You are on page 1of 3

Annex - 6

[PART I, Section V, para 1 (i) ]


Report by the Indian company receiving amount of consideration for issue of shares /
Convertible debentures under the FDI Scheme
( To be filed by the company through its Authorised Dealer Category I bank, with the
Regional Office of the Reserve Bank under whose jurisdiction the Registered Office of
the company making the declaration is situated, not later than 30 days from the date of
receipt of the amount of consideration, as specified in para 9 (I) (A) of Schedule I to
Notification No. FEMA 20/2000- RB dated May 3, 2000 )
Permanent Account Number (PAN) of the investee company given by the IT Department

No
.
1.

Particulars

(In Block Letters)

Name of the Indian


company

GLOBAL ENERGY TECHNOLOGIES PRIVATE LIMITED

Address of the Registered


Office

504,SATRA PLAZA,PALM BEACH ROAD,SECTOR


-19,VASHI,
NAVI MUMBAI 400703

Fax

022-27834314

Telephone

022-27834314

e-mail
2

vmahesh@saving-energy.com

Details of the foreign investor/ collaborator


Name

KVX SYSTEMS LIMITED OFFSHORE

Address

OFF NUMBER 303 305, AL FUTTAIM


TOWER,MAKTOUM STREET,AL MAKTOUM
ROAD, NEAR PO BOX NO 1961
Country
3.

Date of receipt of funds

4.

Amount

DUBAI
04-06-2015
In foreign
currency

USD 29980

In Indian Rupees

INR 1894733

5.

Whether investment is
under Automatic Route or
Approval Route

Automatic Route / Approval Route

If Approval Route, give


details
(ref.
no.
of
approval and date)
6.
7.

Name of the AD through


whom the remittance is
received
Address of the AD

YES BANK
YES BANK LIMITED
NEHRU CENTRE, 9TH FLOOR
DISCOVERY OF INDIA,
DR A.B.ROAD, WORLI
MUMBAI - 400018

A Copy of the FIRC evidencing the receipt of consideration for issue of shares/ convertible
debentures as above is enclosed.

(Authorised signatory of
the investee company)

(Authorised signatory of
the AD)

Name of Signatory -

(Stamp)

(Stamp)

FOR USE OF THE RESERVE BANK ONLY:


Unique
Identification
remittance received:

Number

for

the

Annex - 7
[PART I, Section V, para 1 (i) ]
Know Your Customer (KYC) Form in respect of the non-resident investor
Registered Name of the Remitter / Investor KVX SYSTEMS LIMITED
(Name, if the investor is an Individual)

OFFSHORE

Registration Number (Unique Identification IC20131203


Number* in case remitter is an Individual)
OFF NUMBER 303 305,
AL FUTTAIM TOWER,
Registered Address (Permanent Address if MAKTOUM STREET,
AL MAKTOUM ROAD,
remitter Individual)
NEAR PO BOX NO 1961,
DUBAI
Name of the Remitters Bank

MASHREQ BANK PSC

Remitters Bank Account No.

AE430330000019000009987

Period of banking relationship with the Since 27/4/14


remitter
* Passport No., Social Security No, or any Unique No. certifying the bonafides of the remitter
as prevalent in the remitters country

We confirm that all the information furnished above is true and accurate as
provided by the overseas remitting bank of the non-resident investor.

(Signature of the Authorised Official


of the AD bank receiving the remittance)
Date :
Stamp :

Place:

You might also like