Companies (Management and Administration) Third Amendment Rules, 2015

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.... the Companies (Management and Administration) Rules, 2014] Form language o English o Hindi Refer the instruction kit for filing the form. I. (i) सत्यमेव जयते REGISTRATION AND OTHER DETAILS *Corporate Identification Number (CIN) of the company Global Location Number (GLN) of the company *Permanent Account Number (PAN) of the company (ii) (a) Name of the company (b) Registered office address (c) email-ID of the company (d) *Telephone number with STD code (e) Website (iii) Date of Incorporation (iv) Type of the Company Category of the Company Sub-category of the Company (v) 33 Whether company is having share capital O Yes O No (vi) *Whether shares listed on recognized Stock Exchange(s) O Yes O No (a) Details of stock exchanges where shares are listed S. No. Stock Exchange Name Code 1 2 (b) CIN of the Registrar and Transfer Agent Name of the Registrar and Transfer Agent Registered office address of the Registrar and Transfer Agents Pre-fill Pre-fill (vii) *Financial year From (DD/MM/YYYY) To (DD/MM/YYYY) (viii) *Whether Annual General Meeting (AGM) held O Yes O No II. (a) If yes, date of....

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....he end of the year Preference shares At the beginning of the year Increase during the year i. Issues of shares ii. Re-issue of forfeited shares iii. Others, specify Decrease during the year i. Redemption of shares ii. Shares forfeited iii. Reduction of share capital iv. Others, specify At the end of the year (ii) Details of stock split/consolidation during the year (for each class of shares) Class of shares (i) (ii) (iii) Number of shares Before split/ Consolidation Face value per share Number of shares After split / Face value per share (iii) consolidation Details of shares/Debentures Transfers since closure date of last financial year (or in the case of the first return at any time since the incorporation of the company)* Nil [Details being provided in a CD/Digital Media] o Yes o No o Not applicable Separate sheet attached for details of transfers o Yes o No Note: In case list of transfer exceeds 10, option for submission as a separate sheet attachment or submission in a CD/Digital Media may be shown. Date of Previous AGM Date of Registration of Transfer Type of Transfer Number of Shares/ Debentures/Units Transferred Ledger Folio of Transfer....

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....y Equity Number of Percentag Number of shares e shares 1. Individual/Hindu Undivided Family (i) Indian (NRI) 2. 3. 4. (ii) Non-resident Indian (iii) Foreign national (other than NRI) Government (i) Central Government (ii) State Government (iii) Government companies Insurance companies Banks 5. Financial institutions 6. Foreign institutional investors 7. Mutual funds 8. Venture capital 9. Body corporate 10. (not mentioned above) Others Total Total number of shareholders (other than promoters) Total number of shareholders (Promoters + Public/Other than promoters) (c) *Details of Foreign institutional investors' (FIIs) holding shares of the company Name of the FII Address Date of Incorporation Country of Number Incorporation of shares held % of shares held VII. *NUMBER OF PROMOTERS, MEMBERS, DEBENTURE HOLDERS Promoters Details At the beginning of the year At the end of the year Members (other than promoters) Debenture holders VIII. DETAILS OF DIRECTORS AND KEY MANAGERIAL PERSONNEL (A) *Composition of Board of Directors Category A. Promoter B. Non-Promoter Number of directors at the beginning of the year Number of d....

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....n salary on Sweat equity Total Amount Number of CEO, CFO and Company secretary whose remuneration details to be entered S. Name No. Design Gross Commission ation salary Stock Option/ Others Sweat equity Total Amount 1. Total Number of other directors whose remuneration details to be entered S. Name Designati Gross No. on salary Commission Stock Option/ Others Sweat equity Total Amount 1. Total XI. MATTERS RELATED TO CERTIFICATION OF COMPLIANCES AND DISCLOSURES A. "Whether the company has made compliances and disclosures in respect of applicable provisions of the Companies Act, 2013 during the year o Yes o No B. If No, give reasons/observations XII. PENALTY AND PUNISHMENT-DETAILS THEREOF (A) DETAILS OF PENALTIES/PUNISHMENT IMPOSED ON COMPANY/DIRECTORS/OFFICERS Nil Name of the company/ Name of the court/ concerned Date of Order directors/ officers Authority Name of the Act and section under which penalised/ punished Details of penalty/ punishment (B) DETAILS OF COMPOUNDING OF OFFENCES Nil Details of appeal (if any) including present status Name of the company/ directors/ officers Name of the court/ concerned Authority D....