Form No. Chg-1: English Hindi Form Language
Form No. Chg-1: English Hindi Form Language
Form No. Chg-1: English Hindi Form Language
(b) Address of the registered office or the principal place of business in India of the company
WZ-65, KHAYALA VILLAGE
NEW DELHI
New Delhi
Delhi
110018
India
(c) email id of the company [email protected]
3. (a) * This form is for registration of
5. (a) *Date of the instrument creating or modifying the charge 28/04/2022 (DD/MM/YYYY)
*
(b) Nature, description and brief particulars of the instrument(s) creating or modifying the charge
6. (a) Whether charge is modified in favour of asset reconstruction company (ARC) or assignee Yes No
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7. Type of charge
* (a) A charge on
Uncalled share capital Calls made but not paid
(Note: Please attach a complete list of charge holders, details of their extent to the charge, particulars of
property charged, amount secured etc.)
9.Particulars of the charge holder (In case charge is modified in favour of ARC or assignee, enter the
particulars of ARC or assignee)
Category Private sector bank
*
e-mail id [email protected]
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10.(a) *Amount secured by the charge (in Rs.) 20000000
(In case the amount is in foreign currency, rupee equivalent to be stated)
(In case of modification/ rectification of charge, enter the amount secured by the charge after such modification)
(c) In case amount secured by the charge is in foreign currency, mention details
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11. Brief particulars of the principal terms and conditions and extent and operation of the charge
(a) Date of Creating Security Interest by actual/ constructive deposit of
title deeds within bank/ housing finance company (DD/MM/YYYY)
(j) *Extent and operation of the charge Exclusive charge on Current Assets, Movable Fixed Assets &
Receivables. More particularly described in Schedule III of the
Supplemental deed of Hypothecation attached.
(k) Others
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12. In case of acquisition of property, subjected to charge, furnish the details relating to the existing charge on the
property so acquired
(a) Date of instrument creating or evidencing the charge (DD/MM/YYYY)
13. * Short particulars of the property or asset(s) charged (including complete address and location of the property)
Exclusive charge on Current Assets, Movable Fixed Assets & Receivables. More particularly described in Schedule
III of the Supplemental deed of Hypothecation attached.
*Survey number,GAT number, Khesra number, Khweta number, Mouza number, Phase number or any other such similar
representation in various states or union territories can be captured in this field.
(All the fields should be captured as appearing in the revenue record, flat no, house no, Municipal Office/Municipal
Corporation/ Grampanchayat are to be specified and also the area of the immovable property as well as boundaries)
14. Description of the document by which the company acquired the title
15. (a) * Whether any of the property or interest therein under reference is not registered in the name of the company
Yes No
17. Particulars of the present modification (please ensure that the correct particulars are entered as the same shall be
displayed in the certificate of modification of charge)
By this additional cash credit facility of Rs. 100 Lacs overall amount secured by the charge increased to Rs. 200
Lacs.
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List of attachments
Attachments
Remove attachment
Declaration
I am authorized by the Board of Directors of the Company vide resolution no* 1 * dated 10/04/2022
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in
respect of the subject matter of this form and matters incidental thereto have been complied with. I also declare
that all the information given herein above is true, correct and complete and as per the attached charge instrument
(s) or documents(s) and nothing material has been suppressed. A copy of the attached charge instrument(s) or
document(s) is/are available at the registered office or principal place of business in India of the company.
To be digitally signed by
NAVEE
Director or manager or secretary or CEO or CFO(In case of an Indian company)
Digitally signed by
NAVEEN RAO
Date: 2022.05.25
N RAO 11:58:44 +05'30'
Designation Director
DIN of the director; PAN of the manager or CEO or CFO or authorised 00434330
representative; or membership number of company secretary
Declaration
I/ we confirm that the attached charge instrument(s) or document(s) is/ are true copies of the original which is/are
available with the charge holder and/ or assignee and all the information and particulars mentioned above are
derived there from are concisely and correctly stated. I/ we am/ are duly authorised to sign this form.
I/ we am/are a multilateral/International financial institution who has/have been exempted from payment of
income tax in India under the UN Privileges and Immunities Act.
To be digitally signed by
Digitally signed
HEMAN by
Charge holder AAACU2414K HEMANT
JUYAL
T JUYAL 18:21:22
Date: 2022.05.25
+05'30'
ARC or assignee
PAN of the ARC or assignee
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Certificate by practicing professional
I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone
through the provisions of the Companies Act, 2013 and rules thereunder for the subject matter of this form and matters incidental
thereto and I have verified the above particulars (including attachment(s)) from the original/certified records maintained by the
Company/applicant which is subject matter of this form and found them to be true, correct and complete and no information
material to this form has been suppressed. I further certify that:
i. The said records have been properly prepared, signed by the required officers of the Company and maintained
as per the relevant provisions of the Companies Act, 2013 and were found to be in order;
ii. All the required attachments have been completely and legibly attached to this form.
This eForm has been taken on file maintained by the registrar of companies through electronic mode and on the basis of
statement of correctness given by the filing company
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