FORM NO. 59A
[See rule 20A]
Application for approval of mutual funds investing in the eligible issue of public
companies under section 88(2)(xvii) of the Income-tax Act
1. Name of the Mutual Fund and the address of its registered office
2. Details of the trustees of the fund such as names, addresses, their pro-
fessional experience, etc.
3. Objects of the fund
(i) Main objects
(ii) Ancillary objects
(Enclose a copy of the Mutual Fund deed)
4. Whether registered with SEBI; if yes, please specify the date and the
number of the order (enclose a copy of the SEBI’s order)
5. Whether notified under section 10(23D) of the Income-tax Act; if yes,
please specify the date and the number of the order (enclose a copy of
the order)
6. Details of the custodians (enclose a copy of the custodian agreement
for mutual fund)
7. Details of Asset Management company such as names of directors
with their experience, qualifications and profession, and whether re-
lated to the trustees (enclose a copy of the audited balance sheet for
last 3 years)
8. Plan-wise details of various schemes launched so far and the applica-
tion of their proceeds (enclose audited balance sheet for last 3 years)
9. Details of the proposed scheme to be launched for the purpose of sec-
tion 88(2)(xvii), such as number of units, face value, total amount to
be mobilised, etc. (enclose a copy of the approval by the SEBI)
10. Name and address of the public company in whose public issue sub-
scription is proposed to be made, along with the details of the issue
(enclose a copy of the approval of the public issue by the Board)
11. Names and addresses of the Bankers
12. Names and addresses of the auditors.
 ..................................................................
(Signatures of the authorised signatory)

Verificotion
I,…………………………………………………certify that the information furnished above is true to the
best of my knowledge and belief.
 ..................................................................
(Signatures of the authorised signatory)
Note: The application form (in duplicate) should be sent to the Board by the Mutual Fund along with the
documents as mentioned in the application form.