MINISTRY OF DEFENCE & HOME AFFAIRS

APPLICATION FORM

PROPERTY RESTRICTION ACT NO 22 of 1975

Application under the Non-Citizens (Property Restriction) Act for the

Purchase of Shares

1. (a) Name of Company/Societe ........................................................

(b) Address: ......................................................

2. Status of Company/Societe

State whether 9I) Development Certificate Holder

ii) Export Enterprise Certificate Holder

iii) Export Service Certificate Holder

iv) Pioneer Status Certificate Holder

(vi) Other

3. Date of incorporation: ...............................................................................

4. (a) Name and Nationality of Shareholder: ............................................

(b) Precise residential address of foreign investor ..........................................................................

(If a company, indicate name of shareholders of the foreign company) ........................................................................................................

5. (a) Details about shares held/purchased as from the 12th March, 1968

(b) Details about shares to be purchased

(c) State whether purchase value of shares has already been officially transferred from overseas and credited to the resident account of company.

(I) if yes, please state amount transferred ........................................................

(documentary evidence from the bank should be annexed)

(ii) if no, please state when it is proposed to do so. ..................................................................

6. I ...........................................................................................................................

hereby apply on my own behalf/on behalf of .........................................................

for the consent of the Prime Minister to hold/purchase ...........................................

..................................................(state no of shares).............................................

shares of Rs ........................................................................................................

each in the company/Societe named ...................................................................

..........................................................................................................................

Date: ....................................................... Signature: ......................................

Documents to be submitted:

(1) A copy of the Certificate of Incorporation of Company

(2) A copy of the Memorandum & Articles of Association

(3) Precise information on the Share Capital Structure -

(Total Authorised Capital Total capital to be subscribed local & foreign shareholding)

(4) The Share Valuation Certificate, whenever the shares are not purchased at nominal value.