OZG Daman (AI) UT4: ECB Application Form -83-a

Ozg Corporate Funding Consultant

Ozg Center, New Delhi & Mumbai

Website: http://fundraising.ozg.in

Phone # +91 (0) 88-007-25647

To book an appointment with Ozg Fundraising Consultants, please go to: ozgcenter.com/appointment

Email: funding.consultant@ozg.co.in

JOIN: facebook.com/FundingConsultant

WATCH: youtube.com/FundingConsultant

Form-83

(Reporting of loan agreement details under Foreign Exchange Management Act, 1999)

To be submitted in duplicate by the borrower to designated Authorised Dealer (AD) for all categories and any amount of external commercial borrowing (ECB). After examining conformity with the extant ECB guidelines, the AD may provide requisite details in Part F of the Form and forward one copy (within 7 days from the date of signing loan agreement between borrower and lender) for allotment of Loan Registration Number (LRN) to:

The Director

Balance of Payments Statistics Division

Department of Statistics and Information Management (DSIM)

Reserve Bank of India

C-8-9 Bandra-Kurla Complex

Mumbai – 400 051

Agreement Details (To be filled by borrowers of External Commercial Borrowings)

ECB under (Tick one) >>

Approval Route

Automatic Route

In case of Approval Route

No. and Date of RBI-FED approval:

(attach copy of approval letter)

Loan Key Number (allotted by RBI)

Earlier Loan Registration No. (Applicable only for Revised Form-83)

Part A: Borrower details

Name and address of the Borrower (in BLOCK letters)

Registration Number given by

the Registrar of Companies:

PAN Number of Company:

Business Activity:

Contact Official’s Name:

Designation:

Phone No. :

Fax No. :

E-mail ID :

(No item should be left blank)

Borrower Category (Tick one)

Public Sector

Private Sector

Detailed Category (Tick one)

Corporate - Manufacturing

Corporate - Infrastructure

Corporate –Service Sector - (Hotels, Hospitals and Software)

Corporate – Service Sector – (Other than Hotels, Hospitals and Software)

Bank

Financial Institution (other than NBFC)

NBFC- IFC

Reg. No.

NBFC- MFI

Reg. No.

NBFC- Others

Reg. No.

Non-Government Organization (NGO)

Micro Finance Institution (MFI)

Others (Specify)

Part B: Lender details

Name and address of the lender/ lessor /foreign supplier (in BLOCK letters)

Country:

E-mail ID :

(No item should be left blank)

Lender Category (Tick one)

Multilateral Financial Institution

Foreign Government (Bilateral Agency)

Export Credit Agency

Indian Commercial Bank branch abroad

Other Commercial Bank

Supplier of Equipment

Leasing Company

Foreign Collaborator / Foreign Equity Holder

International Capital Market

Regional Financial Institution

Government Owned Development Financial Institution

Others (Specify)

Details of foreign equity holding of the lender in the borrower company:

(a) Share in paid-up equity of the borrower (%)

(b) Amount of paid-up capital

ECB-Liability: equity ratio in case of borrowings above USD 5 million from foreign equity holder :

Part C: Loan Details

Loan Agreement Date (YYYY/MM/DD)

Effective Date of the Loan

Last Date of Disbursement

Maturity Date (Last payment date)

Grace Period (if in agreement)

Years

Months

Currency Name

Currency Code (SWIFT)

Amount (in Foreign Currency)

Equivalent Amount (in US Dollars)

(as on date of this form)

Proposed Bifurcation of the amount

Foreign Currency Expenditure

Rupee Expenditure

(in loan currency)

Hedging details (Tick one)

Currency Swap

Interest Rate Swap

Others

Unhedged

In case options are provided in the loan agreement (tick in the appropriate box)

Call Option

___ per cent of Debt

Can be executed after date

Put Option

___ per cent of Debt

Can be executed after date

Name and address of the Guarantor (in Block letters)

Contact Official’s Name:

Designation :

Phone No.: Fax No.: E-mail id:

Guarantee Status Code (as per Box 1):

Borrowing Purpose Code (as per Box 2):

(In case of multiple purpose, give break up of amount to be utilised under each purpose as Annex)

Project Details:

If import, specify the Country of import (if more than one country, attach details as Annex):

Economic Sector/ Industry Code (See Box-3)

Type of ECB (Tick in appropriate box)

1.Buyers’ Credit

2.Commercial Loan / Syndicated Loan

(attach sheet for percentage distribution among lenders)

3.Suppliers’ Credit

4.Export Credit from Bilateral Sources

5.Line of Credit

6.Securitised Instruments (Bonds, CP, FRN, etc.)

7.Financial Lease

8.FCCB, FCEB, Non-Convertible Preference Shares, Optionally Convertible Preference Shares, Partially Convertible Preference Shares

9.Refinancing of old ECBs

LRN of the old ECB: Approval No. Date of Approval:

Amount refinanced: Reason:

10.Others (Specify)

Interest Payment Schedule

First Payment Date

No.of payments per year

Fixed Rate

Floating Rate

Base with currency

Margin

Cap Rate

Floor Rate

Drawdown Schedule

Tranche No.

Date*

(YYYY-MM-DD)

Currency

Amount

If more than one equal installment#

Total No. of drawals

No. of drawals in a calendar year

* 1. In case of import of goods or services, date of import is to be furnished against date of drawdown.

2. In case of financial lease, date of acquisition (import) of the goods is to be mentioned as date of drawdown.

3. In case securitised instruments, date of issue has to be shown as date of drawdown.

4. In case of more than one equal drawdown transactions are shown in a row, the first date of transaction should be mentioned.

# If drawdown is in unequal installments, details should be given in Annex.

Principal Repayment Schedule

Date

(YYYY-MM-DD)

Currency

Amount

If more than one equal installments #

Total No. of payments

No. of payments in a calendar year

# If repayment is in unequal instalments, details should be given in Annex.

Part D: Other Charges

Specify Nature of charge

Expected Date of Payment

Currency

Amount

In case of multiple equal payments

No. of payments in a year

Total number of payments

Penal Interest for late payments	Fixed % or Base: Margin:
Commitment Charges	% per annum of: % of Undrawn Amount:

Part E: Details of ECB already availed (not applicable for the first-time borrower)

Year

Loan Reg.No. (LRN)

Currency

Amount of Loan

Principal

(as per agreement)

Disbursed so far

Net outstanding (Principal)

We hereby certify that the particulars given above are true and correct to the best of our knowledge and belief and no material information has been withheld and/or misrepresented. Furthermore, the ECB is in compliance with the extant ECB guidelines.

Place: __________ ___________________________________________________

(Signature of the Authorised Official of the Company)

Date: ___________ Stamp Name: ______________________ Designation:______________

Place:_____________ ___________________________________________________

(Signature of Company Secretary/ Chartered Accountant)

Date:_______________ Stamp Name: _________________________________________

Registration No.:______________________________

Ozg Corporate Funding Consultant

Ozg Center, New Delhi & Mumbai

Website: http://fundraising.ozg.in

Phone # +91 (0) 88-007-25647

To book an appointment with Ozg Fundraising Consultants, please go to: ozgcenter.com/appointment

Email: funding.consultant@ozg.co.in

JOIN: facebook.com/FundingConsultant

WATCH: youtube.com/FundingConsultant

ECB Application Form -83-a

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