Declaration and undertaking by the transferor and the transferee

Declaration and undertaking, to accompany Form FC-TRS

PART A — DECLARATION BY THE TRANSFEROR

I / We, [Name of transferor], of [Transferor's address], do hereby declare and undertake as follows in respect of the transfer of [Number of equity shares transferred] equity shares of [ABC Private Limited] to [Name of transferee] on [Date of the transfer]:

1. I am [a person resident in India within the meaning of section 2(v) of the Foreign Exchange Management Act 1999 / a person resident outside India, being a [national / entity] of [country], holding the said equity instruments on a [repatriation / non-repatriation] basis].