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FORM NO. 56A

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FORM NO. 56A

[See sub-rule (2) of rule 2D]

Application for approval of a Venture Capital Fund or a

Venture Capital Company

1. Name and address of the Venture Capital Fund/Venture Capital

Company

2. Date and place of formation/incorporation (enclose a copy of trust

deed/certificate of incorporation under Companies Act, 1956)

3. Objects of Venture Capital Fund/Venture Capital Company :

(i) Main objects

(ii) Ancillary objects

4. Capital structure/shareholding pattern

5. Present nature of business activities

Number of years in that business

6. Accounting policies (furnish description of significant accounting

policies)

7. Systems and procedures (furnish description of systems and proce-

dures and essential internal controls in order to carry on the busi-

ness)

8. Names of the associate organisations/group companies/subsidiaries

9. Details of management:

(a) Names of managers, directors with their experience, qualifica-

tions and profession

(b) Names of the key personnel

(c) Organisational structure

(d) Board of directors of associate organisations, companies and

their subsidiaries.

10. Names and addresses of the Bankers

11. Names and addresses of the auditors

12. Court cases/litigations in which involved in the last three years

13. Names of the venture capital undertaking in which investments have

been made or proposed to be made

…………………………………………………………

Signature and designation of the applicant

Verification

I, ………………………………………………………………………………………………………… do hereby declare that what is

stated above is true to the best of my knowledge and belief.

Verified today, the ………………… day of ………………. …….

…………………………………………………………

Signature and designation of the applicant

Notes:

The application Form (in duplicate) should be sent to the Director of Income-tax (Exemptions) having jurisdic-

tion over the Venture Capital Fund or the Venture Capital Company along with the following documents:—

(i) A copy of the trust deed under which the venture capital fund is formed or copy of the certificate of

incorporation issued under the Companies Act, 1956.

(ii) Copy of the certificate of registration issued by the Securities and Exchange Board of India.

(iii) Copies of balance sheet and profit and loss accounts for three previous years.

(iv) Form No. 56B duly filled in and signed by the applicant.

(v) Form No. 56C duly filled in and signed by the applicant.

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