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....ribed under schedule I to the Companies Act, 2013 is opted for adoption o Yes ο Νο (ii) Whether Articles of Association is entrenched o Yes o No (iii) Number of Articles to which provisions of entrenchment shall be applicable Details of such articles Sr. No. Article Number Short description on entrenchment of the clause 3. (i) *Capital structure of the company Total authorized share capital (in Rupees) Authorized share capital Equity Preference Unidentified Number of shares Nominal amount per share (in Rupees) Total amount (in Rupees) Total subscribed share capital (in Rupees) Subscribed share capital Equity Preference Number of shares Nominal amount per share (in Rupees) Total amount (in Rupees) (ii) *Details of number of members (a) Enter the maximum number of members (b) Maximum number of members excluding proposed employees (c) Number of members (d) Number of members excluding proposed employee(s) 4. (a) *Correspondence address *Line I Line II *City *State/Union Territory *District *Phone (with STD code) Fax *email ID of the company * Pin code (b) *Whether the address for correspondence is the address of registered office of the ....

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....mount Others (specify) I *First Name Middle Name *Surname *Father's first name Father's middle name *Father's surname *Gender *Place of Birth *Date of Birth *Nationality *Whether citizen of India o Yes o No *Whether resident in India o Yes o No *Occupation type o Self Employed o Professional o Homemaker o Student o Serviceman *Area of Occupation If 'Others' selected, please specify *Educational Qualification * â–¡ PAN Passport number *Designation *Category Whether Chairman Executive director Non-executive director *Name of the company or institution whose nominee the appointee is *email ID Permanent Address *Line I Line II *City *State/ Union Territory *ISO Country code Country *Pin code *Phone (with STD/ISD code) *Whether present residential address same as permanent residential address o Yes o No Present address *Line I Line II *City *State/ Union Territory *ISO Country code Country *Phone (with STD/ISD code) *Pin code **Duration of stay at present address Years Months If Duration of stay at present address is less than one year then address of previous residence *Proof of identity Voter's identity card number Driving license....

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.... which director have interest *Registration number *Name *Address Nature of interest *Designation Percentage of Shareholding Others (specify) Amount Amount of shares subscribed I (d) *Particulars of individual first subscriber(s) (other than subscriber cum director) *Director Identification number (DIN) Pre-Fill *Name Kind of shares subscribed Number of subscribed shares Amount of shares subscribed Equity shares Preference shares I *First Name Middle Name *Surname *Father's first name Father's middle name *Father's surname *Gender *Place of Birth *Date of Birth *Nationality *Occupation type o Self Employed o Professional o Homemaker o Student o Serviceman *Area of Occupation If 'Others' selected, please specify *Educational Qualification â–¡ PAN â–¡ Passport number *email ID Permanent Address *Line I Line II *City *State/ Union Territory *ISO Country code Country *Pin code *Phone (with STD/ISD code) *Whether present residential address same as permanent residential address o Yes o No Present address *Line I Line II *City *State/ Union Territory *ISO Country code Country *Pin code *Phone (with STD/ISD code *Duration o....

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....D code) Mobile Fax *Duration of stay at present address Years *Pin code â–¡ Yes â–¡ No *Pin code Months If Duration of stay at present address is less than one year then address of previous residence *Proof of identity *Residential Proof 8. Particulars of payment of stamp duty (a) State or Union territory in respect of win ch stamp duty is paid or to be paid (b) "Whether starrp cuty is to be paid electronically through MCA21 system (I) Details of stamp duty to be paid Type of document/ Particulars Amount of stamp cuty to be paid (in Rs.) (ii) Provide details of stamp duty already paid Form Type of documenti Particulars Total amount of stamp duty paid (in Rs.) Mode of paymen: of stamp outy Name of vendor cr Treasury or Authority prany other competent agency authorised to bollect stamp duty or to sell stamp papers or 10 emboss the documents or to dispense stamo vouchers on behalf of the Government Ser al number of embossing or stamps or stamp paper or treasury challan number Registration number of vendor Date of purchase of stamps or stamp paper or payment of stamp cuty (DD/MM/YYYY) Place of purchase of stamps or stamp paper ....

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.... Attach Attach Remove attachment ☐ ☐ ☐ ☐ ☐ ☐ ☐ Declaration *I have gone through the provisions of the Companies Act, 2013, the rules thereunder and prescribed guidelines framed thereunder in respect of reservation of name, understood the meaning thereof and the proposed name is in conformity thereof. *I have used the search facilities available on the portal of the Ministry of Corporate Affairs (MCA) for checking the resemblance of the proposed name with the companies and Limited Liability partnerships (LLPS) respectively already registered or the names already approved. I have also used the search facility for checking the resemblances of the proposed name with registered trademarks and trade mark subject of an application under the Trade Marks Act, 1999 and other relevant search for checking the resemblance of the proposed name to satisfy myself with the compliance of the provisions of the Act for resemblance of name and Rules thereof. *The proposed name is not in violation of the provisions of Emblems and Names (Prevention of Improper Use) Act, 1950 as amended from time to time. *The proposed name is not offensive to any s....

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....rm has been suppressed. All the required attachments have been completely, correctly and legibly attached to this form and are as per the original records maintained by the promoters subscribing to the Memorandum of Association and Articles of Association. ☐ I, on behalf of the proposed Directors whose particulars for allotment of DIN are filled as above, hereby confirm and declare that they are not restrained, disqualified, removed for being appointed as Director of a company under the provisions of the Companies Act, 2013 including sections 164 and 169, and have not been declared as proclaimed offender by any Economic Offence Court or Judicial Magistrate Court or High Court or any other Court, and not been already allotted a Director Identification Number (DIN) under section 154 of the Companies Act, 2013, * and I further declare that I have read and understood the provisions of Sections 154, 155, 447 and 448 read with Sections 449, 450 and 451 of the Companies Act, 2013. having Membership number and/or certificate of practice number has been engaged to give declaration under section 7(1) (b) and such declaration is attached. Note: Attention is drawn to the pro....