Professional Documents
Culture Documents
4.*Number of managing (Enter here the total number of managing director, directors, manager and
director, director(s), 2 secretary for which the form needs to be filed. If the number is more than
manager, secretary three, use the Form 32 Addendum for filing the particulars of the other
managing director, director(s), manager, secretary)
Others (specify)
e-mail ID
Page 1 of 9
*Whether present residential address is same as the permanent residential address Yes No
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Page 2 of 9
(10) CIN of company
Designation
Designation
Designation
Designation
Designation
Designation
*Partnership held in partnership firm Yes No
If yes,
Name of partnership firm
Address Line I
Line II
City State
Address Line I
Line II
City State
is not associated with the company with effect from (DD/MM/YYYY) due to
.
Page 3 of 9
Particulars of managing director or director(s) or manager or secretary - II
Part I
DIN or income-tax PAN (Please provide DIN in case of Director) 00368555
Others (specify)
Permanent residential address Line I SAGAR SANGEET, FLAT # 304, 3RD FLOOR,
e-mail ID
Whether present residential address is same as the permanent residential address Yes No
Present residential address Line I SAGAR SANGEET, FLAT # 304, 3RD FLOOR,
Designation
(2)CIN of company
Designation
(3)CIN of company
Designation
Page 4 of 9
(4)CIN of company
Designation
(5)CIN of company
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Page 5 of 9
Partnership held in partnership firm
Yes No
If yes,
Name of partnership firm
Address Line I
Line II
City State
Address Line I
Line II
City State
is not associated with the company with effect from (DD/MM/YYYY) due to
Nationality Designation
Income-tax PAN
Others (specify)
Line II
City State
e-mail ID
Page 6 of 9
Whether present residential address is same as the permanent residential address Yes No
Line II
City State
Phone Fax
Interest in other entities
Directorship in other companies Yes No
If yes,
(1) CIN of company
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Designation
Page 7 of 9
(10) CIN of company
Designation
Designation
Designation
Designation
Designation
Designation
Partnership held in partnership firm
Yes No
If yes,
Name of partnership firm
Address Line I
Line II
City State
If yes,
Name of sole proprietorship firm
Address Line I
Line II
City State
is not associated with the company with effect from (DD/MM/YYYY) due to
Page 8 of 9
VERIFICATION
1. *I confirm that the information given in Part I and II above is true to the best of my knowledge and belief.
2. It is also hereby confirmed that the consent of the appointee managing director, director(s), manager or
secretary has been filed as an attachment to this e-Form.
Attachments:
1. Evidence of payment of stamp duty where qualification shares is involved
Attach
(This will be mandatory only if the director giving consent agrees to pay for
at least one share)
2. Consent(s) of the appointee managing director, director(s), manager or
Attach
secretary
3. Declaration regarding qualification List of attachments
Attach
FILE.pdf
shares
FILE.pdf
4. Evidence of cessation Attach FILE.pdf
Remove attachment
Declaration
To the best of my knowledge and belief, the information given in this form and its attachments is correct and complete.
I have been authorised by the board of directors' resolution dated (DD/MM/YYYY) to sign and
submit this form.
To be digitally signed by
nitin Digitally signed by nitin madan
DN: cn=nitin madan, c=IN, l=113 First Floor
Navrang House K G Marg New Delhi 1, st=Delhi,
o=Tata Consultancy Services - Certifying
madan
Limited - Registration Authority, Individual -
Others, Class 2 Certificate - Individual,
email=nitin.madan@mca.gov.in
Reason: I am the author of this document
Date: 2006.07.29 12:01:31 +05'30'
Certificate
It is hereby certified that I have verified the above particulars and found them to be true and correct.
Digitally signed by nitin madan
nitin
DN: cn=nitin madan, c=IN, l=113
First Floor Navrang House K G Marg
madan
Services Limited - Registration
Authority, Individual - Others, Class 2
Certificate - Individual, email=nitin.
madan@mca.gov.in
Date: 2006.07.29 12:01:33 +05'30'
RAJ DARA
Authority, ou=Ministry of Company Affairs -
Registration Authority, Government, Class 2
Certificate, email=shashi.dara@mca.gov.in
Reason: I am approving this document
Date: 2006.08.07 02:22:03 -07'00'
Page 9 of 9