Annex to A.P. (DIR Series) Circular No.20 dated August 29, 2012 Contact Name of the AD Person Telephone Fax Part I - Details of guarantee availed of from non-resident entities for fund and non-fund activities for the quarter ended ______ Name of Status of the the Type of Major gurantor resident Name of Name of Approx facility Guarantee Sl. activity (bank/financial lender Amount the the equivalent Commission, No of the institution/foreign availing in INR borrower guarantor in USD if any borrower equity holder based) etc..) resident guarantee Part II - Details of Guarantee Invoked availed of from non-resident entities as per FEMA Notification No. 29 for the quarter ended __________ Details of discharge of liability Status of the (payment out Type of Major gurantor Name of of rupee Name of Name of Approx facility Sl. activity (bank/financial the Amount Reason for balances held Repayment the the equivalent No of the institution/foreign in INR invocation in India or by details borrower guarantor in USD borrower equity holder lender remitting the based) etc..) funds to India or by debit to FCNR/NRE account)
Annex to A.P. (DIR Series) Circular No.20 dated August 29, 2012 Name of the AD Contact Person Telephone Fax Part I - Details of guarantee availed of from non-resident entities for fund and non-fund activities for the quarter ended ______ Sl. No Name of the borrower Major activity of the borrower Name of the guarantor Status of the gurantor (bank/financial institution/foreign equity holder etc..) Name of the resident lender availing guarantee Amount in INR Approx equivalent in USD Type of facility based) Guarantee Commission, if any Part II - Details of Guarantee Invoked availed of from non-resident entities as per FEMA Notification No. 29 for the quarter ended __________ Sl. No Name of the borrower Major activity of the borrower Name of the guarantor Status of the gurantor (bank/financial institution/foreign equity holder etc..) Name of the resident lender Amount in INR Approx equivalent in USD Type of facility based) Reason for invocation Details of discharge of liability (payment out of rupee balances held in India or by remitting the funds to India or by debit to FCNR/NRE account) Repayment details
Statement%20of%20Gurantee%20-Quarter%20Report-16.05.2016.docx