TMI BlogApplication for issue of immunity certificate under the Company Law Settlement Scheme (CLSS), 2010X X X X Extracts X X X X X X X X Extracts X X X X ..... arked in are to be mandatorily filled. To The Registrar of Companies, Sir/Madam, I herewith make an application for issue of immunity certificate under the Company Law Settlement Scheme, 2010 and give below the following particulars, namely: 1. ( a ) Corporate identity number (CIN) or foreign company registration number (FCRN) of the company ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... SRN Form number(s) Date of filing (DD/MM/ YYYY) Date of event (DD/MM/ YYYY) Statutory filing fees (in Rs.) Actual additional fees (in Rs.) Additional fee charged under CLSS, 2010 (in Rs.) Total fees paid (in Rs.) ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... case(s) for economic offences. If yes, provide details of such director(s) as an attachment. Yes No Attachments List of attachments 1. Proof of withdrawal of any appeal(s) against any notice issued or complaint filed before the competent court Attach 2. Details in respect of prosecution(s) pending against the ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... o I am authorised by the Board of directors to sign and submit this application. o The company had failed to comply with the provisions of the Act as mentioned in respect of filing of above-mentioned documents. o The company has withdrawn the appeals pending before any Court or Company Law Board or Regional Director or any other adjudicating authority. To be digi ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... For office use only: Affix filing details e-Form Service request number (SRN) e-Form filing date (DD/MM/YYYY) Digital signature of the authorising officer This e-Form is hereby approved Confirm subm ..... X X X X Extracts X X X X X X X X Extracts X X X X
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