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

FORM No. 4B

COMPANIES ACT, 1956

[Pursuant to section 77A(9)]

(See rule 5C also)

Register of Securities Bought Back by the (Indicate the name of the Company)

1. Date of member’s special resolution authorizing buy-back of securities.

2. Amount of securities authorized to be bought back.

3. Date up to which buy-back referred to at serial number 2 above to be completed.

4. Description of securities bought-back by the company :

Sl. No.

Folio number/Certificate number of securities bought back

Date of buy-back of securities

Number of securities bought back

Category to which they belong (Preference/Equity/Employees Stock Option/Sweat equity, etc.)

(1)

(2)

(3)

(4)

(5)

Name of the last holder of security

Reference to entry in register of members

*Mode of buy-back of securities

Face value of a security (Rs.)

Buy-back value paid for a security (Rs.)

(6)

(7)

(8)

(9)

(10)

Total Consideration paid for buy-back of securities Rs.

Cumulative total of column 11

Date of cancellation of securities bought back

Date of Extinguishment of securities bought back

Date of physical destruction of securities bought back

Remarks

(11)

(12)

(13)

(14)

(15)

(16)

*Indicate whether the securities have been bought back

from the existing security-holders on a proportionate basis or

from odd open market or

from off-lots of listed securities or

from Employees’ Stock Option or

from Sweat Equity or

from any other mode, if so, indicate the mode.

5. Other relevant details, if any.

Place: Signature of the person authorized to sign the register of members

Date : Name of the above person : ______________________

Designation : _________________________

Company seal

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