Share Application Form
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RED AND GREEN FARMS PRIVATE LIMITED CIN: U01111KL2020PTC061418 DOOR NO.15/298/B 56, SOBHA TOPAZ 2202, PUZHAKKAL P O GURUVAYOOR ROAD, THRISSUR‐680553, KERALA, Phone +9500023232 PRIVATE PLACEMENT APPLICATION FORM ONLY FORM FOR PRIVATE CIRCULATION To The Board of Directors, SERIAL No. RED AND GREEN FARMS PRIVATE LIMITED CIN: U01111KL2020PTC061418 DOOR NO.15/298/B 56, SOBHA TOPAZ 2202 PUZHAKKAL P O, GURUVAYOOR ROAD, THRISSUR-680553, KERALA, Phone + 9500023232 FORM OF APPLICATION FOR EQUITY SHARES Dear Sir I/We hereby apply for allotment to me/us of Equity Shares below out of the aforesaid offer. The amount payable on application as shown below is remitted herewith. I/We agree to accept the shares for or such numbers as may be allotted to us/me; at the discretion of the Board of Directors and the Memorandum and Articles of Association of the Company. I/We undertake that I/ We will sign all such documents and do all such acts. If necessary, my/our part to enable me/us to be registered as the shareholder(s) of Equity shares which may be allotted to me/us. I/ We authorise you place my/our name(s) to the shares that may be so allotted and to register my/our address(s) as given below. I/We are Indian National(s) resident in India and I am/we not acquiring the shares applied as nominee(s) of any person resident outside India or a Foreign National. No. of Shares Amount (in words) Rupees: (in figures) Rs. In figures In Words Cash Cheque/ Draft No. : Dated Drawn on (name of bank) : Branch : 1. SOLE/ FIRST APPLICANT NAME SURNAME DATE: NAME IN FULL (Mr./Mrs/ Miss) ADDRESS IN FULL (a box number is not sufficient) OCCUPATION Age: Usual Signature: FATHER’S/ HUSBAND’S NAME IN FULL P.A./G.I.R. No.(refer Circle: Ward: District: Pin: instruction8) 2. SECOND APPLICANT NAME SURNAME DATE: NAME IN FULL (Mr./Mrs/ Miss) ADDRESS IN FULL (a box number is not sufficient) OCCUPATION Age: Usual Signature: FATHER’S/ HUSBAND’S NAME IN FULL P.A./G.I.R. No. Circle: Ward: District: Pin: (refer instruction8) 3. THIRD APPLICANT NAME SURNAME DATE: NAME IN FULL (Mr./Mrs/ Miss) ADDRESS IN FULL (a box number is not sufficient) OCCUPATION Age: Usual Signature: FATHER’S/ HUSBAND’S NAME IN FULL P.A./G.I.R. No.(refer instruction8) Circle: Ward: District: Pin: (TO BE FILLED IN BY THE APPLICANT) Name and address of sole/first applicant in full Spaceman Signature(s) Sole/First Applicant Second Applicant Pin: Third Applicant ------------------------------------------------------------------------------------------------------------------------------- ACKNOLEDGEMENT SLIP RED AND GREEN FARMS PRIVATE LIMITED CIN: U01111KL2020PTC061418 DOOR NO.15/298/B 56, SOBHA TOPAZ 2202, PUZHAKKAL P O, GURUVAYOOR ROAD, THRISSUR‐ 680553, KERALA PH: 9500023232 Kerala 01 (TO BE FILLED IN BY THE APPLICANT) Serial No. Received from: An application for Equity Shares along with Mr/Mrs./Miss Cash/Cheque/Draft No. Dated . Address: Drawn on (name of Bank) . For Rs. Being the application money payable Thereon @ Rs.1000/- per Equity Share Date Signature & (Cheque and Bank draft are subject to realisation) . Stamp (in case the application is made on post, address of the sole/ First applicant should be filled in the space provided on the reverse of the form ) INSTRUCTIONS 1. Application must be completed in full in BLOCK LETTERS in English except for Signature(s) and should be made by Indian Nationals residents only. 2. Application for Equity Shares must be made for a minimum of 100 (One Hundred) shares and thereafter in multiples thereof. 3. An applicant should only one application (and not more than one) for total number of Equity shares required. Two or more applications in single and /or joint names will be multiple applications if the sole/and/ or the first applicants are one and the same. The Board reserves the right to reject in its absolute desecration all or any multiple applications. 4. Applications or equity shares may be made individuals, Limited Company, Statutory Corporations, Institutions all being resident of India and NOT in the Trusts (unless the trust is registered under the Societies Registration Act, 1860 or any) other applicable trust laws and is authorised under its constitution to hold equity Shares of a company, partnership firms non residents foreign nations or his/her nominees or any of them. 5. In case of applications under Power of Attorney or by limited companies the relevant power of attorney or the relevant Board Resolutions as the case may be, a duly certified cop[y thereof must be attached to the application. Applications not accompanied by power of Attorney/ Board Resolution will be rejected and application money will be refunded to the applicant without any interest. 6. Application forms duly completed together with cash, account payee cheques or bank drafts as the case may be covering the amount payable on application @ Rs.1000/- per Equity share should be sent to the Company at its Head Office. Application accompanied by outstation cheques/ drafts, money orders or postal orders will not be accepted. 7. All Cheques or Bank drafts must be made payable at THRISSUR. 8. When the application is for 500 Equity Shares or more, the applicant or in the case of applications in the joint names, each of the applicant should mention his/her Permanent Account Number allotted under the Income Tax Act, or where the same has not been allotted should be mentioned in the space provided. Application Forms without this information will be considered incomplete and will be liable to be rejected. 9. A separate Cheque or bank draft must accompany each application form. 10. Applications which are not complete in all respects are liable to be rejected. 11. The Board of Directors reserves the right to accept any application in whole or in part without assigning any reason thereof. If an application is rejected in part, balance of the application money will be refunded to the applicant in terms of Section 73 of the Companies Act, 1956. No Interest will be payable on the application money so refunded. 12. Share Certificate or Letter of Regret with refund cheques or pay orders, if any, will be dispatched by Registered Post, within three months of the date of realisation of the Cheque/ Draft/ Pay orders for application money. 13. Attention of applicants is drawn to the provisions of Sub Section i. of Section 68A of the Companies Act, 1956 which is reproduced below: “Any person who:” a. make in a fictitious name, an application to a company for acquiring or subscribing for any shares therein Or b. Otherwise induces a company to allot or register any transfer of shares therein to him or any other person in fictitious name shall be punishable with imprisonment for a term which may extend to five years. 14. THIS OFFER IS ONLY TO THE APPLICANT TO WHOM THIS FORM IS SENT. 15. SHARES WILL BE ALLOTTED ON FIRST COMES FIRST SERVES BASIS. Note: All future communications in connection with this application should be addressed to the company (quoting full name of the first applicant, number of shares applied for, the date of application etc.) at the following address RED AND GREEN FARMS PRIVATE LIMITED CIN: U01111KL2020PTC061418 DOOR NO.15/298/B 56, SOBHA TOPAZ 2202, PUZHAKKAL P O GURUVAYOOR ROAD, THRISSUR‐680553, KERALA, Phone + 9500023232 To be filled in by the sole/first applicant In case the application is made by post. Name Mr./Mrs./ Miss . Address . Pin code . .