Return on Buy-Back of Securities

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..... 1. Name of the Company. 2. Address of Registered Office : 3. Registrar of Companies : Registration Number : 4. Income Tax PAN No. : 5. Details of capital as on ............................ Sl.No. Details of Capital Authorise .....

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..... d. 12. Date up to which buy-back authorised to be completed. 13. Date on which earlier buy-back was authorised. 14. Date on which the earlier buy-back was completed. 15. Debt Equity Ratio allowed for the company. 16. Details of Government approval for Debt Equity R .....

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..... C. Section 211 (Balance Sheet/Profit and Loss Account) 19. Description of securities bought-back by the company: Sl.No. Folio No./Certificate No. of security bought-back Date of Buy-back No. of securities bought-back Sweat, etc.) Category to which they belong (Preference/Equity/Employees' Stoc .....

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..... ities. Signature: ..................... Name: .......................... Place: .............. Designation: .................. Date: ................ .....

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