(1)

The report in pursuance of the provisions of sub-section (1) of section 121 shall be prepared in the following manner, namely:-

(a) the report under this section shall be prepared in addition to the minutes of the general meeting;

(b) the report shall be signed and dated by the Chairman of the meeting or in case of his inability to sign, by any two directors of the company, one of whom shall be the Managing director, if there is one and company secretary of the company;

(c) the report shall contain the details in respect of the following, namely:-

(d) the Report shall contain fair and correct summary of the proceedings of the meeting.

(2)

The copy of the report prepared in pursuance of sub-section (1) of section 121 and sub-rule (1), shall be filed with the Registrar in Form No. MGT.15 within thirty days of the conclusion of the annual general meeting along with the fee.

Form No. MGT-1

Register of members

[Pursuant to section 88 (1)(a) of the

Companies Act, 2013 and rule 3(1) of the Companies(Management and

Administration) Rules, 2014]

Name of the company:

Registered office address:

(TO BE MAINTAINED SEPARATELY FOR EACH CLASS OF SHARES)

{|

Class of shares:

Nominal value per share (in Rs.):

Total shares held:

FOLIO NO.

Personal details

Name of the member:

Name of joint holders, if any:

Address/ Registered address (in case of body corporate):

E-mail Id:

CIN/ Registration No.:

Unique Identification No:

Father's/ Mother's/ Spouse's name:

Status:

Occupation:

PAN No.

Nationality:

In case member is a minor,

Name of Guardian:

Date of birth of minor:

Details of membership

Date of becoming member:

Date of declaration under section 89, if applicable:

Name and address of beneficial owner:

Date of receipt of nomination, if applicable:

Name and address of nominee:

No. of shares kept in abeyance, if applicable:

Record of lien on shares, if applicable:

Date of cessation of membership:

Instructions

Particulars of dividend mandates, power of attorney and other

instructions, if any:

Instruction for sending notices etc., if any:

Details of share holding

{|

Allotment No./ Transfer No.

Date of allotment/ transfer

No. of shares allotted/ transferred

Distinctive numbers (both inclusive)

Folio of transferor, if applicable

Name of the transferor, if applicable

From

To

(1)

(2)

(3)

(4)

(5)

(6)

Date of issue or endorsement of share certificate

Certificate No.

Lock in period, if any

Amount (Rs)

If shares are issued for consideration other than

cash, brief particulars thereof

Payable

Paid/ Deemed to be paid

Due

(7)

(8)

(9)

(10)

(11)

Date of transfer/ transmission/ forfeiture /

redemption etc

No. of shares transferred/ transmitted/ forfeited

/redeemed etc

Distinctive numbers (both inclusive)

Folio of transferee

Name of transferee

Balance shares (after transfer / transmission/

forfeiture / redemption etc)

From

To

(12)

(13)

(14)

(15)

(16)

(17)

Remarks

Authentication/ signature

(18)

(19)

|}

|}

Form No. MGT-2

Register of debenture holders/ other

securities holders

[Pursuant to section 88(1)(b) and ( c) of the

Companies Act, 2013 and rule 4 of the Companies(Management

and Administration) Rules, 2014]

Name of the company:

Registered office address:

(TO BE MAINTAINED SEPARATELY FOR EACH CLASS OF DEBENTURES /

OTHER SECURITIES IN RESPECT OF EACH HOLDER)

{|

Class of debentures / other securities:

Nominal value per unit (in Rs.):

Total no. of debentures / other securities held:

FOLIO NO.

Personal details

Name of the debenture holder/other security holder:

Name of joint holders, if any:

Address/ Registered address (in case of body corporate):

E-mail Id:

PAN/ CIN/ Registration No.:

Unique Identification No:

Father's/ Mother's/ Spouse's name:

Occupation, if any:

Nationality:

In case debenture holder/other security holder is a minor:

Name of Guardian:

Date of birth of minor:

Details of holding

Date of becoming debenture holder/ other security holder:

Date of receipt of nomination:

Name and address of nominee:

No. of debentures / securities kept in abeyance, if any:

Record of lien on debentures / securities , if any :

Date of cessation as debenture holder/ other security holder:

Details of Security

Whether repayment of the debentures / other securities is

secured: Yes / No

If secured, date of registration of charge with the ROC:

Charge Identification Number allotted for the charge

Brief particulars of the assets to secure such debentures /

other securities:

Instructions

Particulars of interest mandates, power of attorney and other

instructions, if any:

Instruction for sending notices of class meetings, etc., if

any:

Details of debentures / other securities

{|

Allotment No./ transfer No.

Date of allotment/ transfer

No. of debentures/ other

securities allotted/ transferred

Distinctive numbers

(both inclusive)

Folio of transferor, if applicable

Name of the transferor, if applicable

From

To

(1)

(2)

(3)

(4)

(5)

(6)

Date of issue/ endorsement of certificate

Certificate No.

Amount (Rs.)

If debentures /other securities

Payable

Paid/deemed to be paid

Due

issued for consideration other than cash, brief particulars

thereof

(7)

(8)

(9)

(10)

Date of transfer/ transmission/ redemption forfeiture of

securities

No. of units transferred/ transmitted/ forfeited/ redeemed

Distinctive numbers (both inclusive)

Folio of transferee

Name of the transferee

From

To

(11)

(12)

(13)

(14)

(15)

Balance units left (after transfer, transmission, redemption

etc)

Other remarks

Authentication

(16)

(17)

(18)

|}

|}

Form No. MGT-3

Notice of situation or change of situation or

discontinuation of situation, of place where foreign register

shall be kept

[Pursuant to section 88(4) of the Companies

Act, 2013 and rule 7(2) of the Companies(Management and

Administration) Rules, 2014]

1. (a) CIN:

(b) GLN:

2. (a) Name of the company:

(b) Registered office address:

(c) E-mail id:

3. This notice is in respect of:

Situation of office where foreign register is kept

Change of situation of office where foreign register is kept

Discontinuance of maintenance of foreign register

4. Foreign register relates to

Register of members

Register of debenture holders

Register of other security holders

Beneficial owners

Part A: Notice of situation of office where foreign

register is kept

5. Notice is hereby given that the foreign register shall be

kept at:

{|

Address

Line I

Line II

City

District

State

ISO Country Code

Country

Pin Code

E-mail ID

|-

| Part B: Notice of change of situation where foreign

register is kept

|-

| 6. Existing situation of the office where the foreign register

is kept:

|-

| 7. Purpose for changing such office:

|-

| 8. Notice is hereby given that the foreign register shall be

kept with effect from……… at:

|-

| {|

|-

| Address

| Line I

|-

|

| Line II

|-

| City

|

|-

| District

|

|-

| State

|

|-

| Country

|

|-

| Pin Code

|

|-

| E-mail ID

|

|}

|-

| Part C: Notice of change of situation where foreign

register is kept

|-

| 9. Existing situation of the office where the foreign register is kept:

|-

| 10. Reason for such discontinuance:

|-

| 11. Notice is hereby given that the foreign register is discontinued to be maintained at the existing situation with effect from……… and all the entries in the said register is transferred to

|-

|

| Another foreign register maintained at………

|-

|

| The principal register

|-

| Date:

|-

| Place:

|-

| Signature:

|}

Form No. MGT-4

Declaration by the registered owner of shares

who does not hold the beneficial interest in such shares

[Pursuant to section 89(1) of the Companies

Act, 2013 and rule 9(1) of the Companies(Management and

Administration) Rules, 2014]

To-

Name of the company

Registered office address:

1. Particulars of the Registered owner of shares:

(i) Name :

(ii) Father's / Mother's / Spouse'

name:

(iii) Occupation :

(iv) Whether citizen of India

Yes

No

(v) Nationality

(vi) Date of Birth

(vii) Gender

Male

Female

(viii) PAN No.

(ix) Proof of Identity :

For Indian Nationals :

(Any of the following):

Income-tax permanent account

number

Voter's identity card number

Passport number

Driving License

Unique Identification Number (UIN)

For Foreign nationals and Non Resident Indians :

Passport

Others

(x) Permanent Residential Address

{|

ISO Country Code

Country

Phone

Mobile

Fax

Email ID

|-

| (xi) Whether present residential

address is same as the permanent residential address :

|-

| {|

|-

| Yes No

|

|-

| If no, present residential address

|

|-

| ISO Country Code

| Country

|-

| Phone

| Mobile

|-

| Fax

| Email ID

|}

|-

| 2. Particulars of the shares in respect of which

declaration is being made by the registered owner:

|-

| (i) Class of shares:

|-

| (ii) Number of shares:

|-

| (iii) Distinctive numbers:

From………. To……….

|-

| (iv) Certificate No.:

|-

| (v) Folio No.

|-

| (vi) Nominal value of shares:

|-

| (vii) Paid up value of shares:

|-

| 3. Declaration:

|-

| In pursuance of sub-section (1) of section 89 of the Companies

Act, 2013, I ………………hereby

declare that the person (s) name below hold(s) the beneficial

interest in the above mentioned shares registered in my name in

the register of members of the company:

|-

| {|

|-

| Sl. No.

| Name of the beneficial owner(s)

| Address and Email id

| Date of birth/Age

| Father’s/Spouse’s name

|-

| (1)

| (2)

| (3)

| (4)

| (5)

|-

| Occupation

| Nationality

| PAN/ UIN/ CIN (in case of company)

| Passport No. (in case of foreign national)

| Distinctive No.,if applicable.

|-

| (6)

| (7)

| (8)

| (9)

|

|}

|-

| 4. Details of the beneficial interest:

|-

| (i) Nature of the beneficial

interest:

|-

| (ii) Date of creation of the

beneficial interest:

|-

| (iii) Reasons for not registering

shares in the name of the beneficial owner(s):

|-

| (iv) Particulars of the

instrument/ document, if any, showing the creation of such

beneficial interest:

|-

| 5. Particulars of change in beneficial interest:

|-

| (i) Date of change:

|-

| (ii) Nature of the change in the

beneficial interest:

|-

| (iii) Brief particulars of such

change:

|-

| (iv) Reason for such change:

|-

| (v) Particulars of the instrument/

document, if any, showing the change in such beneficial interest:

|-

| Date:

|-

| Place:

|-

| Signature of the registered owner

|-

| Enclosures:

|-

| (a) Proof of identity of the

registered owner and beneficial owner

|-

| (b) Instrument/ document under

which the beneficial interest is created/ transferred/ changed.

|}

Form No. MGT-5

Declaration by the beneficial owner who holds

or acquires beneficial interest in shares but whose name is not

entered in the register of member

[Pursuant to sub-section (2) and (3) of

section 89 of the Companies Act, 2013 and rule 9(2) of

theCompanies (Management and Administration) Rules, 2014]

To-

Name of the company

Registered office address:

1. Particulars of the shares in which beneficial interest

is held by the person making declaration:

(i) Class of shares:

(ii) Number of shares:

(iii) Distinctive numbers:

From………. To……….

(iv) Certificate No.:

(v) Folio No.

(vi) Nominal value of shares:

(vii) Paid up value of shares:

2. Particulars of the beneficial owner

{|

Sl. No.

Name of the beneficial owner(s)

Address and Email id

Date of birth/ Age

Father’s/ Mother’s Spouse’s

name

(1)

(2)

(3)

(4)

(5)

Occupation

Nationality

PAN/ UIN/ CIN (in case of company)

Passport No. (in case of foreign national)

(6)

(7)

(8)

(9)

|-

| 3. Declaration

|-

| In pursuance of sub-section (2) of section 89 of the Companies

Act 2013, I …………………hereby

declare that I hold / have acquired the beneficial interest in

the above mentioned shares of the company which are registered in

the name of the person whose particulars are furnished below:

|-

| 4. Particulars of the registered owner

|-

| {|

|-

| Sl. No.

| Name of the beneficial owner(s)

| Address and Email id

| Date of birth/ Age

| Father’s/ Mother’s Spouse’s

name

|-

| (1)

| (2)

| (3)

| (4)

| (5)

|-

| Occupation

| Nationality

| PAN/ UIN/ CIN (in case of company)

| Passport No. (in case of foreign national)

|

|-

| (6)

| (7)

| (8)

| (9)

|

|}

|-

| 5. Details of the beneficial interest:

|-

| (i) Date of creation / acquisition

of beneficial interest:

|-

| (ii) Mode of acquisition of

beneficial interest: Allotment / Transfer / others, specify

|-

| (iii) Nature of the beneficial

interest:

|-

| (iv) Reasons for not registering

shares in my name:

|-

| (v) Particulars of the instrument/

document, if any, showing the creation of such beneficial

interest:

|-

| 6. Particulars of the person from whom the beneficial

interest is acquired, if applicable:

|-

| (i) Name of the transferor of

beneficial interest:

|-

| (ii) Whether shares were

registered in his name:

|-

| (If not, whether any declaration

under sub-section (2) of section 89 was filed by him to the

company. If so, date of such declaration)

|-

| (iii) Particulars of the

instrument/ document, if any, showing the transfer of such

beneficial interest :

|-

| 7. Particulars of change in beneficial interest:

|-

| (i) Date of change:

|-

| (ii) Nature of the change in the

beneficial interest:

|-

| (iii) Brief particulars of such

change:

|-

| (iv) Reason for such change:

|-

| (v) Particulars of the instrument/

document, if any, showing the change in such beneficial interest:

|-

| Date:

|-

| Place:

|-

| Signature of beneficial owner

|-

| CERTIFICATE

|-

| I hereby certify that the beneficial interest in the shares

mentioned above has been transferred by me on …………….

|-

| Signature of the person who has transferred the beneficial

interest in the shares

|-

| Date:

|-

| Place:

|-

| Enclosures:

|-

| 1. Proof of identity of the

registered owner and beneficial owner;

|-

| 2. Instrument/ document under

which the beneficial interest is created/ transferred/ changed.

|}

{|

[FORM NO. MGT-6] [Substituted by Notification No. G.S.R. 175(E), dated 16.2.2018 (w.e.f. 31.3.2014).]

[Pursuant to section 89(6) of The CompaniesAct, 2013 and pursuant to rule 9(3) of TheCompanies (Management andAdministration) Rules, 2014]

Return to the Registrar in respect

ofdeclaration under section 89 received by thecompany

Form languageEnglishHindi

Refer the instruction kit for filing the form.

1.*(a)

Corporate identity number (CIN) of company

{|

|

|-

| (b)

| Global location number (GLN) of company

|

|

|}

2.(a)

Name of the company

{|

|-

| (b)

| Address of the registered office of the company

|

|}

I.

Particulars of shares in respect of which the person whose

name is entered in the register of members of the company as a

holder of shares does not hold the beneficial interest in such

shares

1.(a)

*Number of shares

{|

|

|-

| (b)

| Distinctive number of shares

| From

| To

|-

| (c)

| *Kind of shares

|

|-

| (d)

| *Face value of shares (Rs.)

|

|

|-

| (e)

| *Paid-up value of shares (Rs.)

|

|

|}

2.(a)

*Name of the person in whose name the above shares have been registered as holder in the register of members

{|

|-

| (b)

| *Address Line I

|

|-

|

| Line II

|

|-

| (c)

| *City

|

|-

| (d)

| *State

|

|-

| (e)

| *Country

|

|-

| (f)

| *Pin code

|

|-

| (g)

| *Nationality

|

|-

| (h)

| Father's name or Husband's nameFather's nameHusband's name

|-

|

|-

| (i)

| Name of the Authorized person

|

|-

| (j)

| *Date of entry of name in register

| (DD/MM/YYYY)

|-

| (k)

| *Date of declaration

| (DD/MM/YYYY)

|-

| (l)

| *Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

3.(a)

*Name of person who holds a beneficial interest in such shares

{|

|-

| (b)

| *Address Line I

|

|-

|

| Line II

|

|-

| (c)

| *City

|

|-

| (d)

| *State

|

|-

| (e)

| *Country

|

|-

| (f)

| *Pin code

|

|-

| (g)

| *Nationality

|

|-

| (h)

| *Date of declaration

| (DD/MM/YYYY)

|-

| (i)

| *Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

II.

Particulars of shares in respect of which the person whose

name is entered in the register of members of the company as a

holder of shares does not hold the beneficial interest in such

shares

1.(a)

Number of shares

{|

|

|-

| (b)

| Distinctive number of shares

| From

| To

|-

| (c)

| Kind of shares

|

|-

| (d)

| Face value of shares (Rs.)

|

|

|-

| (e)

| Paid-up value of shares (Rs.)

|

|

|}

2.(a)

Name of the person in whose name the above shares have been registered as holder in the register of members

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Father's name or Husband's nameFather's nameHusband's name

|-

|

|-

| (i)

| Name of the Authorized person

|

|-

| (j)

| Date of entry of name in register

| (DD/MM/YYYY)

|-

| (k)

| Date of declaration

| (DD/MM/YYYY)

|-

| (l)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

3.(a)

Name of person who holds a beneficial interest in such shares

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Date of declaration

| (DD/MM/YYYY)

|-

| (i)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

III.

Particulars of shares in respect of which the person whose

name is entered in the register of members of the company as a

holder of shares does not hold the beneficial interest in such

shares

1.(a)

Number of shares

{|

|

|-

| (b)

| Distinctive number of shares

| From

| To

|-

| (c)

| Kind of shares

|

|-

| (d)

| Face value of shares (Rs.)

|

|

|-

| (e)

| Paid-up value of shares (Rs.)

|

|

|}

2.(a)

Name of the person in whose name the above shares have been registered as holder in the register of members

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Father's name or Husband's nameFather's nameHusband's name

|-

|

|-

| (i)

| Name of the Authorized person

|

|-

| (j)

| Date of entry of name in register

| (DD/MM/YYYY)

|-

| (k)

| Date of declaration

| (DD/MM/YYYY)

|-

| (l)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

3.(a)

Name of person who holds a beneficial interest in such shares

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Date of declaration

| (DD/MM/YYYY)

|-

| (i)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

IV.

Particulars of shares in respect of which the person whose

name is entered in the register of members of the company as a

holder of shares does not hold the beneficial interest in such

shares

1.(a)

Number of shares

{|

|

|-

| (b)

| Distinctive number of shares

| From

| To

|-

| (c)

| Kind of shares

|

|-

| (d)

| Face value of shares (Rs.)

|

|

|-

| (e)

| Paid-up value of shares (Rs.)

|

|

|}

2.(a)

Name of the person in whose name the above shares have been registered as holder in the register of members

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Father's name or Husband's nameFather's nameHusband's name

|-

|

|-

| (i)

| Name of the Authorized person

|

|-

| (j)

| Date of entry of name in register

| (DD/MM/YYYY)

|-

| (k)

| Date of declaration

| (DD/MM/YYYY)

|-

| (l)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

3.(a)

Name of person who holds a beneficial interest in such shares

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Date of declaration

| (DD/MM/YYYY)

|-

| (i)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

V.

Particulars of shares in respect of which the person whose

name is entered in the register of members of the company as a

holder of shares does not hold the beneficial interest in such

shares

1.(a)

Number of shares

{|

|

|-

| (b)

| Distinctive number of shares

| From

| To

|-

| (c)

| Kind of shares

|

|-

| (d)

| Face value of shares (Rs.)

|

|

|-

| (e)

| Paid-up value of shares (Rs.)

|

|

|}

2.(a)

Name of the person in whose name the above shares have been registered as holder in the register of members

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Father's name or Husband's nameFather's nameHusband's name

|-

|

|-

| (i)

| Name of the Authorized person

|

|-

| (j)

| Date of entry of name in register

| (DD/MM/YYYY)

|-

| (k)

| Date of declaration

| (DD/MM/YYYY)

|-

| (l)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

3.(a)

Name of person who holds a beneficial interest in such shares

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Date of declaration

| (DD/MM/YYYY)

|-

| (i)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

VI.

Particulars of shares in respect of which the person whose

name is entered in the register of members of the company as a

holder of shares does not hold the beneficial interest in such

shares

1.(a)

Number of shares

{|

|

|-

| (b)

| Distinctive number of shares

| From

| To

|-

| (c)

| Kind of shares

|

|-

| (d)

| Face value of shares (Rs.)

|

|

|-

| (e)

| Paid-up value of shares (Rs.)

|

|

|}

2.(a)

Name of the person in whose name the above shares have been registered as holder in the register of members

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Father's name or Husband's nameFather's nameHusband's name

|-

|

|-

| (i)

| Name of the Authorized person

|

|-

| (j)

| Date of entry of name in register

| (DD/MM/YYYY)

|-

| (k)

| Date of declaration

| (DD/MM/YYYY)

|-

| (l)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

3.(a)

Name of person who holds a beneficial interest in such shares

{|

|-

| (b)

| Address Line I

|

|-

|

| Line II

|

|-

| (c)

| City

|

|-

| (d)

| State

|

|-

| (e)

| Country

|

|-

| (f)

| Pin code

|

|-

| (g)

| Nationality

|

|-

| (h)

| Date of declaration

| (DD/MM/YYYY)

|-

| (i)

| Date of receipt of declaration by the company

| (DD/MM/YYYY)

|}

Attachments

1. *Declaration by person referred to in section 89(1)

2. *Declaration by person referred to in section 89(2) or

89(3)

3. Optional attachment(s) – if any

List of attachments

{|

|-

| 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 authorized by the board of directors' resolution dated *(DD/MM/YYYY) to sign and submit this form.

|}

*To be digitally signed by

*Designation

*Director identification number of

the director; orDIN or PAN of the manager or CEO or

CFO; orMembership number of the Company secretary

{|

|}

Note: Attention is also drawn to provisions of Section 448 abd 449 which provide for punishment for false statement and punishment for false evidence respectively

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.MGT-7] [Substituted by Notification No. G.S.R. 862(E), dated 16.11.2015 (w.e.f. 31.3.2014).][Pursuant to sub-section (1) of section 92 of the Companies Act, 2013 and sub-rule (1) of rule 11 of the Companies (Management and Administration) Rules, 2014]|

Annual Return

Form language O English O HindiRefer the instruction kit for filing the form.

I.

Registration and Other Details

(i)

*Corporate Identification Number (CIN) of the company

{|

{|

|

Pre-fill

|}

|-

| (ii)

| Global Location Number (GLN) of the company

|

|}

(ii)

(a) Name of company

{|

|-

|

| (b) Registered office address

|

|-

|

|

|-

|

| (c) *email-ID of the company

|

|-

|

| (d) *Telephone number with STD code

|

|-

|

| (e) Website

|

|}

(iii)

Date of Incorporation

{|

|-

| (iv)

|

Type of Company

Category of the Company

Sub-category of the Company

|-

| (v)

| Whether company is having share capital

| O Yes O No

|}

(vi)

*Whether shares listed on recognized Stock Exchange(s)

O Yes O No

(a) Details of stock exchanges where share are listed

{|

S. No.

Stock Exchange Name

Code

1

2

|-

|

| (b) CIN of the Registrar and Transfer Agent

|

{|

|

Pre-fill

|}

|-

|

| Name of the Registrar and Transfer Agent

|-

|

|

|-

|

| Registered office address of the Registrar and Transfer Agents

|-

|

|

|}

(vii)

*Financial year

{|

From

{|

| (DD/MM/YYYY)

To

|

| (DD/MM/YYYY)

|}

|}

(viii)

*Whether Annual General Meeting (AGM) held

O Yes O No

(a) If yes, date of AGM

{|

|-

|

| (b) Due date of AGM

|

|-

|

| (c) Whether any extension for AGM granted

| O Yes O No

|-

|

| (d) If yes, provide the Service Request Number of the

application form filed for extension

|

|-

|

| (e) Extended due date of AGM after grant of extension

|

{|

|

Pre-fill

|}

|-

|

| (f) Specify the reasons for not holding the same

|

|-

|

|

|}

II.

Principal Business Activities of the Company

*Number of business activities

{|

|-

|

|

Sl. No.

Main Activity group code

Description of Main Activity group

Business Activity Code

Description of Business Activity

% to total turnover of company

1

2

|}

III.

Particulars of Holding, Subsidiary, Joint Ventures and

Associate Companies

*No. of Companies for which information is to be given

{|

{|

|

Pre-fill All

|}

|-

|

|

Sl. No.

Name of company

CIN/FCRN

Holding/ Subsidiary/ Joint Ventures/ Associate

% of shares held

1

2

|}

IV.

Share Capital,debentures and Other Securities of the

Company

(i)

*Share Capital

(a) Equity share capital

{|

Particulars

Face Value

Authorized Capital

Issued Capital

Subscribed Capital

Paid Up Capital

Total number of equity shares

Total amount of equity shares (in rupees)

|-

|

|

Number of classes

{|

|}

|-

|

|

Class of shares

{|

| Authorized Capital

| Issued Capital

| Subscribed Capital

| Paid Up Capital

|-

| Number of equity shares

|

|

|

|

|-

| Nominal value per share (in rupees)

|

|

|

|

|-

| Total amount of equity shares (in rupees)

|

|

|

|

|}

|-

|

| (b) Preference share capital

|-

|

|

Particulars

Authorized Capital

Issued Capital

Subscribed Capital

Paid Up Capital

Total number of preference shares

Total amount of preference shares (in rupees)

|-

|

|

Number of classes

{|

|}

|-

|

|

Class of shares

{|

| Authorized Capital

| Issued Capital

| Subscribed Capital

| Paid Up Capital

|-

| Number of preference shares

|

|

|

|

|-

| Nominal value per share (in rupees)

|

|

|

|

|-

| Total amount of preference shares (in rupees)

|

|

|

|

|}

|-

|

| (c) Unclassified share capital

|-

|

|

Particulars

Authorized Capital

Total amount of unclassified shares

|-

|

| (d) Break-up of paid share capital

|-

|

|

Class of Shares

Number of shares

Total Nominal Amount

Total paid-up amount

Total premium

Equity shares

At the beginning of the year

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. GDRs/ADRs

x. Others, Specify

{|

|

|

|

|

|-

| Decrease during the year

|

|

|

|

|-

| i. Buy-back of shares

|

|

|

|

|-

| ii. Shares forfeited

|

|

|

|

|-

| iii. Reduction of share capital

|

|

|

|

|-

| iv. Others, Specify

|

|

|

|

|-

| At the end of the year

|

|

|

|

|-

| Preference shares

|

|

|

|

|-

| At the beginning of the year

|

|

|

|

|-

| Increase during the year

|

|

|

|

|-

| i. Issues of shares

|

|

|

|

|-

| ii. Re-issue of forfeited shares

|

|

|

|

|-

| iii. Others, Specify

|

|

|

|

|-

| Decrease during the year

|

|

|

|

|-

| i. Redemption of shares

|

|

|

|

|-

| ii. Shares forfeited

|

|

|

|

|-

| iii. Reduction of share capital

|

|

|

|

|-

| iv. Others, Specify

|

|

|

|

|-

| At the end of the year

|

|

|

|

|}

|}

(ii)

Details of stock/consolidation during the year (for each class

of shares)

{|

|-

|

|

Class of shares

(i)

(ii)

(iii)

Before split/Consolidation

Number of shares

Face value per share

After split/Consolidation

Number of shares

Face value per share

|}

(iii)

Details of shares/Debentures Transfers since closure date of

last financial year (or in the case of the first return at any

time since the incorporation of the company)*

{|

{|

| Nil

|}

|-

|

| [Details being provided in a CD/Digital Media]O Yes O No O

Not applicable

|-

|

| Separate sheet attached for details of transfersO Yes O No

|-

|

| Note:In case list of transfer exceeds 10, option for

submission as a separate sheet attachment or submission in a

CD/Digital Media may be shown.

|}

{|

Date of Previous AGM

{|

|}

|-

|

|

Date of Registration of Transfer of Shares

{|

|-

| Type of Transfer

|

| 1. Equity, 2. Preference Shares, 3. Debentures, 4. Stock

|-

| Number of Shares/Debentures Transferred

|

| Amount per Share (in Rs.)

|

|-

| Ledger Folio of Transferor

|

|-

| Transferor's Name

|

|

|

|-

|

| Surname

| Middle Name

| First Name

|-

| Ledger Folio of Transferee

|

|-

| Transferee's Name

|

|

|

|-

|

| Surname

| Middle Name

| First Name

|}

|-

|

|

Date of Registration of Transfer of Shares

{|

|-

| Type of Transfer

|

| 1. Equity, 2. Preference Shares, 3. Debentures, 4. Stock

|-

| Number of Shares/Debentures Transferred

|

| Amount per Share (in Rs.)

|

|-

| Ledger Folio of Transferor

|

|-

| Transferor's Name

|

|

|

|-

|

| Surname

| Middle Name

| First Name

|-

| Ledger Folio of Transferee

|

|-

| Transferee's Name

|

|

|

|-

|

| Surname

| Middle Name

| First Name

|}

|}

(iv)

*Indebtedness including debentures (Outstanding as at the end

of financial year)

{|

Particulars

Number of units

Nominal value per unit

Total value

Non-convertible debentures

Partly convertible debentures

Fully convertible debentures

Secured Loans excluding deposits

Unsecured Loans excluding deposits

Deposit

Total

|-

|

| Details of debentures

|-

|

|

Class of Debentures

Outstanding as at the beginning of the year

Increase during the year

Decrease during the year

Outstanding as at the end of the year

Non-convertible debentures

Partly convertible debentures

Fully convertible debentures

|}

(v)

Securities (other than shares and debentures)

{|

|-

|

|

Type of Securities

Number of Securities

Nominal Value of each Unit

Total Nominal Value

Paid up Value of each Unit

Total paid up Value

Total

|}

V.

*Turnover and net worth of the company (as defined in the

Companies Act, 2013)

(i)

Total Turnover

{|

|-

| (ii)

| Net worth of the Company

|

|}

VI.

(a) *Share Holding Pattern - Promoters

{|

S. No.

Category

Indian

Foreign

Number of shares

Percentage

Number of shares

Percentage

1.

Individual/HUF

(i) Indian

(ii) Non-resident Indian (NRI)

(iii) Foreign national (other than NRI)

2.

Government

(i) Central Government

(ii) State Government

(iii) Government companies

3.

Insurance companies

4.

Banks

5.

Financial Institutions

6.

Foreign Institutional Investors

7.

Mutual Funds

8.

Venture capital

9.

Body corporate(not mentioned above)

10.

{|

Others

|

|

|

|

|-

|

| Total

|

|

|

|

|}

|-

|

|

Total number of shareholders

|-

|

| (b) *Share Holding Pattern - Public

|-

|

|

S. No.

Category

Indian

Foreign

Number of shares

Percentage

Number of shares

Percentage

1.

Individual/HUF

(i) Indian

(ii) Non-resident Indian (NRI)

(iii) Foreign national (other than NRI)

2.

Government

(i) Central Government

(ii) State Government

(iii) Government companies

3.

Insurance companies

4.

Banks

5.

Financial Institutions

6.

Foreign Institutional Investors

7.

Mutual Funds

8.

Venture capital

9.

Body corporate(not mentioned above)

10.

{|

Others

|

|

|

|

|-

|

| Total

|

|

|

|

|}

|-

|

|

Total number of shareholders

|-

|

|

Total number of shareholders (Promoters + Public)

|-

|

|

(c) *Details of Foreign institutional investors' (FIIs)

holding shares of the company

{|

|}

|-

|

|

Name of FII

Address

Date of Incorporation

Country of Incorporation

Number of shares held

% of shares held

|}

VII.

*Number of Promoters, Member, Debenture Holders

{|

Details

As at beginning of the year

Addition during the year

Cessation during the year

As at the end of the year

Promoters

Members (other than promoters)

Debenture holders

|-

| VIII.

| Details of Directors and Key Managerial Personnel

|-

| (A)

| *Composition of Board of Directors

|-

|

|

Category

Number of directors at the beginning of the

year

Number of directors at the end of the year

Percentage of shares held by directors as at

the end of the year

Executive

Non-executive

Executive

Non-executive

Executive

Non-executive

A. Promoter

B. Non-promoter

(i) Non-Independent

(ii) Independent

C. Nominee Directors representing

(i) Banks & FIs

(ii) Investing institutions

(iii) Government

(iv) Small share holders

(v) Others

Total

|-

|

|

Number of Directors and key managerial personnel (who is

not director) as on the financial year and date

{|

|}

|-

| (B)

|

(i) *Details of directors and Key managerial personnel as

on the closure of financial year

{|

|}

|-

|

|

Name

DIN/PAN

Designation

Number of equity shares held

Date of cessation(after closure of financial

year : if any)

|-

|

|

(ii) Particulars of change in director(s) and Key

managerial personnel during the year

{|

|}

|-

|

|

Name

DIN/PAN

Designation at the beginning/ during the

financial year

Date of appointment/ change in designation/

cessation

Nature of change(Appointment/ Change in

designation/ Cessation)

|}

IX.

Meetings of Members/Class of Members/Board/Committees of

the Board of Directors

A.

Members/Class/Requisitioned/CLB/NCLT/Court Convened Meetings

{|

Number of meetings held

{|

|}

|-

|

|

Type of meeting

Date of meeting

Total Number of Members entitled to attend

meeting

Attendance

Number of members attended

% of total shareholding

|-

| B.

| Board Meetings

|-

|

|

*Number of meetings held

{|

|}

|-

|

|

Sl. No.

Date of meeting

Total Number of Directors as on the date of

meeting

Attendance

Number of directors attended

% of attendance

1.

2.

|-

| C.

| Committee Meetings

|-

|

|

Number of meetings held

{|

|}

|-

|

|

Sl. No.

Type of meeting

Date of meeting

Total Number of Members as on the ate of meeting

Attendance

Number of members attended

% of total shareholding

1.

2.

|-

| D.

| *Attendance of Directors

|-

|

|

S. No.

Name of the Director

No. of Meetings which were entitled to attend

No. of Meeting attended

% of attendance

No. of Meetings Held

No. of Meeting attended

% of attendance

Whether attended last AGM held on

{|

(Y/N/NA)

|-

| 1.

|

|

|

|

|

|

|

|

|}

|}

X.

*Remuneration of Directors and Key managerial Personnel

{|

{|

| Nil

|}

|-

| A.

|

Number of Managing Director, Whole-time Directors and/or

Manager whose remuneration details to be entered

{|

|}

|-

|

|

S. No.

Name

Designation

Gross Salary

Commission

Stock Option/ Sweat equity

Others

Total Amount

1.

Total

|-

| B.

|

Number of CEO, CFO and Company secretary whose remuneration

details to be entered

{|

|}

|-

|

|

S. No.

Name

Designation

Gross Salary

Commission

Stock Option/ Sweat equity

Others

Total Amount

1.

Total

|-

| C.

|

Number of other directors whose remuneration details to be

entered

{|

|}

|-

|

|

S. No.

Name

Designation

Gross Salary

Commission

Stock Option/ Sweat equity

Others

Total Amount

1.

Total

|}

XI.

Matters related to certification of Compliances and

Disclosures

A.

Certification of Compliancies

Whether company has made all companies and disclosure during

the yearO Yes O No

If No, give details along with the reasons and supporting

documents

{|

|}

XII.

Penalty and Punishment – Details Thereof

(A)

{|

Details of Penalties/Punishment imposed on

Company/Directors/Officers

{|

| Nil

|

|}

|-

|

|

Name of the company/ directors/ officers

Name of the court/ concerned Authority

Date of Order

Name of the act and section under which

penalized/ punished

Details of penalty/ punishment

Details of appeal (if any) including present

status

|-

| (B)

|

Details of Compounding of Offences

{|

| Nil

|

|}

|-

|

|

Name of the company/ directors/ officers

Name of the court/ concerned Authority

Date of Order

Name of the act and section under which offence

committed

Particulars of offence

Amount of compounding (in rupees)

|-

| XIII.

| Whether complete list of Shareholders, Debenture Holders has

been enclosed as an attachmentO Yes O No

|-

|

| (In case of 'No', submit the details separately through method

specified in instruction kit)

|}

XIV.

Compliance of Sub-Section (2) of Section 92, in

Case of Listed Companies

In case of a listed company or a company having paid up share

capital of Ten Crore rupees or moreorturnover of Fifty

Crore rupees or more, details of company secretary in whole time

practice certifying the annual return in form MGT-8.

{|

Name

{|

|-

| Whether associate or fellow

| O AssociateO Fellow

|-

| Certificate of particular number

|

|}

|-

|

| I/We certify that:

|-

|

| (a) The return states the facts, as they stood on the date of

the closure of the financial year aforesaid Correctly And

Adequately.

|-

|

| (b) Unless otherwise expressly stated to the contrary

elsewhere in this Return, the Company has complied with all the

provisions of the Act during the financial year.

|-

|

| (c) The company has not, since the date of the closure of the

last financial year with reference to which the last return was

submitted or in the case of a first return since the date of the

incorporation of the company, issued any invitation to the public

to subscribe for any securities of the company.

|-

|

| (d) Where the annual return discloses the fact that the number

of members, (except in case of a one person company), of the

company exceeds two hundred, the excess consists wholly of

persons who under second proviso to clause (ii) of sub-section

(68)

of section 2 of the Act are not to be included in reckoning

the number of two hundred.

|-

|

| Declaration

|-

|

| I am authorized by the Board of Directors of the company vide

resolution no. dated(DD/MM/YYYY) to sign this form and declare

that all the requirements of the 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:

|-

|

| 1. 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.

|-

|

| 2. All the required attachments have been completely and

legibly attached to this form.

|-

|

| Note: Attention is also drawn to the provisions of Section