FORM No. 57

Registration No. of Company F.

THE COMPANIES ACT, 1956

Particulars of an issue of debentures in a series by a foreign company
[Pursuant to section 600 read with section 128, proviso]

(For registration of particulars of the entire series Form No. 58 must be used)
Name of company’
Presented by
Date of
registration of
the series

Date of
present
issue

Amount of
present
issue

Gist of
the terms
and
conditions
and extent
charge

Particulars as to the am( or rate per cent of the
commission, allowance discount (if any) paid
or made either directly or indirectly, by the
company to any person in consideration of his
subscribing agreeing to subscribe whether her
absolutely or conditionally, or procure
scriptions, whether absolute or conditional, for
any of the debentures included in this return3

1 2 3 4 5

Signature or signatures of one or more persons………………………………………………………………….
authorised under section 592(1)(d) of the………………………………………………………………………….
Companies Act, 1956 or of some other person…………………………………………………………………..
in India, duly authorised by the company………………………………………………………………………….
Dated this ……………………………………………………day of ………………………………..19
1. Country of origin also.
2. “Charge” includes a mortgage – see section 124.
3. The rate of interest payable under the terms of the debentures should not be entered.