ANNE:XURE – A (See rule 4l
FORIU NO. NCLT.
1 [see rules 3,4, 64, 66, 67, 68, 69, 70, 7 t, 73, 74, 75, 77, 78, 79, 80, 81, 83, 86 and 8{
FORM NCLT.
4l Columns required for filing of Original Application / Reply / Rejoinder / Interlocutory Application or liling of addltlonal documents under directions of the Bench
- Details of Original Applicatlon / Reply / Rejoinder / Interlocutory Appllcation Particulars of the Petitioner / Applicant / Respondent and state whether company, whether petitioner or not. (Name, description, father’s / husband’s name, occupation, capacity, i.e. qua shareholder, qua depositor and address)
- Juriedlction of the Bench: The petitioner declares that the subject-matter of the petition is within the jurisdiction of the Bench.
iii. Limltation: (If applicablef The petitioner / applicant further declares that the petition is within the limitation laid down in section ……. Of the Companies Act, 2013 (where applicable)
- Facts ofthe case are glven below: (Give here a concise statement of facts in a chronological order, each paragraph containing as nearly as possible a separate issue, fact or otherwise. )
- Relieflsf sought. In view ofthe facts mentioned above, the petitioner/ applicant / respondent prays for the following relief(s): (Speciff below the relief(s) sought explaining the ground for relief(s) and the legal provisions (if any) relied upon) 71 lPage
- Particulars of Bank draft evidencing payment of fee for the petition or application made: Branch of the Bank on which drawn:
Name of the issuing branch:
Demand Draft No………
Date…………..
Amount Rs………..
(Signature/ Signature of Authorised signatory)
Date: Place:
