REPORT TO THE CENTRAL GOVERNMENT

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....T-4 REPORT TO THE CENTRAL GOVERNMENT [See rule 2[13(2)(f)] of the Companies (Audit and Auditors) Rules, 2014] Date: Subject: Report under sub- section (12) of section 143 of the Companies Act, 2013 on suspected offence involving fraud being committed or having been committed 1) (a) Name of the Company (b) CIN: (c) Address of the Registered Office: 2) (a) Name of the auditor or auditor's Firm (b) Membership Number (c) Address 3) Date of the annual general meeting when the Auditor was appointed or reappointed 4) SRN and date of filing 5) Address of the office or location where the suspected offence is believed to have been or is being committed 6) Full details of the suspected offence involving fraud (attach documents in support....

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.... 3(i)] भारत का राजपत्र : असाधारण Note: Attention is drawn to provisions of Section 448 and 449 of the Companies Act, 2013 which provide for punishment for false statement / certificate and punishment for false evidence respectively. For office use only: eForm Service request number (SRN) eForm filing date (DD/MM/YYYY) Form No. ADT-4 Report to the Central Government [Pursuant to sub-section (12) of section 143 of the Companies Act, 2013 read with rule 13 of the Companies (Audit and Auditors) Rules, 2014] Form language · English Hindi सत्यमेव जयते Refer instruction kit ....

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....IN)Permanent Account Number (PAN) 29 [भाग II-खण्ड 3(i)] भारत का राजपत्र : असाधारण Other Details 8 (a) *Date of sending report to the Board or Audit Committee as per rule 13(1) (DD/MM/YYYY) C Yes C No (b) *Whether reply was received from Board or Audit Committee (c) Date of reply received from Board or Audit Committee (DD/MM/YYYY) (d) Summary of reply received Yes 9 (a) Whether auditor is satisfied with the reply of the Board or Audit Committee No (b) If no, reasons thereof 10 *Estimated amount involved in suspected fraud. Please enter the amount in INR only 11 (a) *Has company taken a....