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Amendment in Companies (CG) General Rules & Forms 1956(Amendment in Form 25 A) and 26 in Annexure A

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..... ion No. : Form of Application to the Central Government for approval of appointment/re-appointment and remuneration payable to managing/whole-time director(s) or manager. [Pursuant to sections 198(4), 269, 309(3), 311, 387 and 388] Details of application fee paid : (a) Payment is made by (i) treasury challan, (ii) demand draft : (b) Treasury challan No./demand draft No. and date : (c) Name of bank/treasury : (d) Fee paid : Part - A 1. Particulars of company (in block letters) (a) Name of the company : (b) Address of Registered Office : (c) Date of registration under the Companies Act, 1956 : (d) Date of issue of Certificate of Commencement of Business : (e) Nature of business : (f) Whether the company is covered under section 4 of the Act : Yes/No If yes, date from which it became so. 2. (a) Management Structure (list of directors/managing directors/whole-time directors/manager) (in capital letters) : Sl. No. Name Designation Nationality Date of Appointment (b) Managerial remuneration paid during the last three years to be stated separately for each director/managing director/whole- time director/manager : Year Salary Perquisite Com .....

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..... to be paid to : Managing director manager Whole-time director(s) (c) Proposed Remuneration (Furnish monetary value of each of the perquisites and allowances) per month Period of Appointment Salary Perquisites Commission Others Total % age of net profits Date from which approved by the Remuneration committee, board/company (d) Whether the application has been made in conformity with section 269(2) of the Act. If not, furnish application under section 637B of the act along with requisite fee (e) Which clause(s) of Schedule XIII is/are not satisfied due to which the present application is being made ? Give full particulars : (f) If the present proposal is for re-appointment was the earlier appointment made in accordance with the provisions of Schedule XIII or with the approval of the Central Government (Furnish copy of Form 25C and/or earlier approval letter) : Yes/No 11. Nature of Services to be rendered by the proposed appointee(s) : 12. Whether the proposed appointee(s) suffers from any of the disqualification mentioned in section 267 or 385 : Yes/No If yes, furnish details 13. Particulars of the proposed appointee (i) Name (ii) Designation (ii .....

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..... n, if so details thereof 16. Whether the company has made any default in repayment of its debts (including public deposit) or debentures or interest payable thereon as prescribed in Part II of Schedule XIII. If yes, details thereof Yes/No 17. State whether the proposed appointee was sentenced to imprisonment for any period or to a fine exceeding Rs. 1,000 on conviction for any offence under any of the 13 Acts mentioned in Clause 1(a) of Part I of Schedule XIII. If so furnish the full details 18. State whether the proposed appointee was detained for any period under the Conservation of Foreign Exchange and Prevention of Smuggling Activities Act, 1974. If so, details thereof 19. (a) State the nature and extent of direct or indirect interest of director/manager in selling/buying agencies, distribution, if any (b) Financial benefits derived therefrom during the last 3 years 20. The names of Newspapers in which notices under section 640B have been published along with dates thereof (enclose paper cutting) Name of the Newspaper Date of publication 21. Whether the copy of the application together with the enclosures has been sent to Registrar of Companies pursuant to rule .....

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..... ters) (a) Name of the company : (b) Address of Registered Office : (c) Date of registration under the Companies Act, 1956 : (d) Date of issue of Certificate of Commencement of Business : (e) Nature of business : (f) Whether the company is covered under section 4 of the Act : Yes/No If yes, date from which it became so. 2. (a) Management Structure (list of directors/managing directors/whole-time directors/manager) (in capital letters) : Sl. No. Name Designation Nationality Date of Appointment (b) Managerial remuneration paid during the last three years to be stated separately for each director/managing director/whole- time director/manager : Year Salary Perquisite Commission Other % age of net profits Nature of service Whether approval of Government rendered If not reasons therefore obtained (Yes/No) 1 2 3 4 5 6 7 8 9 3. Effective capital as per audited balance sheet (as defined in Schedule XIII) (Rs. in thousand). (i) Effective capital as on Paid-up share capital .......................... Share premium account .......................... Reserves and surplus .......................... Long-term loans which are repayable aft .....

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..... (c) Detailed justification for the proposed increase in remuneration. 11. Details of appointment along with documentary proof. 12. Which clause(s) of Schedule XIII is/are not satisfied due to which the present application is being made? Give full particulars. 13. The names of Newspapers in which notices under section 640B have been published along with dates thereof (enclose paper cutting). Name of the Newspaper Date of publication 14. (a) Whether a copy of the application together with the enclosures has been sent to Registrar of Companies pursuant to rule 20A(i) of the Companies (Central Government's) General Rules, and Forms, 1956. : Yes/No 15. The following documents are enclosed : (i) Certified copies of annual accounts together with directors' and auditors' report for the latest four financial years. (ii) Certified copies of the resolution of remuneration committee consisting of at least 3 independent directors as prescribed in Part II of Schedule XIII to the Act, board/shareholders. (iii) Certified copies of newspaper clipping of notices published under 640B, in original. (iv) Copy of draft agreement entered into between the company and the proposed appo .....

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