COMPANY FORMATION INPUT INFORMATION SHEET

(The fields marked with asterisk (*) are mandatory.)

Sr. No. 1

Description of Information Details of the Applicant Person/ Promoter Name approval) Name of the applicant* Fathers Name: Ramkrishan Bhatt
Occupation* Employment

Client Input

a. (Person who is authorized to sign on Form 1A for

Permanent Residential Address

Address*

City* State* Pin code* Country* e-mail ID* Phone Fax b. Details incase applicant is a Company/Foreign Holding Company 2 a Name of 1st Promoter Company* Ramkrishan Bhatt Complete Registered Address of the Company
Address* Occupation*

City* State* Pin code* Country* e-mail ID* Phone Fax Details of representative of the Company Name* Surname* Fathers Name Permanent Residential Address As above Address* Occupation* City*

Company Formation Input Information Sheet

S.P.Nagrath & Co.,

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Sr. No.

Description of Information

Client Input State/Province* Pin Code* Country* e-mail ID* Phone Fax

Name of 2nd Promoter Company* Complete Registered Address of the Company

Address*

Occupation* City* State/Province* Pin code* Country* e-mail ID* Phone Fax Details of representative of the Company Name* Surname* Fathers Name Permanent Residential Address
Address*

Occupation* City* State/Province* Pin code* Country* e-mail ID* Phone Fax 3 4 5 Proposed name of the Company (6 names in order of preference)* Significance of the key or coined word(s), if any, in the proposed name(s) (in brief) Business Activity proposed to be carried out by the Company

Company Formation Input Information Sheet

S.P.Nagrath & Co.,

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Sr. No. 6

Description of Information Main objects of the proposed company (If the objects include banking, stock exchange, mutual fund, etc.,a copy of the in-principle approval of the appropriate authority should be enclosed) *
*Whether

Client Input

7 8 9 1

the proposed name(s) is in consonance with the principal objects Authorised Share Capital of the Proposed Indian Company. Details of directors of proposed Indian Company Director identification number (DIN) * Name * Surname* Fathers /Husbands Name* Occupation* Nationality* Date of Birth* Permanent Account Number* Passport Number Number of Shares agreed to subscribe Directors Identification Number (if availed) Address* Permanent residential address City* State* Pin code* Country* Phone Fax e-mail ID Present residential address, if different from Address* City* Permanent residential address State* Pin code* Country* Phone Fax e-mail ID Whether proposed director holds Directorship in other Indian Companies? If yes, provide following information: Name of the Company

Company Formation Input Information Sheet

S.P.Nagrath & Co.,

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Sr. No.

Description of Information

Client Input

Corporate Identification No. (CIN) Whether proposed director is a Partner or Proprietor of any Indian Partnership Firm or Indian Proprietary Concern? If yes, provide following information: Name of Partnership Firm or Proprietary Concern Complete Address
Address* City* State*

Pin code* Country* Phone Fax e-mail ID 2 Name* Surname* Fathers Name* Occupation* Nationality* Date of Birth* Permanent Account Number* Passport Number Number of Shares agreed to subscribe Directors Identification Number (if availed) Permanent residential address

Address*

City* State* Pin code* Country* Phone Fax e-mail ID* Present residential address, if different from Address* City* Permanent residential address State* Pin code* Country* Phone Fax e-mail ID*

Company Formation Input Information Sheet

S.P.Nagrath & Co.,

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Sr. No.

Description of Information

Client Input

Whether proposed director holds Directorship in other Indian Companies? If yes, provide following information: Name of the Company Corporate Identification No. (CIN) Whether proposed director is a Partner or Proprietor of any Indian Partnership Firm or Indian Proprietary Concern? If yes, provide following information: Name of Partnership Firm or Proprietary Concern Complete Address
Address*

City* State* Pin code* Country* Phone Fax e-mail ID*

Company Formation Input Information Sheet

S.P.Nagrath & Co.,

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