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 Address

Street
City
Phone Fax Email Country
Zip Code

1 (b) Background of Foreign collaborator

2. Name and address of the Indian Joint Venture Partner (if applicable)

Name of Indian Joint Venture Address

Partner/s
Street

Phone Fax Email City

Pin Code

2(b) 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 Address

Partner
Street

Phone Fax Email City

Pin Code

7. Foreign/NRI/OCB investment (fresh equity):

(a) Name and country of the foreign investor

(b) 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

Total inflow on account of issue of shares to non- Rs. ------------------

residents (including premium, if any)
(c ) ( 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 Preference
I. Paid up capital Rs. ------------------ Rs. ------------------

II. ( a) Non- resident Investment

( i ) NRIs/ OCBs Rs. ------------------ Rs. ------------------
( ii) Others Rs. ------------------ Rs. ------------------
( b ) Resident Investment Rs. ------------------ Rs. ------------------
Total Rs. ------------------ Rs. ------------------
VII. Existing percentage of non- NRIs/ OCBs ------------ %
resident investment in the Others ------------ %
paid up capital
[ II ( a ) as percentage of I ] Total ------------ %
X. Proposed non-resident NRIs/ OCBs/Others ------------ %
investment as per column 7
and 7(a) above
XI. Total percentage of non- ------------ %
resident investment in the
paid up capital

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 :-