1[SCHEDULE V
(See section 159)
ANNUAL RETURN
CONTENTS AND FORM OF ANNUAL RETURN OF A COMPANY HAVING A SHARE CAPITAL
PART I
CONTENTS
1. The address of the registered office of the company.
2. A summary specifying the following in respect of each class of shares:
(a) the amount of the authorised share capital of the company and the number of shares into which it is divided;
(b) the number of shares issued from the date of commencement of the company to the date of the company's last annual general meeting;
(c) the number of shares subscribed upto the date aforesaid;
(d) the paid up share capital up to that date.
3. The total number of non-convertible, partly convertible and fully convertible debentures issued and outstanding on the date referred to in sub-clause (b) of clause 2.
4. Particulars of the total amount of the indebtedness of the company on the date referred to in sub-clause (b) of clause 2 in respect of all charges including mortgages which are required to be registered with the registrar under this Act.
5. A list--
(a) containing the names and addresses of all persons who, on the date of the company's last annual general meeting, are members or debenture-holders of the company and of persons who have ceased to be members of debenture-holders on or before that day and since the date of the annual general meeting with reference to which the last return was submitted or in the case of the first return, since the incorporation of the company;
(b) stating the number of shares or debentures held by each of the existing members or debenture holders, as the case may be, at the date referred to in sub-clause (b) of clause 2, specifying the number of shares or debentures transferred since the date of the annual general meetings with reference to which the last return was submitted or in the case of the first return, since the date of the incorporation of the company by persons who are still members or debenture-holders respectively, the dates of registration of transfers, and the names of transferees and the relevant folio containing particulars thereof;
(c) if the names aforesaid are not arranged in alphabetical order having annexed thereto an index sufficient to enable the name of any person therein to be easily found.
6. Particulars specifying name, nationality, date of birth, date of appointment, election commission's identity card number if issued and residential address with respect to the persons who at the date of the company's last annual general meeting are the directors of the company and with respect to any person who at the date is the manager or the secretary of the company together with all such particulars, with respect to those who had ceased to hold such office that is the office of director, manager or secretary on or before the date of the last annual general meeting and since the date of the annual general meeting with respect to which the last return was submitted or in the case of the first return, since the incorporation of the company.
7. Information whether the shares of the company are listed on any recognised stock exchange.
FORM OF ANNUAL RETURN OF A COMPANY HAVING A SHARE CAPITAL
ANNUAL RETURN
The Companies Act, 1956 (1 of 1956)
SCHEDULE V
(See section 159)
PART II
1. Registration details
Registration No.I I I I I I IState Code I I I (Refer Code List 1) I I
Registration DateI I I I I I I I IWhether shares listed on recognised stock exchange(s)
Date Month Year Y - Yes, N - No
If yes, stock exchange code (Total) AI I I I IBI I I I I
(Refer Code Lists 2)
AGM heldI IY-Yes Date of AGM/I I I I I II I I
N-No Due date Date Month Year
II. Name and registered office address of company
Company nameI I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I I
AddressI I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I IPin CodeI I I I I I I
Telephone with STDI I I I I II I I I I I I I I
Area Code Number
Fax numberI I I I I II I I I I I I I I
E-mai l AddressI I I I I I I I I I I I I I I I I I I I I I
III. Capital structure of the company (amount in Rs. Thousands)
Authorised share capital breakup
Type of shares No. of shares Nominal value (in Rs.)
(i) EquityI I I I I I I I II I I I I I
(ii) PreferenceI I I I I I I I II I I I I I
Total authorised capitalI I I I I I I I I
Issued share capital breakup
Type of shares No. of shares Nominal value (in Rs.)
(I) EquityI I I I I I I I II I I I I I
(ii) PreferenceI I I I I I I I II I I I I I
Total issued capitalI I I I I I I I I
Subscribed share capital breakup
Type of shares No. of shares Nominal value (in Rs.)
(I) EquityI I I I I I I I II I I I I
(ii) PreferenceI I I I I I I I II I I I I
Total Subscribed capitalI I I I I I
Paid-up share capital breakup
Type of shares No. of shares Amount value (in Rs.)
(I) EquityI I I I I I I I II I I I I I
(ii) PreferenceI I I I I I I I II I I I I
Total paid-up capitalI I I I I I I I I I I I I
Debentures breakup
Type of debentures No. of debentures Nominal value (in Rs.)
(I) Non-convertibleI I I I I I I I II I I I I I
(ii) Partly convertibleI I I I I I I I II I I I I I I
(iii) Fully convertibleI I I I I I I I II I I I I I I
Total AmountI I I I I
IV. Directors/Manager/Secretary information (past and present)*
[Refer clause (6) of Part I of Schedule V] _______________________________________________________________________________________
NameI I I I I I I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
NationalityI I
I-Indian Date of Birth| | || | |I | |
F-Foreign Date Month Year
Designation
I IC-Chairman-cum-Managing Director
W-Whole-time Director, S-Secretary, R-Manager D-Director, M-Managing Director
Date of appointmentI I II I II I IDate of ceasingI I II I II I I
Date Month Year Date Month Year
Election Commission Identity Card No. (if issued)I I I I I I I I I I I I I I I I
NameI I I I I I I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
NationalityI I
I-Indian Date of Birth| | || | |I | |
F-Foreign Date Month Year
Designation
I IC-Chairman-cum-Managing Director
W-Whole-time Director, S-Secretary, R-Manager D-Director, M-Managing Director
Date of appointmentI I II I II I IDate of ceasingI I II I II I I
Date Month Year Date Month Year
Election Commission Identity Card No. (if issued)I I I I I I I I I I I I I I I I
NameI I I I I I I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
NationalityI I
I-Indian Date of Birth| | || | |I | |
F-Foreign Date Month Year
Designation
I IC-Chairman-cum-Managing Director
W-Whole-time Director, S-Secretary, R-Manager D-Director, M-Managing Director
Date of appointmentI I II I II I IDate of ceasingI I II I I I I I
Date Month Year Date Month Year
Election Commission Identity Card No. (if issued)I I I I I I I I I I I I I I I I
____________________________________________________________
Residential AddressI I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I
DistrictI I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I I I I I I I I I I I I I
Pin CodeI I I I I I I
____________________________________________________________
Residential AddressI I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I
DistrictI I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I I I I I I I I I I I I I
Pin CodeI I I I I I I
____________________________________________________________
Residential AddressI I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I
DistrictI I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I I I I I I I I I I I I I
Pin CodeI I I I I I I
Note- Additional sheets may be attached, if needed.
________________________________________________________
V. Details of shares/debentures held of date of AGM* ________________________________________________________
Ledger folio of share/debenture-holderI I I I I I I I I
Share/debenture-I I I I I I I I I I I I I I I I I I I I I I
holder's name Surname Middle name First name
Father's/husband's nameI I I I I I I I I I I I I I I I I I I I I I
Type of share/debentureI I1-Equity, 2-Preference shares, 3-Debentures, 4-Stock
Number of shares/debentures Amount per share
held/stock, if anyI I I I I I I I I(in Rs.)I I I I I I I
________________________________________________________
Ledger folio of share/debenture-holderI I I I I I I I I
Share/debenture-I I I I I I I I I I I I I I I I I I I I I I
holder's name Surname Middle name First name
Father's/husband's nameI I I I I I I I I I I I I I I I I I I I I I
Type of share/debentureI I1-Equity, 2-Preference shares, 3-Debentures, 4-Stock
Number of shares/debentures Amount per share
held/stock, if anyI I I I I I I I I(in Rs.)I I I I I I I
________________________________________________________
Ledger folio of share/debenture-holderI I I I I I I I I
Share/debenture-I I I I I I I I I I I I I I I I I I I I I I
holder's name Surname Middle name First name
Father's/husband's nameI I I I I I I I I I I I I I I I I I I I I I
Type of share/debentureI I1-Equity, 2-Preference shares, 3-Debentures, 4-Stock
Number of shares/debentures Amount per share
held/stock, if anyI I I I I I I I I(in Rs.)I I I I I I I
___________________________________________________________
Note- Separate sheet may be attached if needed. If number of such shareholders exceeds 10, if so desired a text file may be submitted on a floppy or a cartridge tape in the format given in Annexure III.
____________________________________________________________
Residential AddressI I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I
DistrictI I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I I I I I I I I I I I I I
Pin CodeI I I I I I I
____________________________________________________________
Residential AddressI I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I
DistrictI I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I I I I I I I I I I I I I
Pin CodeI I I I I I I
____________________________________________________________
Residential AddressI I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Town/CityI I I I I I I I I I I I I I I I I I I I I I
DistrictI I I I I I I I I I I I I I I I I I I I I I
StateI I I I I I I I I I I I I I I I I I I I I I
Pin CodeI I I I I I I
____________________________________________________________
VI. Details of share/debentures transfers since date of last AGM (or in the case first return at any time since the incorporation of the company)*
Date of previous AGMI I II I II I I
Date Month Year
____________________________________________________________
Date of registration of transfer of sharesI I II I II I I
Date Month Year
Types of transferI I1-Equity, 2-Preference shares,3-Debentures, 4-Stock
Number of sharesI I I I I I I IAmount per shareI I I I I I I I
debentures transferred (in Rs.)
Ledger folio of transfereeI I I I I I I I I
Transferor's nameI I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
Ledger folio of transfereeI I I I I I I I I I I
Transferor's nameI I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
Date of registration of transfer of sharesI I II I II I I
Date Month Year
Types of transferI I1-Equity, 2-Preference shares,
3-Debentures, 4-Stock
Number of shares/I I I I I I I I IAmount per shareI I I I I I I I I
debentures transferred (in Rs.)
Ledger folio of transfereeI I I I I I I I I I I
Transferor's nameI I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
Ledger folio of transfereeI I I I I I I I I
Transferor's nameI I I I I I I I I I I I I I I I I I I I I I
Surname Middle name First name
______________________________________________________________________
Note- Separate sheet may be attached if needed. If number of such transactions exceed 10, if so desired a text file may be submitted on a floppy or cartridge tape in the format given in annexure IV.
VII. Indebtedness of the company (amount in Rs. Thousands) [Secured loans including interest outstanding/ accured but not due for payment]
AmountI I I I I I I I I
VII. Equity share capital break-up (percentage of total equity)
(i) Government [Central & institutions] (ii) Government companies
I I I II I I I
(iii) Public financial institutions (iv) Nationalised/other banks
I I I II I I I
(v) Mutual funds (vi) Venture capita
I I I II I I I
(vii) Foreign holdings (FIIs/FCs/ (viii) Bodies corporate
FFIs/NRIs/OBCs (not mentioned above)
I I I II I I I
(ix) Director/relatives of directors (x) Other top 50 shareholders
(other than those listed above)
I I I II I I I
_________________________________________________________
We certify that:
(a) the return states the facts as they stood on the date of the annual general meeting aforesaid, correctly and completely;
(b) since the date of the last annual return the transfer of all shares, debentures the issue of all further certificates of shares and debentures has been appropriately recorded in the books maintained for the purpose;
2[(c) the whole of amounts envisaged in clauses (a) to (e) of Sub-section (2) of Section 205C of the Companies Act, 1956 remaining unpaid or unclaimed for a period of seven years from the date they become payable by a company have been credited to the Investor Education and Protection Fund :]
(d) the company has not, since the date of the annual general meeting with reference to which the last return was submitted, or in the case of a first return since the date of the incorporation of the company, issued any invitation to the public to subscribe for any shares or debentures of the company;
(e) where the annual return discloses the fact that the number of members of the company exceeds fifty, the excess consists wholly of persons who under sub-clause (1) of section 3 are not to be included in reckoning the number of fifty;
(f) since the date of annual general meeting with reference to which the first return was submitted or in the case of a first return since the date of the incorporation of the private company, no public company or deemed public company has or have held twenty-five percent or more of its paid-up share capital;
(g) the company did not have an average turnover of Rs. ten crores or more during the relevant period;
(h) since the date of the annual general meeting with reference to which the last annual return was submitted or since the date of incorporation of the company, if it is first return, the company did not hold twenty-five per cent or more of the paid-up share capital of one or more public companies; and
(i) the private company did not accept or renew or invite deposits from the public.
Signed
Director : :..........................................................
Director/managing director/manager/secretary :..........................................................
Secretary in whole time practice :...........................................................
CP No. :............................................................
Note. --Certificates to be given by a director and manager/secretary or by two directors where there is no manager or secretary. In the case of a company whose shares are listed on a recognised stock exchange, the certificates shall also be signed by a secretary in whole lime practice.
ANNEXURE I
CODE LIST 1
STATE CODES
State Code | State Name |
01 | Andhra Pradesh |
02 | Assam |
03 | Bihar |
04 | Gujarat |
05 | Haryana |
06 | Himachal Pradesh |
07 | Jammu and Kashmir |
08 | Karnataka |
09 | Kerala |
10 | Madhya Pradesh |
11 | Maharashtra |
12 | Manipur |
13 | Meghalaya |
14 | Nagaland |
15 | Orissa |
16 | Punjab |
17 | Rajasthan |
18 | Tamil Nadu |
20 | Uttar Pradesh |
21 | West Bengal |
22 | Sikkim |
23 | Arunachal Pradesh |
24 | Goa |
52 | Andaman Islands |
53 | Chandigarh |
54 | Dadra Islands |
55 | Delhi |
56 | Daman and Diu |
57 | Lakshadweep |
58 | Mizoram |
59 | Pondicherry |
ANNEXURE II
CODE LIST 2
STOCK EXCHANGE CODES
Exchange Code | Stock Exchange |
A1 | Bombay |
B1 | OTCEI |
A2 | Delhi |
B2 | Nagpur |
A4 | Calcutta |
B4 | Coimbatore |
A8 | Madras |
B8 | Cochin |
A16 | Bangalore |
B16 | MP |
A32 | Hyderabad |
B32 | Jaipur |
A64 | Ahmedabad |
B64 | Rajkot |
A128 | Pune |
B128 | Gauhati |
A256 | Kanpur |
B256 | Bhubaneshwar |
A512 | Ludhiana |
B512 | Magadh |
A1024 | National stock exchange |
B1024 | Vadodra |
B2048 | Rajkot |
Note.-- If listed in more than one exchange, add the respective codes to arrive at the totals under the same category. For example a company listed in Bombay, Pune, Nagpur and Cochin will fill in the exchange codes as follows:
A1 2 9| |B 1 0
ANNEXURE III
SHARE/DEBENTURES HELD : (FORMAT FOR FLOPPIES)
Registration details:
Field | Type | Length | Format/value |
State Code | Number | 2 | - |
Region No. | Number | 6 | - |
Date of AGM | Date | 8 | (DD/MM/YY) |
Date of last AGM | Date | 8 | (DD/MM/YY) |
Note.--The first text file cid.txt will contain the data for above field for company identification. V. Shares held by shareholders :
V. Share held by shareholders:
Field | Type | Length | Format/value |
Ledger folio of shareholder | Character | 8 | - |
Name of shareholder | Character | 20 | Surname/Middle name/First name |
Father's/husband's name | Character | 20 | Surname/Middle name/First name |
Residential address | Character | 40 | - |
Town/City | Character | 20 | - |
State | Character | 20 | - |
Pin Code | Number | 6 | - |
Type of share/debenture | Number | 1 | 1-Equity, 2-Preference, 3-Debentures, 4-Stock |
Number of share /debenture | Number 6 | - | - |
Amount per share/debenture | Number 6 | - | - |
Note.-- The second text file shh.txt will contain the data for above fields for the shareholders/ debentures-holders.
The files may be submitted 5.25" or 3.5" floppies (preferably 3.5") or 60/150 MB normal cartridge tapes (mini cartridges not acceptable). The floppies/cartridges may be formatted in DOS/Unix.
ANNEXURE IV
SHARES TRANSFERRED : (FORMAT FOR FLOPPIES)
1. Registration details:
Field | Type | Length | Format/value |
State Code | Number | 2 | - |
Registration No. | Number | 6 | - |
Date of AGM | Date | 8 | (DD/MM/YY) |
Date of last AGM | Date | 8 | (DD/MM/YY) |
Note.-- The first text file cid.txt will contain data for above field for company identification.
VI. Transactions after the last AGM :
Field | Type | Length | Format/value |
Date of transfer of shares | Date | 8 | (DD/MM/YY) |
Type of share/debenture | Number | 1 | 1-Equity, 2-Preference, 3-Debentures, 4-Stock |
Number of share /debenture | Number | 6 | - |
Amount per share/debenture | Number | 6 | - |
Ledger folio of transferor | Character | 8 | - |
Name of Transferor | Character | 20 | Surname/Middle name/First name |
Ledger folio of transferor | Character | 8 | Surname/Middle name/First name |
Name of transferee | Character | 20 | - |
Note.-- The second text file shh.txt will contain the date for the above fields for the each such share transfer.
The files may be submitted in 5.25" or 3.5" floppies (preferably 3.5") or 60/150 MB normal cartridge tapes (mini cartridges not acceptable). The floppies/cartridges may be formated in DOS/Unix.
_______________________
1. Substituted by G.S.R. 389(E), dated 15th May, 1995.
2. Substituted by G.S.R. 751(E), dated 2nd November, 2002.