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

• 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.