FORM No. 25A
The Companies Act, 1956

Nominal Capital
Registration No State where registered ……………
Form of application to the Central Government for approval of appointment/ reappointment and
remuneration payable to Managing/Whole-time Directors) or Manager
[Pursuant to sections 269, 198(4), 309(3), 311, 387 and 388]

Details of application fee paid:
(a) Payment is made by (i) treasury challan, (ii) demand draft.
(b) Treasury challan No./demand draft No. and date.
(c) Name of bank/treasury
(d) Fee paid Rs.
PART A

1 . Particulars of company (in block letters)
(a) Name of the Company
(b) Address of the registered office
(c) Date of registration under the Companies
Act, 1956
(d) Date of issue of certificate of commencement of business
(e) Nature of business
Whether the company is and deemed public
limited company under section 43A Yes/No
If yes, date from which it became deemed public limited company.
2. (a) Management structure (list of Directors/Managing Directors/Whole-time Directors/Manager (in capital
letters).
_________________________________________________________________________________________
SI. No. Name Designation Nationality Date of appointment

(b) Managerial remuneration paid during the last three years to be stated separate for each Director/Managing
Director/Whole-time Director/Manager:
Year Salary Perqui- Commi- Others Total %of net Nature Whether If No,
sites ssion profits of approval reason
service of there

rende- Govern- for ment
obtained

(Yes/No)
______________________________________________________________________
3. Effective capital on date as per latest audited balance sheet (as defined in Schedule XIII)
(Rs. in thousands)

Effective capital as on
(i) Paid-up share capital …………………………
Share premium account …………………………
Reserves and surplus …………………………
Long-term loans which are repayable after one year …………………………
Deposits …………………………
Total …………………………
(ii) Investments …………………………
Accumulated losses …………………………
Preliminary expenses not written off …………………………

Total
(i)-(ii)
4. Working results of the Company during last five years:
__________________________________________________________________

Financial parameters Year

Turnover
Net profit (as computed under section 198)
Net profit as per profit and loss account
Amount of dividend paid
Rate of dividend declared
5. In the case of new companies, where the commercial production has not yet commenced, please furnish
estimated project cost, the sources of finance and the projections of turnover, net profits (as computed under
section 198) for the next three years.
6. Reasons for loss/inadequacy of profit, if any.
7. Steps taken to improve the performance of the Company, whether BIFR/financial institution/bank has
approved any scheme for the revival of the Company, if so, furnish details thereof and copy of the scheme.
8. Name and address of the present auditors of the Company.
9. Shareholding pattern of the Company
(a) (a) Details of shareholding as on
______________________________________________________________________

Equity Shares (1) as
%age of

__________________________________________________________________

(1) (2)

______________________________________________________________________
(b) Total No. of shares
(c) Face value of the share Rs.
(d) Shares held by
(i) (i) Central/State Governments
(ii) (ii) Public financial institutions/banks
(iii) (iii) Foreign nationals
(iv) (iv) Non-resident Indians
(v) (v) Directors/promoters, their relatives, friends and associates
(vi) (vi) Indian public
(vii) Others (specify)
_________________________________________________________________________________________
Total
_________________________________________________________________________________________

PART B

10. Proposal for which Central Government’s approval is sought and justification thereof.
(a) Proposal for Appointment(s)/Reappointment(s)
(b) For remuneration proposed to Managing Director/Whole-time
Director(s)

be paid to the proposed
(c) Proposed remuneration
________________________________________________________________________________________
Salary Perqui- Commi- Others Total %age of net Date from
sites ssion (Specify) profits which appro
ved by the
Board/Company
________________________________________________________________________________________
(d) Which clause(s) of Schedule XIII is/are not
satisfied due to which the present application is being made?
Give full particulars
(e)If the present proposal is for reappointment,
was the earlier appointment made in accordance with the
provisions of Schedule XIII or with the approval of the Central
Government Yes/No
11. Nature of services to be rendered by the
proposed appointee(s) Yes/No
12. Whether the proposed appointee(s) suffers
from any of the disqualifications mentioned in section
267 or 385 Yes/No
If yes, furnish details

13. Particulars of proposed appointee
(i) Name
(ii) Designation
(iii) Father’s name
(iv) Nationality
(v) Date of birth
(vi) Qualifications
(vii) Experience
(viii) Income details during the last three years:
______________________________________________________________________
Organisation Designation Duration Salary Perquisites Commission Total

________
from to

_____________________________________________________________________
(ix) In case the proposed appointee is a
foreigner, also furnish the following:
(a) Country of origin
(b) Passport No.
(c) Date of issue
(d) Period of validity From……………..To ……………..
(e) Purpose of visit
14.Whether the proposal for which
Government’s approval has been sought:
(a) is covered by the articles of association of
the Company? Yes/No
If so, reference be made to the relevant
article(s) …………………………….
(b) has been approved by the Board of
Directors of the Company? Yes/No
(c) has been approved by the Company in
general meeting? Yes/No
(d) date of resolution of the Board and/or
shareholders
15. Is the appointee working in any other
Company as Manager or Managing/Whole-time
Director or as a managing partner of any firm or is in
whole-time employment anywhere else? Yes/No
If yes, please furnish the following:
(a) (i) Name of the Company/firm
(ii) Address
(iii) Whether registered Company/firm Company Firm
(iv) Nature of business
(v) Working results for the last four years

____________________________________________________________________
Financial parameters Year ending on
_____________________________________________________________________
Turnover
Net profit
(as computed under section 198)
Dividend paid
Rate of dividend declared
Effective capital
(as defined in Schedule XIII)
______________________________________________________________________
(b) remuneration, if any, payable by the other Company/Firm:
_________________________________________________________________________________________
Organisation Designation Duration Salary Perquisites Commission Total

_________
From To

______________________________________________________________________
whether rendering any professional services?
(c) Details of services rendered and
remuneration
(d) Justification for proposed appointment, when
the appointee is already managing/whole
time Director in another Company or a firm
or whole-time employee elsewhere:
(e) Whether provisions of section 316(2) have
been complied with, if so, please furnish
copy of resolution. If not, indicate the

reasons therefor Yes/No
(f) (f) Whether he is engaged in any profession, if so
details thereof

16. State whether the proposed appointee was sentenced to
imprisonment for any period or to a fine exceeding Rs.
1,000 on conviction for any offence under any of the 13
Acts mentioned in clause 1 (a) of Part I of Schedule XIII.
If so, please furnish full details
17. State whether the proposed appointee was detained for any
period under the Conservation of Foreign Exchange and
Prevention of Smuggling Activities Act, 1947? If so, details thereof
18. (a) State the nature and extent of direct or indirect
interest of Director/Manager in selling/buying agencies, distribution,
if any
(b) Financial benefits derived therefrom during the last three years
19. The names of newspapers in which notices under section 640B
have been published along with date thereof (enclose paper cutting).
___________________________________________________________________
Name of the newspaper Date of publication
____________________________________________________________________
20. Whether a copy of the application together
with the enclosures has been sent to the Registrar of
Companies pursuant to rule 20A(i) of the Companies
(Central Government’s) General Rules and Forms,
1956? Yes/No
If yes, date of submission.
21. The following documents are enclosed:
(i) Certified copy of the memorandum and articles of association
(ii) (ii) Certified copies of the annual accounts together with
director’s and auditors report for the latest five financial years.
(iii) (iii) Certified copies of the resolution of board/shareholder(s)
including resolution under section 316(2) where applicable
(iv) (iv) Certified copy of Scheme approved by the BIFR/financial
institution/bank, for the revival of the company, if any
(v) (v) Certified copies of newspaper clippings of notices published
under section 64013, in original

PART C

Application to the Central Government for approval to the payment of minimum remuneration or of
remuneration in excess of the limits prescribed under section 198(1)/309(3)
[Pursuant to section 198(4)/309(3)/387]

22. Whether the company proposed to pay
minimum remuneration in the absence or inadequacy
of profits or remuneration in excess of the limits
prescribed under section 198(1)/309(3)? Yes/No
If, so, please furnish details of the proposal
(enclose copies of the relevant resolution)
Note: Separate application fees to be paid in respect of the application under Part C. Please enclose original
copy of treasury challan/demand draft in favour of Pay and Accounts Officer, Department of Company Affairs,
New Delhi.

Declaration

To the best of my/our knowledge and belief, the information given in this application and its Annexures is
correct and complete.

Signature ……………………………..
Designation …………………………..

Dated this……………..day of……………..20……..