Front Page:
Report of the Monitoring Agency
Name of the Issuer:
For quarter ended:
Name of the Monitoring Agency:
(a) Deviation from the objects:
– Utilization different from Objects stated in OD but in line with change of objects approved by shareholders’ resolution; or
– Utilization neither in line with Objects stated in OD nor approved by shareholders’ resolution
– In case of no deviation, the fact would be stated.
(b) Range of Deviation*:
Indicate range of percentage deviation from the amount of issue proceeds earmarked for objects. For example, up to 10%, 10 – 25%, 25-50%, 50-75%, 75-100%, not ascertainable etc.
* Range of Deviation may be computed by taking weighted average of financial deviation of each object in the ratio of issue proceeds allocated for it. Non-financial deviation may be indicated separately by way of notes.
Declaration:
I/We hereby declare that this report is based on the format as prescribed by SEBI (ICDR) Regulations, 2009, as amended. I/We further declare that this report provides true and fair view of the utilization of issue proceeds.
I/We declare that we do not have any direct / indirect interest in or relationship with the
issuer/promoters/directors/management and also confirm that we do not perceive any conflict of interest in such relationship / interest while monitoring and reporting the utilization of issue proceeds by the issuer.
Signature:
Name of the Authorized Person/Signing Authority:
Designation of Authorized person/Signing Authority:
Seal of the Monitoring Agency:
Date:
Subsequent Pages:
1) Issuer Details:
Name of the issuer :
The names of the promoters of the issuer :
Industry/sector to which it belongs :
2) Issue Details:
Issue Period :
Type of issue (public/rights) :
Type of specified securities :
Grading :
Issue size (Rs in Crores) :
3) Details of the arrangement made to ensure the monitoring of issue proceeds:
(Give item by item description for all the objects stated in offer document separately in following format)
| Particulars | Reply | Comments of Monitoring Agency | Comments of Board of Directors |
| Whether all the utilzation is as per disclosure in Offer Document? | Yes/No | ||
| Whether Shareholder approval is obtained in case of material deviations# from expenditures disclosed in Offer Document? | Yes/No | ||
| Whether means of finance for disclosed objects of the Issue has changed? | Yes/No | ||
| Any major deviation observed over the earlier monitoring agency reports? | Yes/No | ||
| Whether all Government / Statutory approvals related to the object(s) obtained? | Yes/No | ||
| Whether all arrangements pertaining to technical assistance/collaboration in operation? | Yes/No | ||
| Any favorable events improving object(s) viability | Yes/No | ||
| Any unfavorable events affecting object(s) viability | Yes/No | ||
| Any other relevant information that may materially affect the decision making of the investors | Yes/No |
# Where material deviation may be defined to mean:
a) Deviation in the objects or purposes for which the funds have been raised
b) Deviation in the amount of fund actually utilized by more than 10% of the amount projected in the offer documents.
4) Details of object(s)s to be monitored:
(i) Cost of object(s)-
(Give Item by Item Description for all the Objects Stated in Offer Document separately in following format)
| Sl. No | Item Head | Original Cost (as per Offer Document) | Revised Cost | Comments of Monitoring Agency | Comments of Board of Directors | ||
| Reason of cost revision | Proposed financing option | Particulars of firm arrangements made | |||||
(ii) Progress in the object(s)-
(Give Item by Item Description for all the Objects Stated in Offer Document separately in the following format)
| Sl. No | Item Head$ | Amount as proposed in Offer Document | Amount utilized | Total unutilized Amount | Comments of Monitoring Agency | Comments of Board of Directors | |||
| As at Beginning of the quarter | During the quarter | At the end of the quarter | Reason of idle funds | Proposed Course of Action |
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$ Provide following details under Item Head:
(a)Name of the object(s):
(b)Brief description of the object(s):
(c)Location of the object(s) (if applicable):
(iii) Deployment of unutilized IPO proceeds-
| Sl. no. | Type of instrument where amount invested* | Amount invested | Maturity date | Earnings | Return on Investment (ROI %) | Market Value as at the end of quarter** |
* Also indicate name of the party/company in which amounts have been invested
** Where market value is not practical to find, provide NAV/NRV/Book Value of the same
(iv) Delay in implementation of the object(s)-
| Object(s) Name | Completion Date | Delay (No. of days/ months) | Comments of Board of Directors | ||
| As per Offer Document | Actual * | Reason of delay | Proposed Course of Action |
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* In case of continuing object(s) please specify latest/revised estimate of completion date.