Form 4 – COMPANIES (CENTRAL GOVERNMENT’S) GENERAL RULES & FORMS

FORM NO. 4 : Statement of the amount or rate per cent of the commission payable in respect of shares/ Debentures and of the number of shares/ debentures for which persons have agreed for a commission to subscribe for absolutely or conditionally

Registration No. of Company �������.. Nominal Capital : Rs��������.

THE COMPANIES ACT, 1956

[Pursuant of section 76]

Name of company ����������� Limited/ Private Limited/��………………….

Presented by �������������.

Name of company����������� Limited/ Private Limited/�������

Articles of association authorizing commission

Particulars of amount paid or payable as commission for subscribing or agreeing to subscribe, or procuring or agreeing to procure subscriptions for any shares/ debentures in the company, or

Paid as���������

Payable Rs �������.

Rate of such commission

Rate per cent ������..

Date of circular or notice (if any), not being a prospectus, inviting subscriptions for the shares/ debentures and disclosing the amount or rate of the commission.

Date������.

Number of shares/ debentures which persons have agreed for a commission to subscribe

(a) Absolutely ���������.

No�������������

(b) Conditionally ��������.

No. ������������..

Signature of all the directors or of their agents authorized in writing

Dated the ������. day of �����..19 ���

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