Form for filing financial statement and other documents with the Registrar
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....DSC BOX This eForm is hereby registered Date of signing (DD/MM/YYYY) OR This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on the basis of statement of correctness given by the company Form No. AOC-4- NBFC (Ind AS)Form language Form for filing financial statement and other documents with the Registrar English Hindi [Pursuant to section 137 of the Companies Act, 2013 and sub-rule (1A) of Rule 12 of Companies (Accounts) Rules, 2014]à¤à¤¾à¤°à¤¤ सरकार Refer instruction kit for filing the form All fields marked in * are mandatory Figures appearing in the eForm should be entered in Absolute Rupees only. Figures should not be rounded off in any other unit like hundreds, thousands, lakhs, millions or crores. SEGMENT- I: GENERAL INFORMATION OF THE COMPANY AND PARTICULARS IN RESPECT OF BALANCE SHEET Part A - General information of the Company 1 (a) *Corporate Identity Number (CIN) (b) Authorised capital of the company as on the date of filing (c) Number of members of the company as on the date of filing 2 (a) *Name of the company (b) *Address of the registered office of the company (c) ....
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....of section 2 (b) CIN /any other registration number of the holding company, if applicable (c) Name of the holding company (d) Provision pursuant to which the company has become a subsidiary (Section 2(87)(i)/Section 2(87)(ii)) C No Yes (e) *Whether the company has a subsidiary company as defined under clause (87) of section 2 or the company has an associate company, or a joint venture as defined under clause (6) of section 2 Auditor details 9 *SRN of Form ADT-1 *Number of Auditors 160 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] (a) *Income-tax PAN of auditor or auditor's firm (b) *Category of auditor ( Individual Auditor's firm (c) *Membership number of auditor or auditor's firm's registration number (d) *Name of the auditor or auditor's firm (e) Address of the auditor or auditor's firm * Address Line 1 Address Line 2 *Country *Pin Code/Zip Code *Area/Locality *City *District *State/UT (f) Details of the member signing for the above firm (i) Name of the member (ii) Membership number 10 (a) *Type of Industry Note: In case the type of industry is other than Banking or Power or Insurance Or NBFC, then select Commercial and Industrial (C&I). (Commercial & ....
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....sets under development (i) Goodwill (j) Other Intangibles assets (k) Other non- financial assets TOTAL ASSETS0.000.000.00 IILIABILITIES AND EQUITY LIABILITIES (1)Financial Liabilities (a) Derivative financial instruments (b) Payables (I) Trade Payables (i) total outstanding dues of micro enterprises and small enterprises (ii) total outstanding dues of creditors other than micro enterprises and small enterprises (II) Other Payables (i) total outstanding dues of micro enterprises and small enterprises (ii) total outstanding dues of creditors other than micro enterprises and small enterprises (c) Debt Securities (d) Borrowings (Other than Debt Securities) (e) Deposits (f) Subordinated Liabilities (g) Other financial liabilities (2)Non-Financial Liabilities (a) Current tax liabilities (Net) (b) Provisions (c) Deferred Tax Liabilities (Net) (d) Other non- financial liabilities (3)EQUITY (a) Equity Share Capital (b) Other Equity TOTAL LIABILITIES AND EQUITY0.000.000.00 163 [à¤à¤¾à¤— II-खणà¥à¤¡ 3(i)] à¤à¤¾à¤°à¤¤ का राजपतà¥à¤° : असाधारण II Break-up of figures in Bala....
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....जपतà¥à¤° : असाधारण Changes in accounting policy/ prior period errors Restated balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Total Comprehensive Income for the year Dividends Transfer to retained earnings Any other change Balance at the end of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Debt instruments through Other Comprehensive Income (8)Equity instruments through Other Comprehensiv e Income (9)Effective portion of Cash Flow Hedges (10)Revaluatio n Surplus (11)Exchange differences on translating the financial statements of a foreign operation (12)Other items of Other Comprehensive Income (13)Money received against share warrants (14)Total (Sum of 1 to 14) Balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Changes in accounting policy/ prior period errors Restated balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Total Comprehensive Income for the year Dividends Transfer to retained earnings Any other change Balance at the end of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) 166 THE GAZETTE OF INDIA : EXT....
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....th (B) Less: Allowance for Impairment loss (C) Total - Net D = (A)-(C) 168 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] F Debt Securities Current reporting periodPrevious reporting periodReason for change in pre-filled figures of previous reporting period a Liability compound instrumentscomponent of financial b Other (Bonds/ Debenture etc.) Total (A) c Debt securities in India d Debt securities outside India Total (B) to tally with (A) G Borrowings (Other than Debt Securities) Current reporting periodPrevious reporting periodReason for change in pre-filled figures of previous reporting period (a) Term loans (i) from banks (ii) from other parties (b) Deferred payment liabilities (c) Loans from related parties (d) Finance lease obligations (e) Liability component of compound financial instruments (f) Loans repayable on demand (i) from banks (ii) from other parties (g) Other loans Total (A) Borrowings in India Borrowings outside India Total (B) to tally with (A) H Deposits Current reporting periodPrevious reporting periodReason for change in pre-filled figures of previous reporting period Deposits (i) Public deposits (ii) From Banks (iii) From Others Total 169 [....
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.... debentures during the reporting period 36Warrants issued during the reporting period (In foreign currency) 37Warrants issued during the reporting period (In Rupees) 38Default in payment of short term borrowings and interest thereon 39Default in payment of long term borrowings and interest thereon 40Whether any operating lease has been converted to financial lease or vice-versa Yes No Provide details of such conversions 41Net worth of the company 42Number of shareholders to whom shares allotted under private placement during the reporting period 43Secured Loan 44Gross Property, Plant and Equipment 45Intangible assets 46Depreciation and amortization 47Miscellaneous expenditure to the extent not written off or adjusted 48Unhedged Foreign Exchange Exposure IV Share capital raised during the reporting period (Amount in Rupees) ParticularsNumber of sharesTotal Nominal AmountTotal Paid- up amountTotal premium (1) Equity shares At the beginning of the year (a) Increase during the year i Public Issues ii Rights issue iii Bonus issue iv Private Placement/ Preferential allotment v ESOPs vi Sweat equity shares allotted vii Conversion of Preference share viii Conversion of Debentures ix GDR....
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....ions (XII)Profit/ (Loss) from discontinued operations (After tax) (X-XI) 0.000.00 (XIII)Profit /(Loss) for the period (IX+XII)0.000.00 (XIV)Other Comprehensive Income (A)(i) Items that will not be reclassified to profit or loss (ii) Income tax relating to items that will not be reclassified to profit or loss Subtotal (A)0.000.00 (B)(i) Items that will be reclassified to profit or loss (ii) Income tax relating to items that will be reclassified to profit or loss Subtotal (B)0.000.00 Other Comprehensive Income (A+B)0.000.00 (XV) Total Comprehensive Income for the period (XIII+XIV)0.000.00 (xi) (IX) (X) (XI) Profit/ (Loss) from discontinued operations (After tax) (X-XI) (XV) 173 [à¤à¤¾à¤— II-खणà¥à¤¡ 3(i)] à¤à¤¾à¤°à¤¤ का राजपतà¥à¤° : असाधारण (Comprising Profit (Loss) and other Comprehensive Income for the period) (XVI)Earnings per equity share (for continuing operations) Basic (Rs.) Diluted (Rs.) (XVII)Earnings per equity share(for discontinued operations) (1) Basic (Rs.) (2) Diluted (Rs.) (XVIII)Earnings per equity share (for continuing and discontinuing o....
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....ble No Yes C 2 Whether secretarial audit report has been qualified or has any observation or other remarks 3 Number of observations made 4 Provide details of secretarial qualifications or observations or other remarks in secretarial audit report 5 Details of signatories of secretarial audit report (a) Category of secretarial auditor (b) Name of secretarial audit firm (c) Firms registration number of secretarial audit firm (d) Membership number of secretarial auditor (e) Certificate of practice number of secretarial auditor (f) Address of secretarial auditor (g) Permanent account number of secretarial auditor or secretarial auditor's firm (h) Date of signing secretarial audit report (DD/MM/YYYY) 175 [à¤à¤¾à¤— II-खणà¥à¤¡ 3(i)] à¤à¤¾à¤°à¤¤ का राजपतà¥à¤° : असाधारण Attachments (a) *Copy of financial statements duly authenticated as per section 134 (including Board's report, auditors' report and other documents) Max 2 MB Download Choose Remove (b) Supplementary or test audit report under section 143 Max 2 MB Download Remove Choose (c) De....
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....y attached to this form; 3 It is understood that I shall be liable for action under Section 448 of the Companies Act, 2013 for wrong 176 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] certification, 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: Fellow Associate Membership number Certificate of practice number Submit Save 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) This e-Form is hereby registered Digital signature of the authorising officer DSC BOX Date of signing (DD/MM/YYYY) OR This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on the basis of statement of correctness given by the company Form No. AOC-4 CFS NBFC (Ind AS) Form language Form for filing consolidated fina....
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....cial statements Provide Director Identification number (DIN) in case of director and Income-tax permanent account number (Income-tax PAN) in case of manager, secretary, CEO, CFO. DIN or Income-tax PAN Name 5. (a) *Date of Board of Directors' meeting in which Boards' report referred under section 134 was approved (b) Details of Director(s) who have signed the Boards' report Pre-fill All DIN Name Pre-fill All Date of signing of Designation financial statements (DD/MM/YYYY) Designation Date of signing of Boards' report 6. *Date of signing of reports on the financial statements by the auditors (DD/MM/YYYY) 7. (a) *Whether annual general meeting (AGM) held o Yes (b) If yes, date of AGM o No o Not applicable (DD/MM/YYYY) (c) *Due date of AGM (DD/MM/YYYY) (d) *Whether any extension for financial year or AGM granted o Yes o No (e) If yes, due date of AGM after grant of extension (DD/MM/YYYY) 8. (a) *Whether the company is a subsidiary company as defined under clause (87) of section 2 o Yes o No (b) CIN of the holding company, if applicable Pre-Fill (c) Name of the holding company 3 (d) Provision pursuant to which the company has become a subsidiary ....
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....ious reporting period) (in Rs.) Figures as beginning at the of DD/MM/YYYY) (DD/MM/YYYY) (Previous reporting period) (in Rs.) (DD/MM/YYYY) under 5 Ñл II. (1) (2) (3) (i) Goodwill (j) Other Intangibles assets (k) Other non-financial assets TOTAL ASSETS LIABILITIES AND EQUITY LIABILITIES Financial Liabilities (a) Derivative financial instruments (b) Payables (I) Trade Payables (i) total outstanding dues of micro enterprises and small enterprises (ii) total outstanding dues of creditors other than micro enterprises and small enterprises (II) Other Payables (i) total outstanding dues of micro enterprises and small enterprises (ii) total outstanding dues of creditors other than micro enterprises and small enterprises (c) Debt Securities (d) Borrowings (Other than Debt Securities) (e) Deposits (f) Subordinated Liabilities (g) Other financial liabilities Non-Financial Liabilities (a) Current tax liabilities (Net) (b) Provisions (c) Deferred Tax Liabilities (Net) (d) Other non-financial liabilities EQUITY (a) Equity Share Capital (b) Other Equity TOTAL LIABILITIES AND EQUITY 0.00 0.00 0.00 0.00 II. Detailed Balance sheet item....
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....) (DD/MM/YYYY) Changes accounting in policy/ prior period errors 8 Restated balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Total Comprehensive Income for the year Dividends Transfer to retained earnings Any other change Balance at the end of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Debt instruments through Other Comprehensive Income Equity instruments through Other Comprehensive Income Effective portion of Cash Flow Hedges Revaluation Surplus (8) Balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Changes accounting in policy/ prior period errors Restated balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYYY) Total Comprehensive Income for the year Dividends Transfer to retained earnings Any other change Balance at the end of the (Previous Exchange differences Other items of Money Total Other received on Comprehensive translating Income against share the warrants financial statements of a foreign operation (Sum of 1 (13) to (10) (11) (12) (14) 14) 9 B. Derivative financial Ins....
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....iod Current reporting period Previous reporting period 12 (c) Loans from related parties (d) Finance lease obligations (e) Liability component of compound financial instruments (f) Loans repayable on demand (i) from banks (ii) from other parties (g) Other loans Total (A) Borrowings in India Borrowings outside India Total (B) to tally with (A) H. Deposits Deposits (i) Public deposits (ii) From Banks (iii) From Others Total I. Subordinated Liabilities Perpetual Debt Instruments to the extent that do not qualify as equity Preference Shares other than those that qualify as Equity Others Total (A) Subordinated Liabilities in India Subordinated Liabilities outside India Total (B) to tally with (A) Current reporting period Previous reporting period Current reporting period Previous reporting period III. *Financial parameters – Balance sheet items (Amount in Rupees) as on financial year end date Amount of issue for contracts without payment received in 1 cash during reporting period 2 Share application money given 3 Share application money given during the reporting period 4 Share application money received during the reporting period 5....
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....s (a) Public issue (b) Bonus issue (c) Rights issue (d) Private placement arising out of conversion of debentures or preference shares (e) Other private placement (f) Preferential allotment arising out of conversion of debentures or preference shares (g) Other preferential allotment (h) Employee Stock Option Plan (ESOP) Equity shares Preference shares Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (i) Other 0.00 (j) Total amount of share capital raised during the reporting period 0.00 0.00 0.00 V. Details related to cost records and cost audit 1. *Whether maintenance of cost records by the company has been mandated under Companies (Cost Records and Audit) Rules, 2014 o Yes o No If yes, Central Excise Tariff Act Heading in which the product/service is covered 2. If yes, Central Excise Tariff Act Heading in which the product/service is covered 15 SEGMENT II: INFORMATION AND PARTICULARS IN RESPECT OF PROFIT AND LOSS ACCOUNT I. Statement of Profit and Loss 333333 (ii) (iii) Particulars Revenue from operations Interest Income Dividend Income Rental Income Fees and commission Income Net gain on fair value changes Net gain on derecognition o....
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....d loss account items (amount in Rupees) during the reporting period 1 Earnings per share (in Rupees) Basic 2 3 4 Diluted Income in foreign currency Expenditure in foreign currency Revenue subsidies or grants received from government authority(ies) Consumption of stores and spare parts 5 Rent paid 6 7 Gross value of the transaction with the related parties as per Ind AS 24 (if applicable) - 8 Bad debts of related parties as per Ind AS - 24 (if applicable) III. Details related to principal products or services of the company Total number of product/services category(ies) 1 Product or service category code (ITC/NPCS 4 digit code) Description of the product or service category Turnover of the product or service category (in Rupees) Highest turnover contributing product or service code (ITC/NPCS 8 digit code) Description of the product or service Turnover of highest contributing product or service (in Rupees) Note - Please refer to 'Indian Trade Classification' based on harmonized commodity description and coding system issues by the ministry of Commerce & Industry for Product Codes and National Product Classification for Services (NPCS) for Services co....
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.... related party Nature of relationship Duration of the contracts / arrangements/transactions Date of approval by Amount paid as advances, if the Board any Date on which the resolution was passed in general meeting as required under first proviso to section 188 Nature of contracts/ arrangements/transactions 2. Number of material contracts or arrangement or transactions at arm's length basis Name(s) of the related party Nature of relationship Duration of the contracts / arrangements/ transactions Date of approval by the Board Amount paid as advances, if any Segment V: Auditor's Report I. (a) In case of a government company, whether Comptroller and Auditor-General of India (CAG of India) has commented upon or supplemented the audit report under section 143 of the Companies Act, 2013 o Yes o No (b) If yes, provide following details:- S. Provide details of comment(s) or supplement(s) received from CAG of India Board of Director's reply(ies) on comments received from CAG of India No. 20 20 || = = (c) Whether Comptroller and Auditor-General of India has conducted supplementary or test audit under section 143 o Yes o No II. Details of remarks made by audit....
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....ect of the subject matter of this form and matters incidental thereto have been complied with. I further declare that: 1. 2. 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. All the required attachments have been completely and legibly attached to this form. *To be digitally signed by DSC BOX * *Designation *Director identification number of the director; or PAN of the manager or CEO or CFO; or Membership number of the secretary Certificate by Practicing professional I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified 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....


TaxTMI
TaxTMI