Questionnaire For Company / LLP Registration

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Fill this form after reading instructions on the leftside. The information should match with the documentary evidence which promoters are submitting with the department. However if there is any discrepancy the same should be pointed out Description No Particulars Select the kind of business A. One Person Company (OPC) Limited Liability Partnership (LLP) organization which you are Private Limited Company Public Limited Company planning to incorporate. Special Entities : B. Proposed Name (Six names in order of preference) The name of a public limited company ends with Limited, for a private limited company it ends with Private limited and for an Limited Liability Partnership it ends with LLP 1.. 2.. 3.. 4.. 5.. 6.. Significance of the words used in the name C Significance of Name If proposed name is a registered trade mark or a trademark for which an application is filed, there will be more chance for getting the name approved for the Company /LLP Explain the nature of business which you are proposing to undertake in the company or LLP. Note: The activity must be evident in the name of the company D E Trade Mark 1. Whether the proposed name is a Registered Trademark NO Yes 2. If No, would you like to register the Trademark Yes No Proposed Business Activity Indicate The situation of registered address in which state. Authorized capital is the limit to which shares can be issued. The govt fee depends on this. F G Name of State: Capital of The Proposed Company / LLP Page 1 of 6

Promoters & Directors Details: Number of Director/DP Number of Shareholder If the proposed Director or Designated Partner have Director Identification Number (DIN) then write DIN To Obtain DIN, provide following documents 1. Two colour Photo 2. Self attested copy of pan card 3. Self attested copy of address proof Apart from the documents signature of the directors shall be required on following legal forms 1. Annexure 1, which is an declaration from the director applying for DIN with respect to correctness of information and authenticity of of the documents which he is submitting NOTE: Director & shareholder can be same person, there is no restriction on relatives becoming director or shareholder in a company H Proposed Director or Designated Partner (In case of LLP) 1. The 1st Director or Designated Partner (Primary Applicant)* the primary applicant will file application for company / LLP registration, only his digital signature is required Name : PAN / DIN: Email Id: Mobile No: Qualification Occupation Place of Birth Period of residency at current address Mothers name: 2. Detail of Second Director / Designated Partner (in case of LLP) Name : PAN / DIN: Email Id: Mobile No: Qualification Occupation Place of Birth Period of residency at current address Mothers name: 3. Detail of Second Director / Designated Partner (in case of LLP) Name : PAN / DIN: Email Id: Mobile No: Qualification Occupation Place of Birth Period of residency at current address Mothers name: Note: If the number of director is more than 3 then kindly provide information on separate sheet in the above format Page 2 of 6

Shareholding or contribution of the proposed company or LLP Paid-up capital is the amount of equity share which the promoters undertake to subscribe, this has to be within the limit of authorized capital. I Paid up Capital And the same is divided in following manner No. Name of Shareholder/ Partner Amount of Capital 1. 2. 3. 4. 5. 6. Total The registered office shall be the principal address for official communication and this need not be commercial space. Address of police station under whose jurisdiction the registered office of the company is situated J K In case the shareholder is other than director then their information is also required as per the format provided herein above (as in director) Registered Office Address State:.PIN Code.. Address of Police Station State:.PIN Code.. KPS Fee Payment Details with the order form, Detail Package cost and working is on the next page L Total Cost of Package:.. Amount Received with the order Form : If paid in Cash then mention the receipt Number Cheque No. / Online payment Ref No. Date of the payment Page 3 of 6

How to Order Complete this form and submit along with the required documents to the KPS Corporate Consultants Private Limited, at their Head office or branch offices. Order accepted without the complete documents and full payment as agreed shall not be processed till the time all the pending document and the cheque is realized. Final Order Financial Workings S. No. Service Description Amount (INR) 1. Company / LLP Registration Pack 2. PAN Number 3. TAN Number 4. Company KIT: 5. Service Tax Registration 6. Vat + CST Registration 7. Trade Mark Registration 8. IE Code (Import Export Code) 9. Other Services: TOTAL We the promoters / applicants who have signed below declare that the information, documents, representations made during the process of company/llp registration is true, correct and nothing material has been concealed. We further undertake to make the full payment of agreed fee within the agreed time frame. Signature of Promoter 1 Signature of promoter 2 Date Place: Page 4 of 6

Use of Email ID & Mobile Number While Incorporation of Company While incorporating a company / LLP there are following situations in which email id and mobile number is required to be filled in the application form. For obtaining a digital signature & DIN applicant email id is mandatory in nature. 1. While applying for digital signature (DSC) 2. While applying for Director Identification Number (DIN) 3. While applying for name Approval of Company 4. While filing for registration of company /LLP/OPC While in 1 st and 2 nd situation (DSC and DIN) use of email id and mobile number of applicant is mandatory under law. Please note that during the process of digital signature a challenge code is sent to the email id / mobile number of the applicant. It is therefore necessary for the applicant to provide correct and working email id to us. At the same time applicant hereby undertake to forward the email id and sms which is received in connection of DSC and DIN to us. Please forward email to roc@setindiabiz.com and sms can be forwarded to respective relationship manager. Plz fill the information in CAPITAL LETTERS only. Sl. No Name of Applicant / Director Mobile Number Email ID 1. 2. 3. 4. Authorization for use of Email ID for Name approval and registration: In an e-filing scenario there are many communications which is exchanged between the registrar of companies and the consultants (team KPS in your case), practically it is preferred that we use our email id which is monitored by professionals. The email alerts are some time technical in nature which can be understood and appreciated by a qualified professional only. We recommend that you authorize us for using roc@setindiabiz.com as email id while incorporating the company. Almost most of our clients prefer this for the simple reason that even if there is any legal information which is passed to us we ll understand and appreciate that and take remedial action immediately. I hereby authorize use of kps / setindiabiz mail id for the purpose of name approval and incorporation of company. ----------------------------------------------------------- --------------------------------------------------------------- Signature of Applicant. Signature of Co- Applicant How to change Email id later on in the records of MCA : There are two ways you can change it. 1. When you file annual return, you may give the new mail id, once it is filed, the existing mail id shall be replaced with the new one. 2. You may take the print out of the master data sheet of the company and at the bottom, there's a space for requesting for any corrections. You may give your new mail id to replace the old one and submit to ROC with a covering letter on the letter head of the company. Page 5 of 6

Limitation & Disclaimer - On Timeline and Name of Company Congratulations for being entrepreneurs, as a business person you are likely to scale greater heights of success and create enormous wealth for your family, employees, associates and Investors. We have seen many success stories and some are tremendous, However one thing which we noticed that all of them have two things in common and that is Patience & Ability To Appreciate That Every Thing Will Not Go As Per Them, There Are Many Factors Which Will Impact Thought Process And Plans. We are equally glad that you chose setindiabiz.com as your professional service partner for registration of your business. We are in business since 2003, now it s more than a decade, what we have learnt is that transparency in our business dealings are necessary to strengthen our relationship of trust and care with our clients. It s my duty to appraise you on the limitations under which we and you shall operate. The business registration is 100% regulated process in India. The Companies Act 2013 regulates formation of Public Limited, Private Limited, One Person Company and Section 8 companies, while LLP Act 2008 regulates the formation of Limited Liability Partnership business in India. There are various rules, circulars and notifications issued from time to time which also impact the business registration process. Limitation / Disclaimer on Timelines: Company / LLP incorporation is a legal process involving multiple steps; each of the steps is interlinked and primarily depends on the functioning of government department or their agencies. At times the standard timelines are not followed for administrative or other reasons at the concerned government authority. Apart from this the authorities can call for resubmission or clarifications. The most common reasons of resubmissions are non-availability of name which a promoter want, others are like non-reflection of activity in the name, poor quality of scan of documents, expiry of documents etc. In the circumstances, we hereby specifically disclaim to get a company registered within 25 days as such. 25 days are an approximate time which is required to form a company in best possible scenario. Limitation / Disclaimer on Name Approval: An applicant is advised to provide six names in order of preference for consideration of the registrar of companies. The name should have clear significance and activity in it, for example SETINDIABIZ ADVISORS PRIVATE LIMITED, here Setindiabiz is a coined word as well as domain and trademark of the promoter, the Advisors word is put to indicate object of the company. The name approval is done by following a set of law, rules and guidelines issued by the ministry of corporate affairs. The approval on name availability is a discretionary power vested with the registrar of companies. In the circumstances, no one including us can guarantee that a name shall be made available to you, hence insisting on a particular name is not in the spirit of law and should be avoided. While we understand the emotional aspect in choosing a name but your attention is brought to the fact that the name of business and goodwill does not come with a beautiful name but by doing good work. It is important for us to explain and make sure that you understand the limitations as explained herein above. Please sign herein below as a testimony that you have been explained and you understand & accept the limitations and disclaimers on name availability. ----------------------------------------------------------- --------------------------------------------------------------- Signature of Applicant. Signature of Co- Applicant Page 6 of 6