7,8(l), splce+ - webtel inc 32.pdf · "[pursuant to sections 4, 7,8(l), 12,752 and 153 of the...
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"[Pursuant to sections 4, 7,8(l), 12,752 and
153 of the Companies Act, 2013 read
with rules made thereunderl -FORM NO. INC-32
sPlce+(Simplified Proforma for Incorporating Company Electronically
Plus)
PART - A
l (a) Type ofCompanyLLPIN
(b) Class ofCompany(c) Category ofCompany(d) Sub-category of Company
2. Main division of industrial activity ofthe company
Description ofthe main division
3_ Particulars ofthe proposed or approved name
L
tl
PART - B
It. Structure of the Company
4. Whether Articles ofAssociation is enhenched o Yes o No
Number of Articles to which provisions of entrenchment shall be applicable
Details of such articles
Sr. No. Article Number Short description on entrenchment of the clause
5. 'Company is Having share capital Not having share capital
6. lCapital structure ofthe company
Total authorized share capital (in Rupees)
Authorized share capital
Nominal amount per share (in Rupees)
Total amount (in Rupees)
D
T^+-l ..,r.c.rihF; chtre (in RuDees
Subscribed shar€ caPital Equity Preference
Number of shares
N^min.l amn'lnr ner share (in Rupees)
Total amount (in Rupees)
( ii) Details ofnumber ofmembers
G) nrt ,t tt't" maximum number of members
(b) Maximum number of members excluding proposed employees
(c) Number of members
(d) Number ofmembers excluding proposed employee(s)
t.
'7.
Address of the ComPanY
a) Correspondenceaddress
,"..noofl"0'n'Phone (with STD code )l
Fax
email lD ofthe comPany
lV. Subscriber and Directors Details
(b) whether the address tor correspondence is the address ofregistered office ofthe company o Yes o No
(c) Name ofthe office ofthe Registrar ofC"tp""itt it *hi"h'
8. (a) 'Number offirst subscriber(s) to MOA and directors ofthe company
Total number of first subscribers
Number of non-individual first
Nurnber of indivitlual first subscriber(s) cum director(s
Total number of directors(director(s) who is/are not subscriber(s) + subscriber(s)
cum director(s) as mentioned in above Row no 3)
1
(b) "Particulars of non-ind ividual first subscriber(s)
CategorY
I Pre-FillCorporate identity number(CIN) or foreign company
registratron number(FCRN) or any other registration number
Name of the body corporate
'Line I
Line II
CityState
Fax
Particulars of the authorised person
First Name
Middle Name
'Surname
' Father's First
Father's Middle
Father's Surname
Gender'NationalitY
o PAN o PassPort number''--_i"",I Verift I
Aadhaar number
'Place of Birth (District & State
Occupation tyPe
' Area of OccuPataon
' Educational qualification
Present Address
Line I
Line Il'city
'Pin code'State /Union Territory
ISO Country code
'Phone (With STD/ISD code)
Mobrle
Fax
-Direcror ldentification nttmber (
(c) Erticulars of individual first subscriber(s) (other than subscriber cum director)
"'First Name
Middle
'Surname
Father's flrst name
Father's middle nante
father's surname
'Ccnder 'j'Date of Birth*Nationality
^Place of Birth
'Occupation type o Self Ernployed o Professional o Homemaker o Student o Serviceman
'Area of OccuPatio,
If'Others' selected, please specifol . I
' Educational Quaf i flcation
, PAN n Passpolt number f-------] ' verlrn
Aadhaar number
'e ail lD
Pennanent
't-ine I
Line ll
"City
State/ [Jnion TerritorY
'lSO Country cod{-l CountrY
Phone (with STD/lSD code
'Whethel present rcsidential address same as permanent residential add|ess o Yes o No
Present address
'l-ine I
Line II
b
(d) Particulars of individual first subscriber(s) cum directors
'State./ Union Territory | I
'tSO Country code l---_l CountrY
t Phone (with STD/lSD code
"Duration of stay at present address
If Duration of stay at present aooress is less than on" y"ut th"n uddtutt of pt
'' Proof of identity
Years I::::::::l Months
Srbmit the proof of identity and proof of address under attachments'
Amount of shares subscribedNumber of subscribed shares
rD i rector I den t i fi cat i on n umber
Name
"CenderNationality l--_l
'.DesignationrCategory
*email ID
Number ofentities in which director have interest (Need not [--_--lto mention if such cntity is having CIN/FCRN/LLPIN)
{'Date of Birth
Whether D Cltuirrn- c Executive director tr Non-executive director
''Name ofthe company or institution whose nominee the appointee ls
l Registration number
'First Name
Middle'' Surnanle
'Father's tlrst name
Father's middle name
father's surname
'n rca ol Occupallon I I
I t' ( )rh crs' ." |
"",",1. o | ;;;-. i i,
' lrducational Qualifi cation
'Cr'nder
Placc ol'B
'Whcther citizen of lndia o Yes
-Occupation type o Self DrnPloYed
'Date of Birth "Nationality
o No 'Whether resident in India o Yes o No
o Professional o Homemaker o Student o Serviceman
Country
address samc as Dernlanent residential address o Yes o No
u PAN r, Passpon numbcr i vc*n I
'Category
Whethcr r rChairntan tr Executive dircctot l Non-executive director
Nanre ofthe company or institution whosc nonlinee the appointee is
cmail ID
Pernranent Address
Linc I
Line II
City
State/ tJnion Territory
ISO Country cod{---_l'Phone (with STD/lSD code
' Whcther prcsent residential
Present address
'Line I
t-ine ll
'City
State/ Union .l cnitory ''Pin code
Isil Country codd-l'Phone (with STD/lSD code
Duration of stay at present address l:::-l Years fl Months
If Duration of stay at present address is less than one year then address of previous resldence
Country
I
(e) Particulars ofdirectors (other than first subsct'ibers)
Driving license number
Aadhaar Number
Submit the proof of identity and proof of address under attachments'
NurU.t oL atttiri.t in u hich director have interest
Others (specifY)
_-Dlrector tdentification number (DlN )
'Designation-.''categorYWhether n Chairman I Executive director r-l Non-executive director
Number of entities in which director ha* lrytt:lq::.d *t l]
to mention if such entity is having CIN/FCRN/LLPIN)
' Date of Birth
'Nanle ofthe company or institution whose nominee the appolntee ls
q
Others (specifY)
First Name
Middle
"Surname
Father's first name
Father's middle name
' Fathet's surname
'Cender
Pldcc ol'Birth
'Whethel citizen of lndia o Yes o No 'Whether resident in India o Yes o No
Occupation type o Self Ernployed o Professional o Homemaker o Student o Serviceman
A rea ol'OccuDalion
lf'Othets'selected. please spccifyl . I
If.lrcaliorrrl()ualltlcallolll '
n PAN rr Passport numbcr [------_l -v-:flI l
Designariorrfll CategorY
'enail lD
Pernrancnt Address
l.ine I
Line Il
City
State/ Union Territory
"lso country code I'Phonc (with Sl'D/lSD code
Whether prescnt lesidential
Present address
address same as pcrmanent residential address o Yes o No
t-ine I
Line ll'City
'rDate of Birlh
Whether o Chairnlan o Executive director o Non-executive director
Nanre ofthe company or institution whose nonlinee the appointee is
Country
le
V. OPC Nomination
9. (a) "'Nomination
(b) Particulars of the Nominee
(a) Nominatiotl
who shall become the member of the company in the event of my death or incapacity to contract. I declare that the
nonrinee is elieible for nomination within the meaning ofRule 3 ofthe Companies (lncorporation) Rules,20l4'
'iState/ Union Territory
'lSo Country codd-l"Phone (with STD/lSD code
t Duration ofstay at present address
'hoolol idcotilY 'Rcsidential Prool
Voter's identity card number
Driving license number
Aadhaar Number
Submit the proof of identity and proof of address under attachm€nts'
Numberofentitiesinwhichdirectorhaveinterest
*Pin code
Country
ll Duration ol stay at presenl address is less than on€ ycar thc|l addrcss ofprevious residence
Percentage of Shareholding
Aadhaar numberI'lacc o! llirth (l)rstrlcl
()ccupatxnr l)pc
Arrx ol ()ccLrprlion
Vcrify Dctails
lrductlionitl qurlilicatioll
PcrDrancnl Addrcss
l-i o l
I.i'r! ll
cirYSt tc /tjnion Tcrntory
lS( ) (i)untry coclc
tinrntr)
I,hdrc (with S l l)/lSI) code)
Mobrlc
la\cmlil id
Whcthcr prcstnt addrcss
'Srrrlc/l lrri(nr'l errilorY
'ISO (i)untrt code
I'honc (With Sl l)/lSD codc)
Mobilc
fit\
I)uri|litnr ol st )' al prcsenl adorcss v"oo f] vunrn' flIt l)rrrali(n) ol stil-v al prescnl address is less than one year thcn address ol-previous rcsidcnoe
'l'roolot idcnlrl)
| 0. Particulars of payment of stamp duty
. 3 : lt-:': f ' l-,nr'r_ t;fi r!]rr'i r:ip€.:t a'i \t'r!'rt 5 i'1r!
l-', ! :3rd ar '31'r Pia: .i'e:':r glrr'F :,1-,' r !l a: o:1tl n9."o'( 3 t dlrc-9" l'lc'q:1 st5lenl
itl -'r.r i r' :':.r.,,1-.i tc bp a,.riC
, Pr1.:r :e:: 15 of 3l3rTG r-:J Jlreii::,r p.t a
hJm: :.',':'or. ct-€3!ury' 9' i,:13::lOI;"' Cf'er Ca'll::+_:3g*-:y !'ll'cns€al:ll': ei: S:::-'g alul, :'!a!: tlir+F :JFer: :f:serbe!9 the doa'lrEn19 crt:. :: !oP_9; :::,'l:',1:!a.-ers 5_ cahJlf C:4.:':ifve.- tle':
Type ef d,1c|l.re tPlrticul,rrg igtoatiticlx
A't;cles ct Jl9')crl:rl:.n
:..rr-nl a1 -ur'f :,r1 _3 b€ p:i!l lj- R: '
:.:l st c rin F9 l
5e.: '-n',:er,t'erbcls _S,:r 5LlrF::".-:r..p p.ra€. tr' lfE3:u?a.',rlL]'n,r'13E-
Fegis:'::3' " -'l: ar':',r:nds'
D.r. if:uralli:€ :'!:a1.1p: ia rlrrF :-rFea orpitrEnl f rt.]rp l'rttItr r h!. ,11-!'Y'
r ia€ .tj pu':hiie cf5Llt*F9 f' !l:fi: l!:ercr:.rt"l:-: cf rlrfta a-:i
Informition sP(cific to PAN
A rca c ode
Vll. PAN/ TAN lnformation
'11. Additional Information for applying Permanent Account Number (PAN) and Tax Deduction Account Number (TAN)
Sorrrcc o[ lncomc
o Incontc lionl llusincss/p(t'cssion o Capital Cairs E Incomc tionr housc Property
. lnconrc lr('n othcr sourcc
Llusiness/l'()lcssion code
VII. AttachmentsAttachments List of attachments
t.2.
4.
5.
Memorandum of association: AttachArticles of Association:
Declaration by first strbscriber(s) and director(s) Attach
(Atlidavit is not required to be attached); nttach
Proof of Offlce ad<Jress (Conveyance/ Lease deed/Rent Attach
Agfeement along with rent receipts);
Copy ofthe utility bills (not older than two months); Attach
6. Copy of certiflcate of incorporation of the tbreign body
cofporatc and resolution passed by foreign company or
authority given through constitutional document;
?. Resolution passed by Promoter conlpany;
8. Interest offirst director(s) in other entities;
9. Consent of Nominee (lNC-3):10. Proofof identity & residential address ofsubscribers;
I l. Proofof idcntity & residential addrcss ofnominee;
12. I)rool' of ident ity and address ofAPplicant l;
13. Pfoofof identity arrd address ofApplicant ll;14. Proolofidentity and addless ofApplicant Ill;
15. Resolution of unregistercd companies in case of Chapter XXI
(Part I) companies16. Deolaration in Fonn No. INC-14
17. t)eclaration in !ornr No. INC-15
18. Optional attachment(s). (if any)
19. Attachment Part A
Attach
Attach
Attach
Attach
Attach
Attach
Attach
Attach
Attach
Attach
lnfornr:ltion sptcific to l AN
\ 4--
Vlll. Declaration
Declaration
I have gone through the provisions ofthe companies Act,20l3, the rules thereunder and prescribed guidelines framed
th.i"urid., in resp"ect ofieservation of name, understood the meaning thereof and the proposed name is in conformity
thereot.I have used the search tacitities available on the portal of the Ministry of Corporate Affairs (MCA) for checking the
resemblance ofthe proposed name with the companies and Limited Liability partnerships (LLPs) respectively already
registered or the names already approved. I have also used the search facility for checking the resemblances ofthe
pr-oposed name with registered trademarks and trade mark subject ofan application under the Trade Marks Act' 1999
and other relevant search for checking the resemblance ofthe proposed name to satisfy myself with the compliance of
the provisions ofthe Act for resemblance ofname and Rules thereof'
The orooosed nanre is not in violation of the provisions of Emblems and Names (Prevention of Improper Use) Act,
1950 as arnended from time to time.
The proposed name is not offensive to any section of people, e.g. proposed name does not contain profanity or words
or phras;s that are generally considered a slur against an ethnic group, religion, gender or heredity
The proposed name is not such that its use by the company will constitute an offence under any law for the time being
in force.I undenake to bc fully responsible for the conscquences in case the name is subsequently found to be in contraventlon
of the provisions of iection 4(2) and section 4(4) of the companies Act, 20 | 3 and rules thereto and I have also gone
througl and understood the provisions ofsection 4(5) (ii) (a) and (b) ofthe Companies Act,20l3 and rules thereunder
and fullv declare for the thereofl
a person company the promoters company
i"'G ,nii tbrm and declare that all the requirementi ofthe Companies Act, 2013 and the rules t1d".tltt_"Y13:l 1l
and 45 | ofthe C ies Act. 20ll
resoJct of Director Identification Number (DiN), registration ofthe company and matters precedent or incidental thereto
have been complied with.
I am authorizcd by the promoter subsclibing to the Memorandum of Association and Articles of Association and the
first dilector(s) to give this declaration and to sign and subrnit this Form'
I further declare that. company shall not commence its business, unless all the required approval from the sectoral
Regulators such as RBl, SEBI etc. have been obtained;
I oi behalf ofthe promoters and the first directors, hereby declare that the registered office is capable ofreceiving and
acknowledging ali communications and notices addressed to the proposed company on incorporation , shall be
maintained at the given address at itern 7 ofthis fonn;, I, on behalfofall the first director(s) named in thc Articles ofAssociation ofthe proposed company, solemnly declare,
that the declaration given hetein as siated above are true to the best ofmy knowledge and belief, the information given
in this integrated application lbrm tbl incorporation and attachments thereto are correct and complete, and nothing
relevanr to this form has been suppressed. All the required attachments have been completely, corectly and legibly
attached to this tbrm and are as per the original recoldi maintained by the promoters subscribing to the Memorandum
of Association and Afticles ofAssociation.I, on behalf of the proposed uirectors whose particulars for allotment of DIN are filled as above, hereby confirm and
declare thar they aie not restrained, disqualified, removed for being appointed as Director of a company under the
provisions of the companies Act, 2013 including scctions I64 and 169, and have not been declared as proclaimed
offendcr by any Economic offence court or Judicial Magistrate court or High court or any other court, and not been
already allotted a Director ldentification N urnber (DlN) under section I 54 of the companies Act, 20 | 3, and I further
declare that I have rea6 and uncterstood the provisions of Sections | 54, 155, 447 and 448 read with Sections 449, 450
EhavingMcrnbershipnu.b",E]and/orcertificateofpracticenumberhas bJen cngaged to give declaration undcr section 7( l) (b) and such declaration is attached'
lr
ffictions7(5)and7(6)which'inte|4'lio,proyidesthatfurnishingofanyfa|seorincorrectparticularsofanyinformationorsuppressionofanymaterialinformationshal|attractpunishment for fraud under section 447. Attention is also drawn to proYisions ofsection 448 and 449 which provide
for punishment for false statement l|nd punishment for falsc evidence r€spectively'
'To be digitally signed by director
DIN / PAN
lX. Declaration and Certification by Professional
Declaration and Certification by Professional
nembcr of
who is engaged in the formation ofthe company declare that I have been duly engaged for the purpose ofcertification of
this fom. ii i-s hereby also certified that I havc gone through the ptovisions ofthe Companies Act' 2013 and rules thereunder
tbr thc subject nratier.ofthis form and rnatGrs incidenial thereto and I have verified the above particulars (including
attachmentirs)) liom the original/certifled records maintained by the applicant which is subject matter of this form and
tound them to be h.uc, correct and contptete and no information materiat to this form has been suppressed l f'urther certil]
that:
(i) the drali memorandum and articles of association have been drawn up in confonnity with the provisions of
sections 4 and 5 and rules made thereunder: and
(ii) all the requirements of Companies Act,20t3 and the rules made thereunder relating to registration ofthe
co pany under section ? ofthe Act and matters precedent or incidental thereto have been complied with The
said records have been properly prepared, signed by the required officers of the company and Inaintained as
pcrthcrelevantprovisionsol'theCompaniesAat,20l3andwerefoundtobeinorder;(iii) i have opened a the attactrmcnts to this form and have verified these to be as per requirements, oomplete and
Iegiblc:(iv) | i-unhcr declare that I have pcrsonally visited the premises ofthe proposcd registered office giv-en in the form
ar the address mentroned hcrcin above and verifiecl that the said proposed registered offrce of the company
will bc functioning for the business purposes of the company (wherever applicable in respect of the proposed
registered office has been givcn).(v) ltls understood that I sha'il bc liable for action under Seclion 448 ofthe Companies Act, 2013 for wrong
cettification. ifany found at any stage.
Chartered accoJn'ianl iin'.'hole-tinre pracaicei or
Cclnpan] seclelary lin !l'lcle'llrne placlicei
Cosl accountanl (in ',\ hole-tLme cractlc€) or
Asscclate Fellor'.,.L/hether assgciale o. fellof
Itlen-bersl'ric rrtt'tber
Cedlf cate of )ractLce nul'l'lcer
'l'if. I i.l:: f),'\ l'J
Check;orm
\(
J{t] : !:i-i1iir\r, ri-:r{ 1 iil ril:rlr; :t
aForm Scwic. rcqu.st numbar (sRN) eForm filing dat.
This a.Fom is hersby registercd r-rDlgltal3bn.ture of the aulhotlslng omcar I I
i. :'",i far 5L f'l $t :r"
OatE of signing (DD/MM/YYYY)