FORM No. 42
Registration No. of Company_______________..

THE COMPANIES ACT, 1956

List of the names,addresses and occupations of the directors
and the manager,if any,of the existing company not

being,a joint stock company
[Pursuant to section 568(a)l

Name of
Company_________________________________________________________
Presented
by___________________________________________________________.
_______________________________________________________________________
List of the names, addresses and occupation of the directors, the and the manager, if
any.

Name Address Occupation

A
(Directors)
[B * * *1
C
(Manager)

Dated the_________________ day of____________.19__________

Signature_____________________.
Designation(a)__________________. We______________of_____________. And___________ being two of
the(b)________________..of©____________..do solemnly and sincerely declare that
the particulars set forth in the several documents accompanying this declaration are
true to our knowledge in regard to the particulars____________..and true to the best of
our information and belief in regard to the other particulars.

Signature________________________..
Designation(a)_____________________..

Dated the,___________.. day of____________. 19__________.
(a) State whether Director, Managing Director, Manager or Secretary.
(b)State whether Directors or other principal officers
(c) Insert name of company.