Registration No. of
Company ……………….
Nominal
Capital Rs. …………………
THE COMPANIES ACT, 1956
[pursuant
to section 165]
Name
of company
………………………………………………………….Li mited
Statutory
report of the ……………………………… certified and field pursuant to section 165(5). Date
of notice for holding statutory meeting
………………………………………………………….
Date
of meeting
……………………………………………………………
……………………………
Place
where the meeting is to be held
……………………………………………………………
……
Presented
by
……………………………………………………………
………………………………
The board of directors submit this statutory
report to the members in pursuance of section 165.
1 Shares
allotted and cash received up to
……………………………………….. .
|
No. of shares |
Nomina l value of each share |
Ca sh re cei ve d up to |
( Allotted subject to a
payment thereof in cash.
)
(i)
Equity
(ii)
Redeemable preference shares.
(iii)
Preference shares other than redeemable
preference shares. ( Allotted as fully paid up
b otherwise than in cash and
)
the consideration for which they have been allotted.
(i)
Equity
(ii) Redeemable
preference shares
(iii) Preference
shares other than redeemable
preference shares.
©
Allotted as party paid up to the
extent of Rs. ……….. per share and the
consideration for which they have been so allotted.
(i) Equity
(ii) Redeemable preference shares
(iii)
Preference shares other than
redeemable
preference shares
2.
Abstract of receipts and payments upto:--
|
Receipts Payments Rs. Rs. |
|
Shares Preliminary
expenses Equity Commission on issue or Sale of Redeemable shares………………… |
|
|
|
|
|
||||||||||||||||||||||||
|
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………………………… … At
banks …………………………..
At
post Office ……………………. Saving
Bank ……………………… |
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|
Total |
Total |
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3.
Preliminary expense as estimated in the
prospectus or statement in the lieu of
prospectus
…………………………………..
|
|
prelimin ary expense s actually incurred up to aforesai |
Preliminary expenses estimated to be incurred after the
aforesaid date Rs. |
|
|
d date Rs. |
|
|
Law carges……………… …………………… Other charges in connection with the preparation of the
Memorandum Articles of Association ………………………
printing expenses ……………………… …… Registration charges ……………………… … Advertisement
charges ………………………
Commission on issue
or sale of shares ……………………… …………………….. |
|
|
|
Discount on issue
or sale of shares…………… Other initial expenses.(To be specified as far as
possible ). |
Total Rs. ………………………… …………… |
|
4.
Names, addresses and occupation of the
company’s Directors, Auditors, Manager and Secretary.
|
Na me( s) |
Addr ess(e s) |
Occupa tion(s) |
Particulars
of change(s) if any, in entries in columns (1), (2) and (3) since the date of
incorporation |
Date of
the chan ge |
|
1 |
2 |
3 |
4 |
5 |
|
A.
|
Direc tors |
|
|
|
|
B. |
Audit ors |
|
|
|
|
C.
|
[***] |
|
|
|
|
D.
|
Man ager
|
|
|
|
|
E. |
Secr etary |
|
|
|
These Particulars must
include dates of changes.
5.
Particulars of any contract which is to be
submitted to the statutory meting for approval. (If any modification or
proposed modification of a contract is
to be submitted for such approval, brief particulars of contract and
particulars of modification or proposed modification should be given).
6.
Underwriting contracts.
Brief description of each contract. If contract not carried out fully, extent
to which it has not been carried out and reason thereby.
7.
The arrears, if any, due on calls from
Directors, [***]
|
Names |
Amount due |
|
Directors |
|
|
Manager |
|
8.Particularts of any
commission or brokerage paid or to be paid in connection with the issue or sale
of shares to any director or Manager.
|
Names |
Commission or
brokerage paid or to be paid |
|
|
On
shares |
On debent ures |
|
|
Directors
Manager.
|
|
|
We hereby certify that the above report is
correct.
Dated the ………………………….. day of …………………..
19 …………..
Signature of two or
more Directors We hereby certify as correct so much of the report as relates to the
shares allotted by the company and to the cash received in respect of such
shares and to the receipts and payments.
…………………………….
Auditors
Dated the ………………….. day of ………………
19
1
The date should be a date within 7 days of
the report.
2
Strike out the portion which does not apply. 3 Where
there is a managing director, he shall be one of the signatories.
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