(i) *Whether entity has any secured debt outstanding as on the date of application Yes No
(ii) *Mention the total outstanding amount ¹Hkkx IIµ[k.M 3(ii)º Hkkjr dk jkti=k % vlk/kj.k 7 Attachments
1. *Particulars of members/partners along with the details of
2. List of attachments shares held by them;
3. *Declaration of two or more directors verifying the particulars of all members/partners;
4. *Affidavit from all the members/partners for dissolution of the entity;
5. *Copy of the instrument constituting or regulating the entity;
6. Copy of certificate of registration of the entity, if any;
7. *Copy of Newspaper advertisement;
8. *Certificate from a CA/CS/CWA certifying the compliance with all the provisions of Stamp Act, to the extent applicable;
9. Consent of majority of members;
10. Consent of at least three-fourth of members agreeing for registration under this part;
11. No objection certificate from the concerned Registrar of Firms or Registrar of Companies(LLP);
12. No objection certificate/Consent given by secured creditors;
13. Statement of accounts of the company, prepared not later than 30 days preceding the date of application duly certified by auditor; if applicable
14. Copy of the resolution declaring the amount of guarantee;
15. *Undertaking for compliance with requirements of Indian Stamp Act, 1899
16. * a copy of latest Income Tax return of the firm
17. Optional attachment(s) (if any) Declaration I * , a person named in the articles as a declares that all the requirements of The Companies Act, 2013 and the rules made thereunder in respect of the subject matter of this form and matters incidental thereto have been complied with. I am authorized by other promoters subscribing to the Memorandum of Association and Articles of Association and the first directors to give this declaration and to sign and submit this Form. It is further declared and verified that
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information material to the subject matter of this form has been suppressed or concealed and is as per the original records maintained by the promoters subscribing to the Memorandum of Association and Articles of Association.
2. All the required attachments have been completely and legibly attached to this form.
*To be digitally signed by * Designation DSC BOX Attach Attach Attach Attach Attach Attach Attach Attach Attach Attach Attach Attach Attach Remove Attachment Attach Attach Attach 8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] * DIN or PAN of the director or manager;
or Membership number of company secretary Certificate by practicing professional I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone through the provisions of the Companies Act, 2013 and Rules thereunder relevant to this form and I have verified the above particulars (including attachment(s)) from the original records maintained by the Company/applicant which is subject matterof this form and found them to be true, correct and complete and no information material to this form has been suppressed.
I further certify that:
i. The said records have been properly prepared, signed by the required officers of the Company and maintained as per the relevant provisions of the Companies Act, 2013 and were found to be in order;
ii. All the required attachments have been completely and legibly attached to this form.
* To be digitally signed by * Chartered accountant (in whole-time practice) or Cost accountant (in whole-time practice) or Company secretary (in whole-time practice) * Whether associate or fellow Associate Fellow * Membership number * Certificate of practice number Note: Attention is drawn to provisions of Section 448 and 449 of the Companies Act, 2013 which provide for punishment for false statement / certificate and punishment for false evidence respectively.
For office use only:
eForm Service request number (SRN) eForm filing date Digital signature of the authorising officer This e-Form is hereby registered Date of signing (DD/MM/YYYY) [F. No. 1/35/2013 CL-V] K.V.R. MURTY Jt. Secy.
Modify Check Form Prescrutiny Submit DSC BOX Affix filing details Confirm submission ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 9 Note : The principal rules was published in the Gazette of India, Extraordinary Part II, Section 3, Sub-section (i) vide number G.S.R. 257(E) dated the 31 st day of March, 2014 and subsequently amended vide the following notification:- Serial Number Notification Number Notification Date
1. G.S.R. 563 (E) 31-05-2016 Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.
2018-02-26T12:27:44+0530 ALOK KUMAR