Particulars of appointment of directors and the key managerial personnel and the changes among them

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....appointment of directors and the key managerial personnel and the changes among them" ============= Document 1 Form No. DIR-12 Particulars of appointment of directors and the key managerial personnel and the changes among them [Pursuant to sections 7(1) (c), 168 & 170 (2) of The Companies Act, 2013 and rule 17 of the Companies (Incorporation) Rules 2014 and 8, 15 & 18 of the सत्यमेव जयते Companies (Appointment and Qualification of Directors) Rules, 2014] Refer instruction kit for filing the form All fields marked in * are mandatory Company details 1 (a) * Corporate Identity Number (CIN) (b) *Name of the company (c) *Address of the registered office of the company (d) *E....

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....) Number of such entities S. No. CIN/ LLPIN/ FCRN/ Name Address Designation Registration number Percentage of Shareholding Amount Others (specify) 4 *Number of manager(s), secretary(s), Chief financial Officer or Chief Executive Officer for which the form is being filed 5 Details of manager(s), secretary(s), Chief financial Officer or Chief Executive Officer of the company (a) Purpose of filing the form â—‡ Appointment (b) Director Identification Number (DIN), if any (c) Income Tax permanent account number (PAN) Cessation Verify (d) Membership number of the company secretary (e)(i) First Name (Either of applicant's First name or Surname shall be mandatory to enter) (ii) Middle Name (iii) Last Name (Either of appl....

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....ompany law in the last five years. ☐ I further declare that if appointed my total Directorship in all the companies shall not exceed the prescribed number of companies in which a person can be appointed as a Director. ☐ I further declare that I have not incurred disqualification under the Companies Act, 2013 in any of the above companies and that I, at present, stand free from any disqualification from being a director. I also declare that: - 0 I am not required to obtain the security clearance from the Ministry of Home Affairs, Government of India under sub-rule (1) of rule 10 before applying for director identification number; or 0 I am required to obtain the security clearance from the Ministry of Home Affairs, Governme....

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....ified records maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete and no information material to this form has been suppressed. I further certify that: The said records have been properly prepared, signed by the required officers of the Company and maintained as per the relevant provisions of the Companies Act, 2013 and were found to be in order ; All the required attachments have been completely and legibly attached to this form; ☐ It is understood that I shall be liable for action under Section 448 of The Companies Act, 2013 for wrong certification, if any found at any stage. To be digitally signed by Category ○ Chartered Accountant (in whole time ....

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....tor, directorts) for which the form is being flied 5. Detalls of the Managing Director. directors of the company 1 Details of the Managing Director or director of the company Director identification number (DIN) Name Father's name Present residential address Pre-fill Nationality Date of birth Gender Appointment Cessation Change in designation Designation Category Date of appointment or change in designation Pre-Fil Whether chairman, executive director, non-executive director Chairman ☐ Executive director Non-executive director Pre-fill DIN of the director to whom the appointee is alternate Name of the director to whom the appointee is alternate Name of the company or institution whose nominee the appointee is....