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Form No. 7.7
ANNUAL RETURN as on the financial year ended on _______ of --------------------PRIVATE LIMITED / LIMITED
[Pursuant to Section 92(1) and rule 7.9(1)]
I.
REGISTRATION AND OTHER DETAILS:
i)
CIN:-
- PREFILL
Foreign Company Registration Number/GLN:- Registration Date Date Month Year
ii) Category of
the Company: - [Pl. tick]
iii) Sub Category of the Company:- [ Please tick whichever are applicable]
iv) Whether shares listed on recognized Stock
Exchange(s) - Yes/No
If yes, details
of stock exchanges where shares are listed
……
Sl No. Stock Exchange Name Code 1. 2. 3. v) AGM details :
Date Month
Year
AGM
held
-Date of AGM
AGM not
held
- Due date of AGM
Whether
extension of AGM was granted – Yes / No. ( If yes, provide reference
number , date of approval letter and the period upto which extension
granted) If Annual General Meeting was not held, specify the reasons for not
holding the same.
vi) NAME AND REGISTERED OFFICE ADDRESS
OF COMPANY:
(To be filled in manually)
Company Name :
Address
Town / City :
State
:
Pin Code:
Country Name
:
Country Code:
Telephone : With STD Area Code Number
Fax Number :
Email Address :
Website, if any: [ Please provide valid and current email-id of the dealing officer]
Name of the Police Station having jurisdiction where the
registered office is situated
Address for correspondence, if different from address of
registered office:
(In case of foreign company, please give address of principal
place of business in India) :
Address
Town / City :
State
:
Pin Code:
Telephone :
With STD Area Code Number
Fax Number :
Email Address
[ Please provide valid and current email-id of the dealing officer ]
vii) Name and Address of Registrar &
Transfer Agents ( RTA ):- Full address and contact details to be given.
Name of Registrar & Transfer Agents:
Address
Town / City :
State
:
Pin Code:
Telephone :
With STD Area Code Number
Fax Number :
Email Address :
[ Please provide valid and current email-id of the dealing officer of RTA ]
All the business
activities contributing 10 % or more of the total turnover of the
company shall be stated:-
III. PARTICULARS OF HOLDING,
SUBSIDIARY AND ASSOCIATE COMPANIES -
[ No. of Companies for which information is being filled]
- □
IV. SHARE CAPITAL, DEBENTURES AND OTHER SECURITIES OF THE COMPANY i) SHARE CAPITAL: a) Authorised Share Capital :
b) Issued Share Capital :
c) Subscribed Share Capital:
d)(i) Paid –up Share Capital :
d)(ii) Details of stock split / consolidation during the year (for each
class of shares):
ii) Debentures
iii) Other Securities
IV). Securities Premium Account
V. Turnover and net
worth of the company (as defined in the Act)
(i) Turnover:
- Turnover at the end of the financial
year
(ii) Net worth of the
Company
- Net worth at the end of the financial
year
VI. SHARE HOLDING PATTERN
(Equity Share Capital Breakup as percentage of Total Equity)
i) Category-wise Share Holding
B.Shareholding of Promoters
C.Change in Promoters’ Shareholding ( please specify, if there is no change)
D. Shareholding Pattern of top ten Shareholders (other
than Directors, Promoters and Holders of GDRs and ADRs):
E.Shareholding of Directors and Key Managerial Personnel:
F. INDEBTEDNESS
Indebtedness of the Company including interest
outstanding/accrued but not due for payment
VII. DETAILS OF MEMBERS, DEBENTURE
HOLDERS AND OTHER SECURITIES HOLDER
a.
Total Number of :
(i) Members
(ii) Debenture holders (iii) Other security holders
b.
1] Ledger Folio of
Share /Debenture Holder/Other security holder-
Share/Debenture Holder/ Other security holder’s full
Name:
Father’s/Mother’s / Spouse’s Name
Joint Holder’s Full Name
Type of Share/
1 -
Equity, 2 - Preference
Debenture/other security 3 – Debentures 4-other security
Number of
Shares/
Amount
per
Debentures Held/ Share / Debenture/other Other securities held security (in Rs.)
Date of
becoming
a member / Debenture holder/other security holder:-
Address
:
Town / City :
District
:
State
:
Country
:
Pin Code :
(Information to be furnished in separate sheet or in electronic
mode as per the format)
[Following additional details to be given by Company without
share capital]
(a) Total number of members at the date of
incorporation/end of previous financial
year……………..
(b) Number of persons who have become members since incorporation / end of previous financial year…………… (c) Number of persons who have ceased to be members since incorporation / end of previous financial year……………. (d) Number of members as on the end of financial year…………….
VIII. Details of shares / debentures transfers
since the close of last financial year [or in the case of the first return at
any time since the incorporation of the Company.)
Date of closure of
previous financial year
Date Month Year
Date of Registration of Transfer of
Shares
Date Month Year
Type of
Security
1. Equity Shares 2. Preference Shares 3.
Debentures
Number of Nominal Value (each in Rs) shares/debenture . Ledger Folio of Transferor:
Transferor’s
Name
Ledger Folio of
Transferee:
Transferee’s
Name
(Information to be furnished in separate sheet or in electronic
mode as per the format)
IX. PROMOTERS/DIRECTORS / KEY MANAGERIAL
PERSONNEL AND CHANGES THEREIN
[ Designation:- P- Promoter, C – Chairman, CMD- Chairman cum Managing
Director, CW-Chairman cum Whole time Director W –Whole Time
Director, CS –Company Secretary, M –Manager, D –Director, MD – Managing
Director, CEO-Chief Executive Officer, CFO-Chief Financial Officer]
[ Category:- I- Independent, N- Nominee, A- Alternate, ED-Executive
Director, NED- Non-Executive Director ]
1] Promoter(s): [Give total no. of Promoters - □]
Status: Company/ies:
CIN / GIN - PREFILL Name Country of Incorporation Address of Regd Office
Individual/s
Full Name Nationality Address
2] Details of Directors:
i)
Composition of Board of Directors
ii) Details of Individual Directors
Directors: [Give total no. of Directors - ]
DIN:
-
[ PREFILL]
Full Name:
Father’s/ Mother’s / Spouse’s Name
[As per DIN]
Nationality- I-Indian
F-Foreign
Date of
Birth
Date Month Year
Designation: Category:-
Occupation:-
Email-id:-
No. of Equity Shares held in the Company:-
Date of Appointment Date of Ceasing:
Date Month Year Date Month Year
Residential Address:
Town / City :
District
:
State
:
Pin Code :
Details of Directorships in other companies and changes therein
ED- Executive Director, NED – Non-Executive Director, AD-
Alternate Director
3] Key Managerial Personnel:
i) Managing Director / CEO /
Manager/Whole time director
DIN/PAN / UIN/ PASSPORT NO :-
Full Name:
Father’s/ Mother’s / Spouse’s Name
[ As per DIN/PAN/UIN/PASSPORT NO. ]
Nationality- I-Indian
F-Foreign
Date of Birth Date Month Year
Designation:
Date of Appointment Date of Ceasing:
Date Month Year Date Month Year Residential Address:
Town / City :
District
:
State
:
Pin Code :
ii) Company
Secretary
PAN / UIN/ PASSPORT NO :-
Full Name:
Father’s/ Mother’s / Spouse’s Name
[As per PAN/UIN/PASSPORT NO. ]
Nationality- I-Indian
F-Foreign
Date of Birth Date Month Year
Designation:
Membership
No.
Date of Appointment Date of Ceasing:
Date Month Year Date Month Year Residential Address:
Town / City :
District
:
State
:
Pin Code :
iii) Chief Financial Officer
DIN/PAN / UIN/ PASSPORT NO:-
Full Name:
Father’s/ Mother’s / Spouse’s Name
[ As per DIN/PAN/UIN/PASSPORT NO. ]
[ As per DIN/PAN/UIN/PASSPORT NO. ]
Nationality- I-Indian
F-Foreign
Date of Birth Date Month Year
Designation:
Date of Appointment Date of Ceasing:
Date Month Year Date Month Year Residential Address:
Town / City :
District
:
State
:
Pin Code :
iv) Others, if
any
PAN / UIN/ PASSPORT NO :-
Full Name:
Father’s/ Mother’s / Spouse’s Name
[As per PAN/UIN/PASSPORT NO. ]
Nationality- I-Indian
F-Foreign
Date of Birth Date Month Year
Designation:
Date of Appointment Date of Ceasing:
Date Month Year Date Month Year Residential Address:
Town / City :
District
:
State
:
Pin Code :
X. MEETINGS OF MEMBERS/CLASS OF MEMBERS/BOARD/COMMITTEES OF THE BOARD OF DIRECTORS
A. MEMBERS/CLASS
/REQUISITIONED/NCLT/COURT CONVENED MEETINGS
B. BOARD MEETINGS
C. COMMITTEE MEETINGS
NAME OF THE COMMITTEE:
[Separate sheet to be attached for each Committee]
D. ATTENDANCE OF DIRECTORS
XI. REMUNERATION OF DIRECTORS AND
KEY MANAGERIAL PERSONNEL
A. Remuneration to Managing Director,
Whole-time Directors and/or Manager:
B. Remuneration to other directors:
C. REMUNERATION TO KEY
MANAGERIAL PERSONNEL OTHER THAN MD/MANAGER/WTD
XII. PENALTIES / PUNISHMENT/ COMPOUNDING
OF OFFENCES:
XIII. MATTERS RELATED TO CERTIFICATION OF
COMPLIANCES AND DISCLOSURES
A. CERTIFICATION OF
COMPLIANCES
Details of events / matters in respect of which the company was
liable to file returns or comply with requisite provisions of the Companies
Act and rules made thereunder;-
B. DISCLOSURES
XIV.Details in respect of shares held by or on behalf of the FII’s.
XV. OTHER DISCLOSURES
(1) Corporate Social Responsibility
(a) Amount spent by the company during the financial year in
pursuance of its Corporate Social Responsibility policy –
(b) The amount spent as percentage of the average net profits of
the company made during the three immediately preceding financial years-
(2) Limits under following sections of the Act:-
3) Disclosure of Directors-
4] The Company has duly appointed/re-appointed
-----------Chartered Accountant as the Auditor of the Company at the annual
general meeting held on-----------------
We certify that:
(a) The return states the facts, as they stood
on the date of the closure of the financial year aforesaid correctly and
adequately.
(b) The whole of the amount of unpaid/
unclaimed dividend/other amounts as applicable have been transferred to the
Investor Education and Protection Fund in accordance with section 125 of the
Act.
(c) The Company has maintained all the
registers as per the provisions of the Act and the rules made there under and
(d) Unless otherwise anything in contrary is
stated expressly elsewhere in this Return, the Company has complied with the
applicable provisions of the Act during the financial year.
(Certificates to be
given by Private Companies)
(e) The company has not, since the date of the
closure of the last financial year with reference to which the last return
was submitted or in the case of a first return since the date of the
incorporation of the company, issued any invitation to the public to
subscribe for any securities of the company.
(f) Where the annual return discloses the fact
that the number of members, except in case of a one person company, of the
company exceeds two hundred, the excess consists wholly of persons who under
second proviso to clause (ii) of sub-section (68) of section 2 of the
Act are not to included in the reckoning the number of two hundred.
(g) The Company continues to be a Private
Company during the financial year.
(Certificate to be
given only by One Person Company / Small Company)
(i) The Company continues to be one person
company / small company.
Signed
Director:
__________________________________________
Company Secretary /Company Secretary in
practice
Verification
I am authorized by the Board of Directors of
the Company vide resolution no…………. dated…………… to sign this form
and declare that all the requirements of Companies Act, 2013 and the rules
made thereunder in respect of the subject matter of this form and matters
incidental thereto have been complied with. I also declare that all the
information given herein above is true, correct and complete including the
attachments to this form and nothing material has been suppressed. It is
hereby further certified that the Company Secretary ( Name to be Given)
certifying this form has been duly engaged for this purpose.
To be digitally signed
by
Designation (to be given) DIN of the person signing the form
Certificate by
Secretary
I declare that I have been duly engaged for
the purpose of certification of this form. It is hereby certified that
I have gone through the provisions of the Companies Act, 2013 and Rules
thereunder for the subject matter of this form and matters incidental thereto
and I have verified the above particulars (including attachment(s)) from the
original records maintained by the Company which is subject matter of this
form and found them to be true, correct and complete and no information
material to this form has been suppressed. I further certify that;
a. The said records have been properly prepared, signed by the required officers of the Company and maintained as per the relevant provisions of the Companies Act, 2013 and were found to be in order; b. All the required attachments have been completely and legibly attached to this form;
Signature
Company Secretary in service or Company Secretary in Practice (to be opted from drop down menu) Membership No. and also CP No (in case in practice is opted)
Notes:-
1] Under Section 92(1) of the Act, the Annual Return is to be signed both by a Director and a Company Secretary, or where there is no Company Secretary, by a Company Secretary in practice. 2] Under proviso to Section 92(1) of the Act, the Annual Return of a One Person Company and a Small Company shall be signed by the Company Secretary or where there is no Company Secretary, by a director of the company. 3] Under sub section (2) of Section 92 of the Act, the Annual Return of a listed company or by a company having such paid-up capital and turnover as may be prescribed shall also be certified by a company secretary in practice in the prescribed manner.
Note:
Attention is also drawn to provisions of Section 448 which provide for punishment for false statement and certification. |
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Sunday, September 29, 2013
FORM NO.7.7 ANNUAL RETURN
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