Government of India
Ministry of Commerce and Industry
Department of Industrial Policy and Promotion
Secretariat For Industrial Assistance
Check list for FIPB Plain paper application
1(a)
Name and address of the Foreign Collaborator
Name of Foreign Collaborator
Phone
1 (b)
Fax
Email
Address
Street
City
Country
Zip Code
Background of Foreign collaborator
2. Name and address of the Indian Joint Venture Partner (if applicable)
Name of Indian Joint Venture
Partner/s
Address
Street
Phone
2(b)
Fax
Email
City
Pin Code
Background of Indian joint venture partner/s
3. Existing/proposed activities:
Category
Sector/sub-sector
Description with NIC code
Manufacturing
Mining &
Quarrying
Electricity, gas
and water
Construction
Trading
Tourism
Township
development
Financial
services
Other services
Others
1
Government of India
Ministry of Commerce and Industry
Department of Industrial Policy and Promotion
Secretariat For Industrial Assistance
3(a) If attracts compulsory licensing/SSI licensing/locational licensing/sectoral
licensing, details thereof
3(b)
Details of earlier approvals, if any (Ref. No.& Date)
4.
Total project cost/additional infusion of funds
4(a)
Employment/ projection
Exports/ projection (if any)
Forex position/projection
5.
In case of foreign technical collaboration, details thereof, including name and
address of technical collaborator/s, nature of technology transfer, whether the
technology is still in use in the country of origin and payments involved for transfer of
technology/use of brand name/trademark.
6. Name and address of implementing company incorporated in India (existing/new)
Name of Indian Joint Venture
Partner
Address
Street
Phone
Fax
Email
City
Pin Code
7. Foreign/NRI/OCB investment (fresh equity):
(a)
(b)
Name and country of the foreign investor
Nos. of shares to be issued: (Furnish equity & preference separately)
No. of shares
Face value of shares Total face value per share
Equity
Rs. -----------------Rs. -----------------………
Preference
Rs. -----------------Rs. -----------------……….
Issue Price At Par (Rs.) -------------- Premium of Rs. -----------------2
Government of India
Ministry of Commerce and Industry
Department of Industrial Policy and Promotion
Secretariat For Industrial Assistance
(c )
Total inflow on account of issue of shares to nonRs. -----------------residents (including premium, if any)
( i ) We are listed company; market related price per share is Rs. --------------or
( ii ) Other company; Fair value of share is Rs. -----------------
7(a)
Transfer of existing equity (details and board resolution to that effect)
(b) Copy of Board Resolution to be enclosed.
8.
Paid up capital (existing/proposed):
Equity
I.
II.
III.
IV.
V.
Paid up capital
( a)
Preference
Rs. ------------------
Rs. ------------------
Non- resident Investment
( i ) NRIs/ OCBs
Rs. ------------------
Rs. ------------------
( ii) Others
( b ) Resident Investment
Total
Existing percentage of nonresident investment in the
paid up capital
[ II ( a ) as percentage of I ]
Rs. -----------------Rs. -----------------Rs. -----------------NRIs/ OCBs
Others
Proposed non-resident
investment as per column 7
and 7(a) above
Total percentage of nonresident investment in the
paid up capital
NRIs/ OCBs/Others
Total
Rs. -----------------Rs. -----------------Rs. ----------------------------- %
------------ %
------------ %
------------ %
------------ %
9.(a) Previous/existing joint ventures in same/allied field, if any, and if so,
justification for the proposed venture
(b) Press Note No. 18(1998) declaration to be enclosed.
Signature:
Name :
Date :3