COMPANY LAW SETTLEMENT (JAMMU AND KASHMIR) SCHEME, 2003 FORM OF DECLARATION

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....and Kashmir Sir/Madam,      I/We herewith make a declaration under the Company Law Settlement (Jammu and Kashmir) Scheme, 2003 and give below the following particulars, namely:- 1. Name of the declarant and address: (in Block letters) 2. Name of the Company: 3. Registration No. of Company: 4. Date of incorporation of the Company: 5. Address of the Compan....

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....(d) Amount (Rs.) Company Registration No. Signature of the Managing Director/Whole-Time Director/Director/Manager/Company Secretary 10. Whether declarant on behalf of the company would like to be granted immunity for non-compliance? 11. Submission - In light of the circumstances herein mentioned above and keeping in mind the admission of the offence by the applicant/company and taking ....

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....t this declaration is in my capacity as the Managing Director/Director and that I am competent to make this declaration and verify it. Designation/Signature of the applicant Date: Place: (Seal of Declarant) CERTIFICATE GRANTING IMMUNITY FROM PENALTY AND PROSECUTION UNDER THE COMPANY LAW SETTLEMENT (JAMMU AND KASHMIR) SCHEME, 2003 Whereas........................... (hereinafter re....