Company Information
1. Proposed Name of the Company
Option 1: ____________________
Option 2: ____________________
2. Main Object and Ancillary Objects
_____________________________________________________________
3. Address Proof
- Conveyance / Lease Deed / Rent Agreement + Rent Receipts
- NOC from Property Owner
- Utility Bill (not older than two months)
4–6. Contact & Location
Phone No: ____________________
Email ID: ____________________
Latitude: ________ | Longitude: ________
Director Information
| Particulars | Details |
|---|---|
| Name | |
| Father’s Name | |
| Date of Birth | |
| Nationality | |
| Place of Birth (District & State) | |
| Citizen of India | Yes / No |
| Resident in India | Yes / No |
| Occupation Type | Business / Professional / Govt / Pvt Employment / Housewife / Student / Others |
| Educational Qualification | |
| PAN No | |
| Aadhaar / Voter ID / DL / Passport | |
| Address Proof (Electric Bill / Bank Statement) | |
| Phone No | |
| Email ID | |
| Duration of Stay at Current Address | |
| Specimen Signature | _____________________ |
Additional Documents & Information
- Authorised Capital: ₹ ___________
- Paid-up Capital per Share: ₹10
- Designation & Category of Director: Promoter / Professional / Independent / Nominee
- Name of Proposed Bank: ____________________
- Police Station (Agile): ____________________
- Authorized Director for Form Filing: ____________________
Declaration of Other Entity Interests
| Designation | Entity Name | % Shareholding | Amount (₹) |
|---|---|---|---|
User ID & Password for MCA (if applicable): __________
Existing DIN (if any): __________
Incorporation Summary Sheet
| Name of the Company | Authorised Capital | Paid-Up Capital | Per Share |
|---|---|---|---|
| ₹10 |
Shareholding Pattern
| Designation | Name of Shareholder | Subscribed | % Holding |
|---|---|---|---|
Registered Office
City: ____________
Area / Locality: ____________
Nature of Possession: Own / Leased / Rented / Shared / Others
Contact & Bank Details
Phone: ____________ | Email: ____________
Proposed Bank: ____________
Police Station (Agile): ____________
Geo-Coordinates
Latitude: ____________ | Longitude: ____________
Note: Ensure all documents are duly signed and attested where required.
Verify that information is accurate and up-to-date.
Cross-check for any local or ROC-specific requirements.