Modalities for migration of Venture Capital Funds registered under erstwhile SEBI (Venture Capital Funds) Regulations, 1996 to SEBI (Alternative Investment Funds) Regulations, 2012

S. No.

Particulars

Information as submitted by the applicant

General Information

1.  

Name of the applicant 

2.  

PAN of applicant

3.  

Registration No. of the VCF

(Enclose the original certificate of  registration as a VCF)

4.  

Address of the Registered Office

Address:

Tel No.: 

Mobile No. : 

Email ID: 

5.  

Address of the applicant for Correspondence

Address:

Tel No.: 

Mobile No. : 

Email ID: 

6.  

Address of Principal Place of Business

Address:

Tel No.: 

Mobile No. : 

Email ID:

7.  

Contact person 

Name: 

Direct Line Number:

Mobile No.: 

Email ID: 

8.  

Legal  structure  of  applicant -Whether  the  applicant  is  a  company  or  trust  or a body corporate

9.  

Date   and      Place    of         incorporation/ establishment 

(Enclose certificate of incorporation, memorandum and articles of association or trust deed in terms of which the VCF was incorporated or established)

10.  

Name, Identity proof and address proof of the Board of Directors of the venture capital fund in case the applicant has been set up as a company

11.  

Whether the applicant or its associates is/ are registered with the Board, Reserve Bank of India or any other regulatory authority in any capacity along with the details of its registration.

Details of trustee/trustee company

12.  

Whether the trustee is an individual or a trustee company

13.  

Name of the Trustee 

14.  

PAN of Trustee 

15.  

Address of the registered office

16.  

Contact person of Trustee 

Name: 

Direct Line Number:

Mobile No.: 

Email ID:

17.  

Name, Identity and Address proof of Directors of the Trustee Company

18.  

Whether the Trustee Company is registered with Board, or any other regulatory authority in any capacity along with the details of its registration

Details of sponsor(s)

19.  

Name of Sponsor 

20.  

PAN of Sponsor

21.  

Address of the Registered Office

Address:

Tel No.: 

Mobile No. : 

Email ID: 

22.  

Address for Correspondence

Address:

Tel No.: 

Mobile No. : 

Email ID: 

23.  

Address of Principal Place of Business

Address:

Tel No.: 

Mobile No. : 

Email ID:

24.  

Legal Structure and date of incorporation/ establishment of Sponsor

25.  

Contact person of Sponsor 

Name: 

Mobile Number: 

Email ID:  

26.  

Name, Identity proof and address proof of directors of the Sponsor or partners of the

Sponsor

27.  

Details of Shareholders / partners of the

Sponsor

28.  

Whether the Sponsor is registered with Board, or any other regulatory authority in any capacity along with the details of its registration 

Details of Manager

29.  

Name of Manager 

30.  

PAN of Manager

31.  

Address of the Manager

32.  

Address of the Registered Office

Address:

Tel No.: 

Mobile No. : 

Email ID: 

33.  

Address for Correspondence

Address:

Tel No.: 

Mobile No. : 

Email ID: 

34.  

Address of Principal Place of Business

Address:

Tel No.: 

Mobile No. : 

Email ID:

35.  

Legal Structure and date of incorporation/ establishment of Manager

36.  

Contact person of Manager 

Name: 

Direct Line No.:

Mobile Number: 

Email ID:  

37.  

Name, Identity proof and address proof of the

Directors of the Manager

38.  

Details of Shareholders / partners of the

S. No.

Particulars

Information as submitted by the applicant

Manager

39.  

Whether the manager is registered with Board, or any other regulatory authority in any capacity along with the details of its registration

S. No.

Particulars

Information as submitted by the applicant

1.  

Copy of the placement memorandum

2.  

Date of initial closing of the scheme of the VCF

(dd/mm/yyyy)

3.  

Date of final closing of the scheme of the VCF 

(dd/mm/yyyy)

4.  

Original tenure of the scheme of the VCF (in years)

5.  

Extension of tenure availed, if any (in years)

6.  

End   date   of   tenure   of   the  scheme of the VCF

(including extension of tenure availed, if any)

(dd/mm/yyyy)

7.  

End date of liquidation period of the scheme of the

VCF (dd/mm/yyyy)

8.  

Residual tenure of the scheme of Migrated VCF (in years)

9.  

Amount of Commitment Raised by the scheme (In

INR Crore)

10.  

Amount of Fund Raised by the scheme (In INR Crore)

11.  

Cumulative   investments   made   by   the   scheme

(at Cost, in INR Crore)

12.  

Details    of    unliquidated    investments    held    by scheme as on date of the application

Number of investments held

Cumulative (total) amount invested (at cost, in INR

Crore)

Total  value of investments as per latest valuation (in

INR Crore)

13.  

Whether the scheme has investment of not less than five lakh rupees from each investor  (enclose a declaration to that effect)

14.  

Whether the scheme had a firm commitment from the investors for contribution of an amount not below rupees five crores before the start of operations under VCF Regulations

(enclose a declaration to that effect)

S. No.

Particulars

Information as submitted by the applicant

1.  

Whether there are any pending investor complaints with respect to non-receipt of funds/securities, against the VCF/any of the scheme of VCF whose liquidation period has expired, at the time of filing this information. 

(Enclose a declaration to that effect)

2.  

Whether the applicant or Sponsor or its directors/ partners or Manager or its Directors/ Partners or Trustees/ Trustee Company or its directors are/ were involved in any litigation connected with the securities market and any order has/ had been passed against them for violation of securities laws. 

(If yes, provide details. If no, enclose a declaration to that effect)

3.  

Whether the applicant/ Sponsor/ Trustee/ Manager or its directors or Partners or employees are / have been involved in any litigation connected with the securities market which may have an adverse bearing on the business of the applicant or any order has/ had been passed against them for violation of securities laws. 

(If yes, provide details. If no, enclose a declaration to that effect).

4.  

Whether applicant/ Sponsor/ Trustee/ Manager or its directors or Partners has/ have been refused a certificate by the Board or its/ their certificate has been suspended at any time prior to this application. 

(If yes, provide details. If no, enclose a declaration to that effect).

5.  

Whether the applicant, Sponsor and Manager are fit and proper persons based on the criteria specified in the Securities and Exchange Board of India (Intermediaries) Regulations, 2008 (Enclose a declaration to that effect).

DECLARATION STATEMENT

We hereby agree and declare that the information supplied in the application including the attachment sheets, is complete and true. 

AND we further agree that we shall notify Securities and Exchange Board of India immediately any change in the information provided in the application. 

We further agree that we shall comply with, and be bound by the Securities and Exchange

Board of India Act, 1992 and the Securities and Exchange Board of India (Alternative Investment Fund) Regulations, 2012, and Government of India guidelines/instructions as may be announced by the Securities and Exchange Board of India from time to time. 

We further agree that as a condition of registration, we shall abide by such operational instructions/directives as may be issued by Securities and Exchange Board of India from time to time.

For and on behalf of (name of the applicant)

Authorized signatory

(signature)

Date:  Place: