ACTIVE (Active Company Tagging Identities and Verification)

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....or filing the form All fields marked in * are mandatory Company information 1 (a) *Corporate Identity Number (CIN) 2 (a) *Name of the company (b) *Registered office address (Photo of the Registered Office also showing therein at least one Director(s)/ KMP who has affixed his/her Digital Signature to this form is mandatory) (i) *Longitude (ii) *Latitude (c) *E-mail ID of the company Send Verify *OTP Yes No 3 *Whether the company is listed Particulars of directors 4 (a)*Number of directors (b) The Maximum Number of Directors are beyond limits prescribed in Companies Act, 2013 based on resolution dated (DD/MM/YYYY)* filed vide SRN of Form No. MGT-14 5 List of Directors as on date of filing S. No.DINName of DirectorStatus of ....

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.... *Name (c) *Membership Number 10 Details of the Chief Financial Officer (CFO) of the company, if applicable (a) *PAN (b) *Name Other Details 11 Details of forms AOC-4/AOC-4 XBRL and MGT-7 filed for FY 2017-18 *SRN of AOC-4/ AOC-4 XBRL (b) *SRN of MGT-7 Attachments (a) *Photograph of Registered Office showing external building and inside office also showing therein at least one director/KMP who has affixed his/her Digital Signature to this form Max 2 MBChooseRemoveDownload to this form Max 2 MBChooseRemoveDownload (b) Optional attachment(s), if any Declaration I hereby declare that the registered office is situated in the address mentioned above, the details of directors, KMP, auditors are presently associated with the company a....

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.... completely and legibly attached to this form; *I have kept a copy of this form and attachments thereto, in my records for further reference. *It is understood that I shall be liable for action under section 448 of the Companies Act, 2013 for wrong certifications, if any found at any stage. *To be digitally signed by DSC BOX 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 Save Submit Note: Attention is drawn to the provisions of sections 7(5) and 7(6) which, inter-alia, provides that furnishing of any false or incorrect particulars of an....

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....GT-14 *(c) List of Directors as on date of filing. Sr. No. DIN Name of Director Status of DIN (Before filing Active Company Tagging Identities and Verification (ACTIVE)eform, please ensure that the DINS of all Directors are in approved status and are neither 'De- activated due to non-filing of DIR-3 KYC nor Disqualified u/s 164(2)') 3. *Details of statutory auditor(s). MCA 21 Page 3 of 7 *Number of auditor(s) appointed 1. *Category of Auditor o Individual o Auditor's Firm *Income Tax permanent account number of auditor or auditor's firm *Name of the auditor or auditor's firm *Membership Number of auditor or auditor's firm's registration number *Period of account for which appointed From 4. Whether the company is requi....

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....ed with the company are correct. Verification I, hereby confirm and verify that the particulars given in the Form herein above are true and also are in agreement with the documents maintained by the company. To be digitally signed by one director in case of OPC. To be digitally signed by one director and one KMP or two directors in case of other than OPC *Designation DSC BOX *DIN *Designation * DIN of the director; or DIN or PAN of the manager or CEO or CFO; or Membership number of the secretary Certification DSC BOX I declare that I have been duly engaged for the purpose of certification/verification of this form. It is hereby certified that: * I have satisfied myself about the identity of the company and its address based....