FORM III : Form of return to be filed with the Registrar pursuant to sub-section (4) of section 187C of the Companies Act, 1956 (1 of 1956)
Name of the Company __________ | Registration No. of the Company __________ |
Address of its Registered Office __________ | Nominal Capital __________ |
Sl. No. | Particulars of shares in respect of which the person whose name is entered in the register of numbers of the company as a holder thereof does not hold the beneficial interest in such shares | Particulars of persons in whose names the above shares have been registered as holders in the register of members | Particulars of persons who hold a beneficial interest in such shares | Nature of the beneficial interest | Dates of declarations under sub-sections (1), (2) and (30 received in respect of the said shares together with names of declarant | Dates of receipt of the said declarations by the company | |||
1 | 2 | 3 | 4 | 5 | 6 | 7 | |||
No. of shares | Distinctive Nos. of shares |
| Name and Nationality |
| Name and Nationality |
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|
|
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Kind of shares |
| Address |
| Address |
| ||||
Face value of shares |
| Fathers/ Husbands name |
| Fathers/ Husbands name |
| ||||
Paid-up value of shares |
| Date of entry of name in register |
| Occupation |
|
Date _________
___________________________________
Signature of person signing on behalf of the company
Foot Note
1. Published vide Notification No. GSR 53(E), dated 20th. February, 1975.