Part A

PART: A
                        
 [For Foreign  Collaboration ]

XIII.	Foreign Investment 

(a)	Financial Collaborator

		Name 		___________________________________

		Address 		___________________________________

		Country 		___________________________________

(b)	Amount of foreign equity investment

			Amount in Rupees			Percentage of paid-up capital

				

XIV.	Foreign Technology Agreement 

(a)	Technical Collaborator

		Name 		_________________________________

		Address	        	_________________________________

				_________________________________

		Country	        	_________________________________


(b)	Royalty on Sales

  _______________________________________________________	________________________
 | Sales    	|  Percentage of Sales    	|  Period	  	|	|  Please tick ( )    	|
 |          		|                         	|           		|        	|  Whichever          	| 
 |          		|                         	|           		|        	|  is applicable      		| 
 |______________ |_______________________|_______________	|        	|_______________________	|
 | Domestic 	| 			| 	  	|        	|  Inclusive of taxes 	| 
 |______________	|_______________________	|_______________	|        	|_______________________	|
 | Export   	|			| 	  	|        	|  Net of taxes       	| 
 |______________	|_______________________	|_______________	|        	|_______________________	|

(c)	Nature and quantum of Lumpsum payment

   ______________________________________________________________     _____________________
  | Name of         	Amount of Foreign       	No.of Instalment   		|   |  Pleasetick( )      	|
  | Foreign	exchange required       	in which Payments  	|   |  Whichever is       	|
  | Currency		               	will be made       		|   |  applicable         	| 
  |______________________________________________________________|   |____________________	|
  |                                                            				|   |  Inclusive of taxes 	|
  |______________________________________________________________|   |____________________	|
  |                                                            				|   |  Net of taxes       	|
  |______________________________________________________________|   |____________________	|

i)	Technical Know-how fees

	        

ii)	Payment for design/drawing

	        

iii)	Payment for engineering services

	        

iv)	Payment for use of patents, brand names trade marks and the like

	        

v)	Any other payment (Please specify the purpose)

XV.	(I)	Total foreign Exchange inflow during the period of proposed collaboration

		a)	Equity                            	


                b)	Foreign Exchange earnings based

                        on f.o.b.   value of export       	
                        obligation/ commitment

(II)	Total foreign Exchange outgo during the period of collaboration

        i)    Import of machinery and equipment 	  	

       ii)    Import of raw materials & Components        	

      iii)    Import of Spare & Consumables               	

       iv)    Dividends & Profits (net of taxes)          	

        v)    Lumpsum payments (net of taxes)          	

      vii)    Design & Drawing Fee                                  	

     viii)    Payment of Foreign Technicians		

       ix)    Payment on training of Indian               	
              Technician abroad

        x)    Commission of Export etc.		          	

       xi)    Amount of interest to be paid on            	
              external commercial borrowing/deferred      	
              payment credit (Specify details)

      xii)     Any other payments (Specify details)      	

               TOTAL (i) to (xii)		         		

               Net Foreign Exchange Position		


XVI.   If this application is for extension of existing collaboration agreement or renewal of 
         the already expired collaboration agreement: 


(a)	Please indicate the period for which the agreement has already run and attach the copy 
        	of the previous approval 

	No. & date of 		Date of commencement of		Date of expiry of  
             Approval		     	agreement			agreement


           	          


        

(b)	Justification for extension of the collaboration agreement with information about the 
        status of absorption, adaptation and development of the technology already achieved. 


(c)	(i)    Whether you have set up any R & D Cell to absorb the know-how and the progress 
               achieved in this regard	

                               Yes			    No	
                                                                  
       (ii)    If yes, please indicate the number and date of communication under which 
               recognised by Department of Science & Technology/Department of Scientific and 
               Industrial Research

		                  

       (iii)   Expenditure on R&D facility set up (in Rupees) Annual recurring expenditure

Amount of investment in fixed assets
					


Annual recurring expenditure

					


(d)	Total payment made so far (Net of taxes) (in Rupees)


                 a)     Lumpsum			


                 b)     Royalty			

                 c)     Other payments		
 

XVII.	Please indicate : 

(a)	the Regional Office of the RBI to whom a copy of the approval is to be endorsed
		______________________________________________________________

		______________________________________________________________

(b)	the name of the Authorised Dealer of Foreign Exchange concerned through whom the 
        	remittance of Technical know-how fees and Royalty will be made. 

		Name 	  :	  _____________________________________________

		Address :         	  _____________________________________________
			          	  _____________________________________________

DECLARATION
 
I/We hereby certify that the above statements are true and correct to the best of my/our 
knowledge and belief. 

	(Signature of Applicant)	 	: 	_________________________________

	(Name in block letters)  	 	:	_________________________________

	(Designation of the signatory)	 : 	_________________________________

	Place 				 : 	_________________________________


                       Date