<p> Department of Companies Affairs Government of India Fast Track II DCA/E/W/N/S 02047 APPLICATION FORM FOR STRIKING OFF THE NAME OF THE COMPANY UNDER SECTION 560 OF THE COMPANIES ACT, 1956</p><p>Affix Affix Affix Photo Photo Photo Stamp Stamp Stamp Size Size Size</p><p>Affix transparent Cellophane Tape on the Photograph No. of Company </p><p>Name of Company </p><p>Address of the Company (in Capital Letters)</p><p>Pin : </p><p>To, </p><p>The Registrar of Companies, ( Name of the State ) </p><p> considering all aspects has duly resolved in the Board Meeting held on ...... to make an application for striking the name of our company of the registrar u/s. 560 of the Act, 1956.</p><p>Now, therefore, the undersigned request to take action to strike off the name of the company from the register. We furnish the following details and documents for considering the application.</p><p> i. Proof of filing of all due Balance Sheets, Profit and Loss Accounts and Annual Returns. ii. PAN allotted by the Income Tax Department. iii. Passort No...... (if any) iv. Stamp size photographs of the application(s) Managing Director / Whole time Director / Secretary of the company. v. Proof of the permanent address of the applicant(s) (Rations Cards / Voter Identity Card etc) (Please Attach). vi. Tax Clearance Certificate from Income Tax / Excise / Sales Tax Department (Please Attach) vii. Two affidavits sworn before the Magistrate, Stating that a. The Company is not doing any business and giving and undertaking that the directors of the company would be jointly and severally liable for any dues which may come to light after submission of the application u/s. 560 and; b. An undertaking that the company owes no tax or other dues to the Government. viii. A certificate from the Statutory Auditors that the company is not doing any business (for a period to be specified) and certify that the company has no other dues to Govt. or to the banks and financial institutions. ix. A copy of the Board's Resolution Authorising Directors or Officers to make an application under section 560 of the Companies Act, 1956.</p><p>Yours faithfully,</p><p>Signature, Names of Directors and Addresses along with Telephone and Fax numbers</p><p>VERIFICATION It is hereby certified that the information given above are true to the best of my knowledge and belief. Applicant's signature, name, addresses </p><p>Place</p><p>Date : Date Month Year Seal</p><p>INSTRUCTIONS TO THE APPLICANT</p><p>For Companies</p><p>1 . This form should be filed in triplicate</p><p>2. Cost of the application form is Rs. 100/- payable in cash.</p><p>Instruction for ROCS. </p><p> a. Immediately on filing this form, the ROC should send a copy each to the RD and Income Tax / Sales Tax Department. b. ROC with immediately cause to publish a notice in the Gazette u/s 560 of the Companies Act, 1 956 calling for objections if any within seven days of receipt of objection(s) and place the matter before the Regional Director for his order(s). c. Sets prescribed u/s 560 of the Companies Act, 1956 should be complied within the prescribed time limit. d. ROC will take all necessary action to dispose of the application expeditiously. </p><p>...... </p><p>No.DCA/EIW/N/S 02047</p><p>Received the application under Section 560 of the Companies Act, 1956,</p><p>Registrar of Companies Official Seal</p><p>Dated</p><p>Place:</p><p>1st AFFIDAVIT</p><p>On a Stamp Paper of Rs. 10/-</p><p>AFFIDAVIT FOR ACTION U/S 560 OF</p><p>THE COMPANIES ACT, 1956</p><p>I/we ...... (names, father's name and addresses) do solemnly affirm and state as follows: </p><p>1. That I/we are the director/s of M/s ...... (Address) ...... (No. of Company) 2. That M/s...... has not been doing any business since ...... 3. That a resolution has been passed to take to strike off the name of company u/s 560 of the Companies Act, 1 956 in the meeting of Directors held on 4. That an application is hereby filed for action u/s 560 of the Companies Act, 1 956 before the Registrar of Companies. 5. I / We, the director/s of the company above named, who has/have signed below hereby undertake jointly an(] severally to discharge any liabilities against the company which may come to light, subsequent to the filing of this affidavit. </p><p>DEPONENTS</p><p>Place:</p><p>Date:</p><p>MAGISTRATE</p><p>(with seal)</p><p>IInd AFFIDAVIT On a Stamp Paper of Rs. 10/-</p><p>AFFIDAVIT</p><p>I/We ...... (names, father's name and addresses) do solemnly affirm and state as follows: </p><p>1. That we are the directors of M/s (Address) (Com[)any No.) 2. That the PAN allotted to the depc)nents by the Income Tax Authorities under the jurisdiction of ITO...... (Name of district and address) ...... There are no tax or other dues payable by the co mpany to the Income Tax, Sales Tax or other Government Departments or Banks or Financial Institutions. 3. That Passport No. is / are ...... </p><p>DEPONENTS</p><p>Place:</p><p>Date:</p><p>MAGISTRATE</p><p>(with seal)</p>