Notice of appointment, cessation, change in name/ address/designation of a designated partner or partner and consent to become a partner/designated partner/declaration of designated partner with respect to beneficial interest

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....======= Document 1 [भाग II–खण्ड 3 (i)] भारत का राजपत्र : असाधारण सत्यमेव जयते 27 Form language English Hindi LLP Form No.4 Notice of appointment, cessation, change in name/ address/designation of a designated partner or partner and consent to become a partner/designated partner/declaration of designated partner with respect to beneficial interest [Pursuant to rule 8, 10(3), 22(2), 22(3) and 22B (4) of Limited Liability Partnership Rules, 2009] Refer instruction kit for filing the form All fields marked in * are mandatory. 1(a) *Limited Liability Partnership identification number (LLPIN) (b) *Name of the Limited Liability Partnership (LLP) (c) *Address of the registered office of the LLP (d) *Email ID 2 (a) *Number of individual designated partner(s) for which this form is being filed (b) *Number of bodies corporate and their Nominees as designated partners for which this form is being filed (c) *Number of individual partner(s) for which this form is being filed ....

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....y corporate Name and particulars of the person signing on behalf of the body corporate as nominee (k) DPIN (I) Name (m) Whether resident of India (n) Designation & Authority in body corporate (o) Changed designation (Category) (p) DPIN/PAN/ Passport number of the previous nominee (q) Name of the previous nominee Yes No (r) I shall be held responsible for furnishing and extending co-operation for providing information with respect to beneficial interest in contribution in the LLP Yes ☐ No 5 Details of individual partner(s) for which this form is being filed (a)The form is being filed for Appointment Cessation Change in Name of Partner Change in designation Change in address *In case user is having DIN/DPIN then file DIR-6 for any changes in name/Address. For all other partners, file the changes through Form 4 (b) Date of Event (dd/mm/yyyy) (c) Income tax permanent account number (Income-tax PAN) ○ DPIN (d) Income tax permanent account number (Income-tax PAN) or Passport Number or DPIN Passport Number Verify income-tax PAN/ Pre-Fill 30 (e) Name of partner First name Middle name Last name THE GAZETTE OF INDIA: EXTRAORDINARY [PART II-SEC....

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....urisdiction of Police Station Proof of change in address of body corporate Max 2 MB Choose File Remove Download (h) Phone (i) Email ID (j) Previous name/ previous address (k) Name and particulars of the person signing on behalf of the body corporate as nominee (1)* Income tax permanent account number (Income-tax PAN) DPIN Passport Number [भाग II–खण्ड 3 (i)] भारत का राजपत्र : असाधारण (m) Income tax permanent account number (Income-tax PAN) or Passport Number or DPIN (n) Name of Nominee First name Middle name Last name Verify income-tax PAN/ Pre-Fill Proof of change in Name of Nominee Max 2 MB Choose File Remove Download (o) Father's Name First name Middle name Last name (p) Permanent Residential Address Address Line I Address Line II Country Pin Code/Zip Code Area/Locality City District State/UT Jurisdiction of Police Station Proof of change in address of nominee Max 2 MB (q) Whether present residential address is same as the permanent residential address (r) If no, present residential address ....

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....artered accountant (in whole time practice) Cost accountant (in whole time practice) Company secretary (in whole-time practice) * Whether associate or fellow: Associate Fellow *Membership number or certificate of practice number *Signature Field 2 For office use only: DSC BOX Save Submit 35 36 THE GAZETTE OF INDIA: EXTRAORDINARY [PART II-SEC. 3(i)] eForm Service request number (SRN) eForm filing date (dd/mm/yyyy) This e-Form is hereby registered Digital signature of the authorizing officer Date of signing (dd/mm/yyyy) Or DSC BOX This eForm has been taken on file maintained by the registrar through electronic mode and on the basis of statement of correctness given by the filing LLP. For office use only: eForm Service request number (SRN) eForm filing date (DD/MM/YYYY) "FORM-4A Register of Partners [Pursuant to section 23 of Limited Liability Partnership Act, 2008 and rule 22A of the Limited Liability Partnership Rules, 2009] LLPIN: Name of the LLP: Registered Office Address: Personal details of the Partner Name of the Partner: Corporate Identification Number, / Registration No.: Unique Identification No: Address/Registered address (in case of b....

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....designation (Category) (d) In case of change in designation to Designated Partner, DPIN/ Income-tax PAN/ Passport number of partner (e) Designated partner identification number (DPIN) (f) Name Hindi Page 34 of 43 (g) Whether resident of India (h) Number of LLP(s) in which he/she is a partner (i) Number of company(s) in which he/she is a director Yes O No O 4 Details of bodies corporate and their nominees as designated partners for which this form is being filed (a)The form is being filed for Appointment ☐ Cessation Change in Designation Change in Nominee Change in address of body corporate Change in name of body corporate (b) Date of Event (dd/mm/yyyy) (c) Type of body corporate (LLP/Foreign LLP/ Company/Foreign Company/ LLP incorporated outside India (LIOI)/ Company incorporated outside India (CIOI)) (d) Corporate identification number (CIN) or Foreign company registration number (FCRN) or Limited liability partnership identification number (LLPIN) or Foreign limited liability partnership identification number (FLLPIN) or any other identification number (e) Name of body corporate Proof of change in Name of body corporate (f) Country where registe....

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....an) (q)(ii) Area of occupation (Government/Teaching/Others) (q)(iii) If 'others' selected, please specify (r) Changed designation (Category) (s) Number of LLP(s) in which he/she is a partner (t) Number of company(s) in which he/she is a director 6 Details of bodies corporate as partners and their nominees for which this form is being filed (a)*The form is being filed for Yes ○ No Appointment Cessation Change in Nominee Change in Designation Change in address of body corporate Change in name of nominee ☐ Change in name of body corporate Change in address of nominee Page 38 of 43 (b) Date of Event (dd/mm/yyyy) (c) Type of body corporate (LLP/Foreign LLP/Company/Foreign Company/ LLP incorporated outside India (LIOI)/ Company incorporated outside India (CIOI/ Others) (d) CIN or FCRN or LLPIN or FLLPIN or any other identification number (e) Name of body corporate Proof of change in name of body corporate Mar2 MG Choose File Remove Download (f) Country where registered (g) Full address of registered office Address Line I Address Line II Country Pin Code/Zip Code Area/Locality City District State/UT Jurisdiction of Police Station Proof....