the Rules of any Turf Authority?________________________________________________________________ 24. If you have already purchased a horse wholly or in partnership, give full details of the name, age and pedigree of the horse, the purchase price along with payment details and name of partners, if any, with proportion of shares. If you have not purchased a horse but intend to do so, please give the above details as well.______________________________________ _________________________________________________________________________ 25. Name of Trainer with whom you wish to train your horses with : ______________________ _________________________________________________________________________ 26. How long have you known this Trainer? _________________________________________ 27. What made you choose this particular Trainer/s?:__________________________________ _________________________________________________________________________ PART – E * You must be Proposed and Seconded by a Club Member of the Royal Western India Turf Club, Ltd. 28. * Proposed by: ______________________________________________________________ Length of time known to applicant _______________________________________________ Signature:__________________________________________________________________ 29. Seconded by: _______________________________________________________________ Length of time known to applicant : ______________________________________________ Signature:__________________________________________________________________ 30. Name and Signature of the proposed Trainer: _____________________________________ _____________________ (Signature of Applicant) Mumbai/Pune _____________________ (Name in Block letters) Date: For Official use only Declaration by Applicant:(A) Strike out what is not Applicable. 1. I am a person resident of India, within the meaning of the Foreign Exchange Management Act 1999 (“the Act”). 2. I am a person not resident in India within the meaning of the Act and, therefore, whatever monies I acquire in India, out of the activity of owning and racing horses in India shall be received by me only in India and in Indian Rupees from the Club and I shall not remit such monies outside India without the prior written permission of the Reserve Bank of India. (B) 1. I note that if this form is incomplete, it will be returned to me and may cause an inordinate delay. As such, I am advised to see that all the required information is clearly stated. If at a later date, the Stewards find that any of the above particulars furnished by me are incorrect, they will be at liberty to take any action against me that they may deem necessary under the Rules of Racing and to cancel the ownership of the horse/s forthwith. 2. I confirm that I am bound by the Rules of Racing, notifications, by-laws and all rules of RWITC Ltd., prescribed from time to time, and in particular Rule 41(n) relating to the payment of the basic training fees to trainers and dues of the Club and confirm to be bound by the decisions of the Stewards of the aforesaid Club. 3. My husband/Wife (as the case may be) is approved as owner, I agree that in the event of the Stewards taking action against him/her, it would be open for the Stewards to inquire into my ownership and, at their discretion, to either revoke my approval or prohibit the transfer of horses from such person to me. 4. I am fully aware as to the cost of maintaining and racing a horse and the abovementioned particulars as stated by me are correct in every respect and no other persons have any interest, financial or otherwise, in my share in the abovementioned horse/s. 5. I hereby consent and undertake to be bound by the Articles of Association, Rules of Racing, Notification, bye-laws, other rules and regulation etc. of the Club which are in force from time to time, including without limitation, the provisions relating to the exclusive jurisdiction of Mumbai Courts only. Permanent address in India/outside India:_______________________________________________ ________________________________________________________________________________ Address in Mumbai/Pune elsewhere in India:_____________________________________________ ________________________________________________________________________________ ---------------------------------(Signature of Applicant) Mumbai/Pune : ____________________ (Name in Block Letters) Date : 26/04/2013