Annexure ‘D’
[Refer to paragraph 4(3) of Schedule I]
Quarterly Return

1. Name of Company :
2. Address :
3. GDR/ADR issue launched on :
4. Total No. of GDRs/ADRs
issued
:
5. Total amount raised :
6. Total interest earned till end of
quarter
:
7. Issue Expenses and
commissions etc.
:
8. Amount repatriated :
9. Balance kept abroad
Details :
(i) Banks Deposits
(ii) Treasury Bills
(iii) Others (Please specify)
10. No. of GDRs still outstanding :
11. Company’s share price at the
end of the quarter
:
12. GDR price quoted on overseas
stock exchange as at the end of
the quarter
:
Certified that funds raised through ADRs/GDRs have not been invested in stock market or real
estate.
Sd/- Sd/-
Chartered Accountant Authorised Signatory of
the Company