| PART I |
| General Information: |
|
1.Applicant's details:
|
| 1.1 Name of Applicant |
|
|
1.2Address of the applicant
|
| Pin Code |
|
Telephone No. |
|
| Telex No. |
|
Fax No. |
|
|
1.3Address of the applicant for correspondence
|
| Pin Code |
|
Telephone No. |
|
| Telex No. |
|
Fax No. |
|
|
1.4Address of branch offices (in India) of the applicant, if any
|
|
|
1.5Whether any other application under the Securities and Exchange Board of India Act, 1992, has been made for grant of certificate, if so, details thereof.
|
|
|
2.Organisation structure:
|
|
2.1Objects of the organization of the applicant (attach extracts from relevant documents like, partnership deed/charter/memorandum of association/articles of association etc.) in support of object of the organization.
|
|
| 1.3 Address of the applicant for correspondence |
|
| 2.2 Date and place of incorporation establishment of the organization of the applicant. |
Day |
Month |
Year |
Place |
|
2.3Status of the applicant (specify whether proprietary, partnership, association of persons, body of individuals, limited company-public/private, other. If listed, name the stock exchange and latest share price: high and low)
|
|
|
2.4Organisation chart stating the functional responsibility at various levels
|
|
|
2.5Pariculars of all proprietors/partners/manager /officers/directors (name, qualification, experience, other directorship (name and date of appointment), previous positions held)
|
|
|
2.6Number of employees
|
|
| 2.7 Name and activities of associate companies concerns (Name, address/phone number/type of activity/ownership details/ nature and quantum of financial trading) |
|
| 2.8 In case the applicant is a body corporate, please give list of major share-holders (holding 5% or more voting rights) |
|
|
3.Details of infrastructural facilities:
|
|
3.1Office space (mention the extent of area and ownership details available)
|
|
|
3.2Office equipment (mention the details of electronic office equipment, typewriters, telecommunication equipment, furniture and fixtures, others communication facilities, etc.)
|
|
|
4.Business plan (for three years):
|
|
4.1History, major achievement and present activity
|
|
|
5.Financial information :
|
|
5.1Capital structure (Rs. in lakhs):
|
Current year |
Last year |
Previous year |
Second year |
Third year |
|
(a)Paid-up capital
|
|
|
|
|
|
| (b) Free reserves (excluding revaluation reserves) |
|
|
|
|
|
|
(c)Total (a) + (b)
|
|
|
|
|
|
|
(d) Loan(details)
|
|
|
|
|
|
| (e) Net profit: |
|
|
|
|
|
|
(i)General
|
|
|
|
|
|
|
(ii)Specific
|
|
|
|
|
|
| Note:In case of partnership or proprietary concerns, please indicate capital minus drawings. |
|
5.2Development of resources
|
|
(a)Fixed assets
|
|
|
|
|
|
|
(b)Plant and machinery and office equipment
|
|
|
|
|
|
|
(c)Investments (details should be given separately)
|
|
|
|
|
|
|
(d)others
|
|
|
|
|
|
|
5.3Major source of estimated profit: from various sources (Rs. in lakhs)
|
Current year |
Last year |
Previous year |
Second year |
Third year |
|
5.4Please enclose three years of audited annual accounts and where unaudited reports are submitted, give reasons
|
|
|
|
| 5.5 Name and address of the principal bankers |
|
| 5.6 Name and address of the auditors (internal, external and tax auditor, if any, as applicable) |
|
|
6.Other information:
|
|
6.1Indicate involvement in any offence relating to moral turpitude/economic offences in the last three years.
|
|
| 6.2 Any other information considered relevant to the nature of services rendered by the company. |
|
| PART II |
|
7.Business information:
|
|
7.1Indicate marketing capability for capital issues.
|
|
|
7.2Indicate how decision on underwriting is usually taken.
|
|
|
7.3Indicate various research and database facilities available.
|
|
|
7.4Enclose copy of typical contract entered into with the issuer for underwriting activity.
|
|
|
8.Experience:
|
|
8.1Experience in underwriting activities (Indicate name of company, particulars of the issue, amount of underwriting done in the last three years)
|
|
|
8.2Experience of other financial services rendered (period, area and date of commencement of activity)
|
|
|
8.3Details of all unsettled and pending development/disputes regarding underwriting
|
Name of dispute |
Name of the party |
Pending settled |
|
8.4Indicate underwriting defaulted with any company and reasons for the same:
|
|
| | | | | | | | | | | | | |