FORM No. 1AC : Particulars of person(s)/ director(s) charged/ specified for the purpose of clause (f)/ (g) of section 5
No. of the Company �������. Authorized Capital Rs�����..
Name of the Company ������
THE COMPANIES ACT, 1956
[Pursuant to proviso to section 5(g)]
Full name of the person (s) / Director (s) | Full residential address | Date of revocation or withdrawal of consent | Provisions of the Companies Act to which the revocation or withdrawal of consent relates |
(1) | (2) | (3) | (4) |
Dated this ������. day of �����19 ����.
Signature : Name: Designation:]