Form for filing consolidated financial statements and other documents with the Registrar
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....h 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 financial statements 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 the Companies (Accounts) Rules, 2014] सतà¥à¤¯à¤®à¥‡à¤µ जयते Refer instruction kit for filing the form All fields marked in * are mandatory Figures appearing in the e-Form should be entered in Absolute Rupees only. Figures should not be rounded off in any other unit like hundreds, thousands, lakhs, millions or crores. 177 [à¤à¤¾à¤— II-खणà¥à¤¡ 3(i)] à¤à¤¾à¤°à¤¤ क....
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....approved (DD/MM/YYYY) (b) Details of director(s), IRP, RP, Liquidator who have signed the Boards' report DIN/PANNameDesignationDate of signing of Boards' Report (DD/MM/YYYY) 8 *Date of signing of reports on the consolidated financial statements by the auditors (DD/MM/YYYY) Auditor Details 9 (a) *SRN of Form ADT-1 *Number of Auditors 179 [à¤à¤¾à¤— II-खणà¥à¤¡ 3(i)] à¤à¤¾à¤°à¤¤ का राजपतà¥à¤° : असाधारण (a) *Income-tax PAN of auditor or auditor's firm ) Individual (b) *Category of auditor 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 (i) *Address Line 1 (ii) Address Line 2 (iii) *Country (iv) *Pin Code V (v) *Area/Locality (vi) *City (vii) *District (viii) *State/UT (f) Details of the member signing for the above firm (i) Name of the member (ii) Membership number Yes C No 10 (a) *Whether Schedule III of the Companies Act, 2013 is applicable (b) *Type of Industry Note: In case the type of industry is other....
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....ity Share Capital (b) Other Equity Total equity attributable to owners of parent Non- controlling Interest Total Equity TOTAL LIABILITIES AND EQUITY0.000.000.00 182 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] II Break-up of figures in Balance sheet (Amount in Rupees) A Statement of Changes in Equity (a) Equity Share Capital I Balance at the beginning of the (Current reporting period) (in Rs.)Reason for change in pre-filled figures of previous reporting periodChanges in equity share capital during the yearBalance at the end of the (Current reporting period) (in Rs.) (DD/MM/YYYY)(DD/MM/YYYY) II Balance at the beginning of the (Previous reporting period) (in Rs.) Balance at the end of the (Previous reporting period) (in Rs.) (b) Other Equity I Reserves and Surplus Share application money pending allotment (1)Equity component of compound financial instruments (2)Statutory Reserves (3)Capital reserves (4)Securities premium (5)Other Reserves (6)Retained Earnings (7) Balance at the beginning of the (Current reporting period) (in Rs.) (DD/MM/YYYY) Changes in accounting policy/ prior period errors Restated balance at the beginning of the (Current reporting period)....
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....peration (12)Other items of Other Comprehensive Income (13)Money received against share warrants (14)Total equity attributable to owners of parent (15) (Sum of 1 to 14)Non- Controlling Interest (16)Total (15+ 16) Balance at the beginning of the (Current reporting period) (in Rs.) (DD/MM/Y YYY) Changes in accounting policy/ prior period errors Restated balance at the beginning of the (Current reporting period) (in Rs.) (DD/MM/ YYYY) Total Comprehe nsive Income for the year Dividends Transfer to 185 [à¤à¤¾à¤— II-खणà¥à¤¡ 3(i)] à¤à¤¾à¤°à¤¤ का राजपतà¥à¤° : असाधारण retained earnings Any other change Balance at the end of the (Current reporting period) (in Rs.) (DD/MM/ YYYY) B Derivative financial Instruments (Current Year)(Previous Year)Reason for change in pre- filled figures of previous reporting period Notional amountsFair Value - AssetsFair Value - LiabilitiesNotional amountsFair Value - AssetsFair Value - Liabilities Part I (i)Currency derivatives (ii)Interest rate derivatives (iii)Credit derivatives (iv)Equity linked derivatives (v)Other derivatives Total D....
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....mponent of compound financial instruments (2) Other (Bonds/ Debenture etc.) (3) Total (A) (4) Debt securities in India (5) Debt securities outside India (6) 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 (h) Total (A) (i) Borrowings in India (j) Borrowings outside India (k) Total (B) to tally with (A) 188 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] 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 I Subordinated Liabilities Current reporting periodPrevious reporting periodReason for change in pre-filled figures of previous reporting period (1) Perpetual Debt Instruments to the extent that do....
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.... payment of short term borrowings and interest thereon 42Default in payment of long term borrowings and interest thereon 43Whether any operating lease has been converted to financial lease or vice-versa ( Yes No Provide details of such conversions 44Net Worth of the companies 45Number of shareholders to whom shares allotted under private placement during the reporting period 46Secured Loan 47Gross Property, Plant and Equipment 48Intangible assets 49Depreciation and amortization 50Miscellaneous expenditure to the extent not written off or adjusted SEGMENT II: INFORMATION AND PARTICULARS IN RESPECT OF CONSOLIDATED PROFIT AND LOSS ACCOUNT I Statement of Consolidated Profit and Loss ParticularsFigures for the period (Current reporting period) FromFigures (Previous Fromfor the period reporting period)Reason for change in pre- filled figures of previous reporting period (DD/MM/YYYY) (DD/MM/YYYY)To To(DD/MM/YYYY) (DD/MM/YYYY) Revenue from operations (i)Interest Income (ii)Dividend Income (iii)Rental Income (iv)Fees and commission Income Figures (Previous From for the period reporting period) 190 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] (v)Net gain on fair valu....
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.... parent (ii)Comprehensive income, attributable to non-controlling interests Total Comprehensive income net of tax (XIII) (XV) 192 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] (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 operations) (1) Basic (Rs.) (2) Diluted (Rs.) II Financial parameters - Profit and loss account items (Amount in Rupees) during the reporting period 1Proposed Dividend 2Revenue subsidies or grants received from government authority(ies) 3Rent paid 4Consumption of stores and spare parts 5Gross value of transaction with related parties as per Ind AS-24 (If applicable) 6Bad debts of related parties as per Ind AS-24 (If applicable) 7Contribution made under sub-section (3) of section 182 SEGMENT III: 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 Yes Not applicable No (b) If yes....
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.... 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 V (Director/Manager/Secretary/CEO/CFO/Liquidator/ Interim Resolution Professional (IRP)/ Resolution Professional (RP)) *Director identification number of the director; or PAN of the manager or CEO or CFO or Interim Resolution Professional (IRP) or Resolution Professional (RP) or Liquidator ;; or Membership number of the secretary 194 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II-SEC. 3(i)] 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 main....
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....company 4. (a) Name of the company (c) Address of registered office of the company (d) *e-mail id of the company 5. *SRN of form AOC-4 NBFC (Ind AS) filed by the company for its standalone financial statements 6. (a) Financial year to which financial statements relates: From To (DD/MM/YYYY) Pre-fill (b) (i) Nature of consolidated financial statements (ii) Nature of revision o Consolidated financial statements o Directors' Report o Both (iii) Whether provisional consolidated financial statements filed earlier o Yes o No o Not Applicable (iv) Whether adopted in adjourned AGM o Yes o No o Not Applicable (v) Date of adjourned AGM in which consolidated financial statements were adopted (vi) SRN of form INC-28 (vii) *SRN of form AOC-4 CFS NBFC (Ind AS) (viii) Date of order of competent authority (DD/MM/YYYY) Pre-fill (DD/MM/YYYY) 25 7. (a) *Whether annual general meeting (AGM) held o Yes o No o Not Applicable (b) Date of AGM (DD/MM/YYYY) (c) Due date of AGM (DD/MM/YYYY) 8. (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) (a) *Date of Board of Directors' meeting....
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....inancial instruments (d) Receivables (I) Trade Receivables (II) Other Receivables (e) Loans (f) Investments (g) Other Financial Assets Non-financial Assets (a) Inventories (b) Current tax assets (Net) (c) Deferred Tax Assets (Net) (d) Investment Property (e) Biological assets other than bearer plants (f) Property, Plant and Equipment (g) Capital Work-in-Progress II. (1) (h) Intangible development (i) Goodwill assets under (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 DD/MM/YYYY) Figures as at the end of (Previous period) (in Rs.) reporting Figures as beginning at the of (Previous reporting (DD/MM/YYYY) 0.00 0.00 perio....
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....anges in accounting policy/ prior period errors Restated balance at the beginning of the (Current reporting period) (in Rs.) (DD/MM/YYY Y) Total Comprehensive Income for the year Dividends Transfer to retained earnings Any other change Balance at the end of the (Current reporting period) (in Rs.) (DD/MM/YYY Y) II. Share applicatio n money pending Reserves and Surplus Equity Statutory Capital Securities component Reserves reserves premium Other Reserves Retained Debt Earnings instruments of compound (6) allotment financial (1) instruments (3) (4) (5) (7) through Other Comprehens ive Income (2) (8) Balance at the beginning of the (Previous 31 reporting period) (in Rs.) (DD/MM/YYY Y) Changes in accounting policy/ prior period errors Restated balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYY Y) 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/YYY Y) Balance at the beginning of the (Previous reporting period) (in Rs.) (DD/MM/YYY Y....
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....) Loans outside India Gross Less: Impairment loss allowance Total (C)(II)-Net Total (C)(I) and (C)(II) L. Investments Investments Mutual funds Government Securities Other approved securities Debt securities Equity instruments Subsidiaries Joint Ventures Others Total Gross (A) (i) Investments outside India (ii) Investments in India Total (B) Total (A) to tally with (B) Less: Allowance for Impairment loss (C) Total Net D= (A)-(C) - M. Debt Securities Current reporting period Previous reporting period 35 Liability component of compound financial instruments Other (Bonds/ Debenture etc.) Total (A) Debt securities in India Debt securities outside India Total (B) to tally with (A) N. Borrowings (Other than Debt Securities) (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) O. Deposits Deposits (i) Public deposits (ii....
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....ants into preference shares during the reporting period Conversion of warrants into debentures during the reporting period Warrants issued during the reporting period (In foreign currency) Warrants issued during the reporting period (In Rupees) Default in payment of short term borrowings and interest thereon 42 Default in payment of long term borrowings and interest thereon 43 Whether any operating lease has been converted to financial lease or vice-versa o Yes o No Provide details of such conversions 44 Net Worth of the companies 45 Number of shareholders to whom shares allotted under private placement during the reporting period 46 Secured Loan 47 Gross Property, Plant and Equipment 48 Intangible assets 49 50 Depreciation and amortization Miscellaneous expenditure to the extent not written off or adjusted IV. Share capital raised during the reporting period (Amount in Rupees) Particulars (a) Public issue (b) Bonus issue (c) Rights issue Equity shares Preference shares Total 0.00 0.00 0.00 38 0.00 (d) Private placement arising out of conversion of debentures/preference shares (e) Other private placement (f) Preferential allotment aris....
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.... that will not be reclassified to profit or loss Subtotal (A) (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) Other Comprehensive Income (A+B) 0.00 0.00 40 40 (XV) (XVI) (i) Other Comprehensive income, attributable to owners of parent (ii) Other Comprehensive income, attributable to non- controlling interests Total Other comprehensive income net of tax Total Comprehensive Income for the period (XIII+XIV) (Comprising Profit (Loss) and other Comprehensive Income for the period) (i)Comprehensive income, attributable to owners of parent (ii)Comprehensive income, attributable to non-controlling interests Total Comprehensive income net of tax Earnings per equity share (for continuing operations) (3) Basic (Rs.) (4) Diluted (Rs.) (XVII) Earnings per equity share (for discontinued operations) (1) Basic (Rs.) (XVIII (2) Diluted (Rs.) Earnings per equity share (for continuing and discontinuing operations) (1) Basic (Rs.) (2) Diluted (Rs.) II. *Financial parameters – Profit and loss account items (amount in Rupees) during the reporting ....
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.... sub-section (3) of section 134 8. Optional attachments Attach Attach Attach Attach Attach Declaration List of Attachment(s) dated DD/MM/YYYY) I am authorized by the Board of Directors of the Company vide *resolution number 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: 3. 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. 4. All the required attachments have been completely and legibly attached to this form. *To be digitally signed by DSC BOX *Designation 43 *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 ....
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