Rules and Regulations of India

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Form 4 – The Company Law Board Regulations, 1991

Form No. 4 : 25[Application by depositor *under section 58A(9) of the Act or section 45QA of the Reserve Bank of India Act, 1934]

(See regulation 37)

 

Before the Company Law Board ( _________________________ Bench)

In the matter of the Companies Act, 1956, section 58A 5[of the Act or section 45QA of the Reserve Bank of India Act, 1934]

and

In the matter of (state the name of the Depositor-applicant)

and

In the matter of   ____________________________________ Limited

                (state the name of the company)

 

(i) Name and address of the Depositor-applicant;

 

(ii) Name of the company and address of its Registered Office;

 

(iii) Name(s) of depositor(s) with full address;

 

(iv) Amount of Deposit;

 

(v) Fixed Deposit Receipt No. and Date (Photostat copy to be enclosed);

 

(vi) Terms and conditions of deposit as also date of maturity of deposit;

 

(vii) Details of payment made, by the company, if any;

 

(viii) Actual amount due as on date of application (Principal/Interest);

 

(ix) Details of correspondence, if any, made between the company and the depositor (copy of correspondence to be enclosed);

 

(x) Any other particular(s) as may be considered relevant;

 

The Depositor-applicant therefore, prays:-

 

(i) that the company, above-named be directed to make repayment of the aforesaid deposit(s) along with interest due thereon in accordance with the terms and conditions of the deposit;

 

(ii) that such further orders be passed as the Company Law Board may deem fit in the circumstances of the case.

 

(Signature of the Depositor-applicant)

 

Place _______________

 

Date _______________

 

*Delete whichever is not applicable.

 

Notes:

 

1. The application shall be accompanied by a fee of Rupees Fifty by way of Bank Draft in favor of ‘The Pay and Accounts Officer, Department of Company Affairs, New Delhi/Bombay/Calcutta/Madras’.

 

2. This application shall be made in duplicate.

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