FORM NO. 21
Registration No. of Company

Nominal Capital Rs.:

THE COMPANES ACT, 1956

Notice of the court’s/Company Law Board’s Order

[Pursuant to section *]

1. Name of the company
2. Name of the Court/Company Law Board with
location
3. Date of passing the order
4. Section of the Companies Act under which order
passed
An authenticated copy of the order is attached
Dated this day of 19

Signature

Name
(In Block Capitals)

Designation
1 Indicate the section pursuant to which the order passed
—- 17(1), 79, 81(2), (4) and 94A(2), 102(1), 107(3),
111(5), 141, 155, 186, 391(2), 394(1), 397 and 398.