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Form of application to the Central Government for approval of appointment of managing director or whole time director or manager

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....of appointment of managing director or whole-time director or manager [Pursuant to section 196 Schedule V of the Companies Act, 2013 & Rule 7 of Companies (Appointment and Remuneration of Managerial Personnel) Rules, 2014 Refer instruction kit for filing the form All fields marked in * are mandatory Entity details 1 *Corporate Identity Number (CIN) 2 (a) *Name of the company (b) *Whether company is a public company or subsidiary of company (Yes/No) (c) *Whether company is a listed (Yes/No) company (d) Number of stock exchange(s) on which it is listed (e) Name of the stock exchange (f) *Address of the registered office of the company (g) *Email ID of the company 3 *This form is being filed for seeking Central Government's approval for: Appointment without complying with the Part I of Schedule V Age is more than 70 years and no Special Resolution is passed Person is Non-Resident â–º KMP Details 4 Particulars of the proposed appointee or the person in whose respect the application is filed (a) *Name (b) *Director Identification Number (DIN) or Income tax permanent account number (Income tax PAN) 16 THE GAZETTE OF INDIA: EXTRAORDINARY [PART II SEC. 3....

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....ustification of such appointment 9 Details of resolution passed for such appointment (a) *Date of the resolution by the board of directors (DD/MM/YYYY) (b) *SRN of MGT-14 filed 10 Date of Remuneration and Nomination Committee's resolution (as applicable) (DD/MM/YYYY) 11 Details of application pending before NCLT/NCLAT *Whether any application is pending before the Hon'ble National Company Law Tribunal/National Company Law Appellate Tribunal under Insolvency and Bankruptcy Code, 2016 (Yes/No) Details of such application 18 Attachment THE GAZETTE OF INDIA: EXTRAORDINARY [PART II SEC. 3(i)] (a) Certified copy of resolution passed by the Nomination and Remuneration Committee along with its minutes. The composition (i.e. the name and designation of each member including Chairman) of the Nomination and Remuneration Committee (i.e. member including Chairman as an Executive or Non-Executive Director or Independent Non-Executive Director or Non-Independent Non-Executive Director of the Company) as applicable (b) *Certified copy of the resolution passed by the Board of Directors in favor of proposal (c) *Copy of each of the notices preferably paper cutting, publish....

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....ion 203 (3) of the Companies Act, 2013 4 Complied with all the regulations of SEBI (LODR) Regulation, 2015 entered with Stock Exchanges as per circular issued by SEBI for time to time (in case of listed company). *To be digitally signed by * Membership Number DSC BOX Declaration I am authorised by the Board of Directors of the Company vide resolution no* dated* (DD/MM/YYYY) to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of the subject matter of this form and matters incidental thereto have been complied with. I further declare that: 1 Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information material to the subject matter of this form has been suppressed or concealed and is as per the original records maintained by the company. 2 All the required attachments have been completely and legibly attached to this form. *To be digitally signed by DSC BOX *Designation (Director/Manager/Company secretary/CFO/CEO) *Director identification number of the director; or DIN or PAN of the manager or CEO or CFO; or Membership number of the company secr....

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....anagerial Personnel) Rules, 2014] सत्यमेव जयते Form of application to the Central Government for approval of appointment of managing director or whole time director or manager Form language o English o Hindi Refer instruction kit for filing the form. 1. (a) *Corporate identification number (CIN) of the company (b) Global location number (GLN) of the company 4. 2. (a) Name of the company (b) Address of registered office of the company (c) email ID of the company 3. * Date of incorporation Calendar (DD/MM/YYYY) (a) *This form is being filed for seeking Central Government's approval for о Appointment or reappointment without complying with the Part I of Schedule V (b) Whether the application has been filed in time O Yes Ο Νο 5. (1) Particulars of the proposed appointee or the person in whose respect the application is filed Director Identification Number (DIN) or Income tax permanent account number (Income tax PAN) Name Address MCA 21 Pre-fill Pre-fill Page 3 of 9 Father's name Nationality Date of birth Place of birth Calendar (DD/MM/YYYY) Educational, professional qualificatio....

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....4) of Section 178 of the Companies Act, 2013. (7) A certificate from the Company Secretary of the Company / Company Secretary in whole time practice with regard to the compliance of section 196 of the Companies Act, 2013. (8) A certificate from the Company Secretary of the Company / Company Secretary in whole time practice with regard to the compliance of section 203 (3) of the Companies Act, 2013; (9) A certificate duly signed by the Company Secretary of the company that it has complied with all the regulations of SEBI (LODR) Regulation, 2015 entered with Stock Exchanges as per circular issued by SEBI for time to time (in case of listed company). (10) Copy of each of the notices preferably paper cutting, published in the daily English Newspaper in English Language and daily Vernacular Language Newspaper in Principal Language of the district in which the Registered Office of the Company is situated in pursuance of Section 201 (2) of the Companies Act, 2013; (11) Full and proper justification in favour of the proposal along with bio-data of the appointee; (12) Copy of CG-1 Form along with challan, made for condonation of delay under Section 460 of the Act, if the app....