No. of Company ……………………..

The Companies Act, 1956

Declaration of compliance with the provisions of sections 149(a)(b) and (c) of the

Companies Act, 1956
(Pursuant to section 149(l)(d)]
(To be used by a Company which issued a prospectus on or with reference
to its formation)
Name of Company……………..Limited
Presented by …………………………………..
______________________________________________________________________
I……………..of……………..being a Director/the Secretary of……………..Limited……………..do
solemnly and sincerely declare:
1. That the amount of the share capital of the Company offered to the public for subscription is Rs
. ………………….
2. That the amount stated in the prospectus as the minimum amount which, in the opinion of the
Board of Directors, must be raised by the issue of share capital in order to provide for the matters
specified in clause 5 of Schedule 11 of the Companies Act, 1956, is Rs. …………………
3. That shares held subject to the payment of the whole amount thereof in cash have been
allotted to the amount of Rs . ………………….
4. That every Director of the company has paid to the Company on each of the shares taken or
contracted to be taken by him, and for which he is liable to pay in cash a proportion equal to the
proportion payable on application and allotment on the shares offered for public subscription
except the following directors namely, who has/have not taken or contracted to take any shares
for which he is/they are liable to pay in cash.
That no Director of the Company has taken or contracted to take any shares for which he is liable
to pay in cash.
5. That no money is, or may become, liable to be repiad to applicants for any shares or
debentures which have been offered for public subscription by reason of any failure to apply for,
or to obtain, permission for the shares or debentures to be dealt in on any recognised stock
exchange.
6. The statements in paragraph above are true to my knowledge and those in remaining
paragraphs are true to the best of my information and belief.

Signature
Designation:
Director/Secretary

Dated: the……………. day of……………..20…….