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Application to the Central Government for an order for payment of the dividend amount out of the General Revenue Account of the Central Government Pursuant to section 205B of the Companies Act, 1956

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.... of the Central Government) Rules, 1978<br>FORM No. II [See rule 6(1)] PART 'A' Application to the Central Government for an order for payment of the dividend amount out of the General Revenue Account of the Central Government Pursuant to section 205B of the Companies Act, 1956 1. Name of the applicant: 2. Postal address of the applicant: 3. Name, registration number and registered address ....

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....ayable to me/us from the General Revenue Account of the Central Government as unclaimed or unpaid dividend (which was originally) due from M/s. ......................... 1. Signature of witness, with name, date, address and occupation.. Signature of the claimant with name, date, address and occupation. 2. Signature of witness. with name, date, address and occupation (on revenue stamp of 20 paise....

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......................... has actually been deposited by the company to the General Revenue Account of the Central Government under Major Head "068 --Miscellaneous General Services -- Unpaid Dividends of Companies" on ........................................ (date) Necessary note for refund has been kept in the accounts maintained by me. ------------------------ Classification "068 Miscellaneo....