1 10781620249 PDF

Form language
FiLLiP M28177291_SRN_FORM
English Hindi
Form for Incorporation of Limited Liability Partnership
[Pursuant to Rule 8, Rule 11 and Rule 18 of Limited Liability Partnership Rules, 2009]
Refer instruction kit for filing the form
All fields marked in * are mandatory.
Part A: Incorporation document
1.Purpose of filing the

form
(a) *Whether name is already approved by Registrar of Companies Yes No
(b) Service Request Number (SRN) of RUN-LLP M28164647

(c) *Type of
incorporation
New incorporation Conversion of firm into LLP
Conversion of private company/unlisted public company into
LLP
(d) CIN
2.Particulars of the proposed or approved

name
(a) *Proposed or approved name PREM SINGH BEDI AGRO LLP
(b) *Significance of abbreviated or coined word in the proposed name

(c) *State the name of the vernacular language(s) if used in the proposed name and meaning
thereof
(d) *Whether the proposed name is based on a trademark registered or is subject matter of
an application pending for registration under the Trademarks Act
Yes No
* If yes, furnish particulars of trademark or application
Attachments
(a) In principle approval of regulatory authority, if required. Choose file

Max 2 MB
(b) Approval of the owner of the trademark or the applicant of
such application for registration of Trademark; Max 2 MB Choose file
(c) Copy of approval in case the proposed name contains any

word(s) or expression(s) which requires approval from central Max 2 MB Choose file
government;
Page 1 of 20
(d) Copy of approval from the competent authority in case of
collaboration and connection with the foreign country or place Max 2 MB Choose file
(e) Copy of Board resolution of the existing company or consent

of Max 2 MB Choose file
existing LLP as a proof of no objection
3 (a) Address of registered office of LLP
*Address Line I house no 130 A
*Address Line II New colony , gurgaon
*Country India
*Pin code / Zip Code 122001
*area Gurgaon
*City Sohna Adda
District Gurgaon
*State / UT Haryana
*Longitude 77
*Latitude 28
*Jurisdiction of Police Station gurgaon
(b) Contact
Details
Phone (with STD/ISD code)
*Mobile No 92******55
Fax
*Email ID sh****************il.com
c) Attachments
(a) *Proof of Office address along with NOC, if applicable

Max 2 MB Choose file
(Conveyance/ Lease deed/Rent Agreement along with rent
receipts);
(b) *Copy of the utility bills (not older than two months); Choose file
Max 2 MB
(d) * Name of the office of Registrar in whose jurisdiction the proposed LLP is to Registrar of Companies, National
be registered Capital Territory of Delhi and Haryana
Page 2 of 20
4.Details of business activity carried out by LLP on incorporation /conversion
Primary Industry sub class (as
Description of NIC code
(checkbox) per NIC codes 2008)
01611 Agricultural activities on a fee or contract basis
(preparation of fields, establishing a crop, treatment of
crops, crop spraying, trimming of fruit trees and vines, Delete
transplanting of rice, thinning of beets, harvesting,
pest control in connection with agriculture etc.)
46209 Whole sale of other agriculture raw materials n.e.c. Delete
Activities of commission agents, brokers dealing in
46101 wholesale trade of agricultural raw material, live Delete
animals, food, beverages, intoxicants and textiles
*Description of industrial activities to be carried out by the
(a) *Main industrial activity
*- NIC code 01611

Agricultural activities on a fee or
*- Description of NIC code
contract basis (preparation of fields,
(b) *Other industrial activity
*- NIC code 46209

Whole sale of other agriculture raw
*- Description of NIC code materials n.e.c.
5.Total number of designated partners and partners of the LLP
Particulars Having valid DIN/DPIN Not having valid DIN/DPIN
1 Number of Designated Partners 1 1

A - Individuals 1 1
B - Body corporates and their nominees 0 0
2 Number of Partners other than Designated Partners

0 0
A - Individuals
0 0
B - Body corporates and their nominees 0 0
3 Total number of Partners and Designated Partners 1 1
6.Particulars of individual designated partners /designated partners who are nominee of body corporate
(A) Particulars of individual designated partners having DIN/

DPIN
(i) *Basic details of Designated partner
*Designated partner Identification number (DIN/DPIN)

05326633
*Name
POONAM MALHOTRA
*Whether resident of India
Yes
No
In case of company seeking
conversion
Number of shares held
Page 3 of 20
Paid up value of shares held (in INR)
(ii) *Description of contribution
*Form of contribution
(Conversion/Cash /Other than cash) Cash
If 'Other than cash' selected, please specify
*Monetary value of contribution (in INR.) (in figures) 30000
*Monetary value of contribution (in words) Thirty Thousand
*Number of LLP(s) in which he/ she is a partner 0
*Number of company(s) in which he/ she is a director 1

B *Particulars of individual designated partners not having DIN/DPIN
(i) *Basic details of Designated partner
First Name SHASHI
Middle Name
Surname BEDI
Father's First name KRISHAN
Father's Middle name CHAND
Father's Surname MALHOTRA
*Gender
Female
( Male/Female/ Transgender)
*Date of Birth (dd/mm/yyyy) 09/06/1972
*Nationality India
Yes
No
*Income-tax PAN/Passport number
PAN
Passport number
*Income-tax PAN/Passport number details AHZPB6685Q
*Place of Birth (State) Haryana
*Place of Birth (District) Gurgaon

*Whether citizen of India
Yes
No
*Occupation type
(Business/Professional/Government
Employment/Private Employment /Housewife/Student/Others)
Business
Page 4 of 20
Description of others
*Area of Occupation Business
If ‘Others’ selected, please specify
*Educational Qualification
(Primary education/Secondary education
Vocational qualification/Bachelor's degree/Master degree/Doctorate or higher/Professional/
Bachelor's degree
Diploma /Others)
*Mobile No +91********55
*Email ID sh****************il.com
(ii) *Permanent address
*Address Line I House no 130A
*Address Line II New colony, gurgaon
*Country India
*Area/ Locality Gurgaon
*City Sohna Adda

District Gurgaon
*State / UT Haryana
Jurisdiction of Police Station gurgaon
Phone (with STD/ISD code) 12**01
(iii) * Whether present residential address same as permanent residential address
Yes
No
*Present address
*Address Line I House no 130A
*Address Line II New colony, gurgaon
*Country India
*Area/ Locality Gurgaon
*City Sohna Adda
District Gurgaon
*State / UT Haryana
Jurisdiction of Police Station gurgaon
Phone (with STD/ISD code) 12**01
Page 5 of 20
Duration of stay at present address (Years/Month)
*If Duration of stay at present address is less than one year then address of previous
residence
(iv) *Identity Proof

(Voters Identity Card/Passport/Driving License/Aadhaar) Aadhaar
*Residential Proof
(Bank Statement/Electricity Bill/Telephone bill/Mobile bill/Utility Bill/Registered/Notarized
Rent Agreement) Bank Statement
*Identity Proof No. 451471338668
*Residential Proof No. 00000010552333334

*Submit a copy of the proof of identity and proof of address
*Proof of identity
Max 2 MB
*Residential proof
Max 2 MB
(v)In case of company seeking conversion

(vi) *Description of contribution
(Conversion/Cash /Other than cash) Cash
*Monetary value of contribution (in INR.) (in figures) 70000
*Monetary value of contribution (in words) Seventy Thousand
*Number of LLP(s) in which he/ she is a partner 0
*Number of company(s) in which he/ she is a director 0
C * Particulars of bodies corporate and their nominees as designated partners having DIN/DPIN
(i) *Particulars of body corporate
*Type of body corporate
(LLP/Company/Foreign LLP/ Foreign company/LLP incorporated outside India (LIOI)/
Company incorporated outside India (CIOI)
*Corporate identity number (CIN) or foreign Company registration number (FCRN) or Limited
liability partnership identification number (LLPIN) or Foreign limited liability partnership
identification number (FLLPIN) or any other registration number
PAN
*Name of body corporate
*Registered office address or Principal place of business in India or Principal place of business outside India
*Address Line I
Page 6 of 20
*Address Line II
*Country
*Pin code / Zip Code
*Area/ Locality
*City
District
*State / UT
Jurisdiction of Police Station
Contact details
*Mobile No
Fax
*Email ID
In case of company seeking conversion

(Conversion/Cash /Other than cash)
*Monetary value of contribution (in INR.) (in figures)
*Monetary value of contribution (in words)
*Number of LLP(s) in which he/ she is a partner
*Number of company(s) in which he/ she is a director

(iii) * Particulars of the person /designated partner signing on behalf of the body corporate as nominee
*Name
Yes
No
*Designation and Authority in body corporate

*Copy of resolution on the letterhead of such body corporate to become a partner in the proposed LLP and a copy of resolution/
authorization of such body corporate also on a letterhead mentioning the name and address of an individual
nominated to act as nominee/designated partner on its behalf.
Max 2 MB
D *Particulars of bodies corporate and their nominees as designated partners not having DIN/DPIN
(i)* Particulars of body corporate
Page 7 of 20
PAN
*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
*State / UT
Contact details
*Mobile No
Fax
*Email ID


(iii) * Particulars of the person signing on behalf of the body corporate as nominee
First Name
Middle Name
Surname
Father's First name
Page 8 of 20
Father's Middle name
Father's Surname
*Gender
*Date of Birth (dd/mm/yyyy)
*Nationality
Yes
No
PAN
Passport number
*Income-tax PAN/Passport number details
*Place of Birth (State)
*Place of Birth (District)

*Whether citizen of India
Yes
No
*Occupation type
*Area of Occupation
Vocational qualification/Bachelor's degree/Master degree/Doctorate or higher/
Professional/Diploma /Others)
*Mobile No
*Email ID
*Permanent address
*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
Page 9 of 20
*State / UT
(iv) * Whether present residential address same as permanent residential address
Yes
No
*Present address
*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
*State / UT
residence
(v) *Identity Proof

(Voters Identity Card/Passport/Driving License/Aadhaar)
*Residential Proof
Rent Agreement)
*Identity Proof No.

*Residential Proof No.
*Proof of identity
Max 2 MB
*Residential proof
Max 2 MB
Max 2 MB
7.Particulars of partners other than designated partners
Page 10 of 20
A *Particulars of individual partners having DIN/DPIN
(i) *Basic details of Individual partner
*Name
Yes
No
In case of company seeking
conversion

B *Particulars of individual partners not having DIN/DPIN

(i) *Basic details of individual partner
First Name
Middle Name
Surname
Father's First name
Father's Surname
*Gender
*Nationality
Yes
No
PAN
Passport number
Page 11 of 20
*Occupation type
*Area of Occupation
Diploma /Others)
*Mobile No
*Email ID
(ii)*Permanent address
*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
*State / UT

(iii) * Whether present residential address same as permanent residential address
Yes
No
*Present address
*Address Line I
*Address Line II
*Country
Page 12 of 20
*Area/ Locality
*City
District
*State / UT
residence
(iv) *Identity Proof

*Residential Proof
rent Agreement)
*Identity Proof No.

*Proof of identity
Max 2 MB
*Residential proof
Max 2 MB
(v) In case of company seeking conversion

(vi) *Description of contribution
C *Particulars of bodies corporate and their nominees as designated partners not having DIN/DPIN
Page 13 of 20
PAN

*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
*State / UT
Contact details
*Mobile No
Fax
*Email ID

(iii) *Particulars of the person /designated partner signing on behalf of the body corporate as nominee

*Name
Yes
No
Page 14 of 20
*Designation and Authority in body corporate
Max 2 MB
D *Particulars of bodies corporate and their nominees as designated partners not having DIN/DPIN
PAN
*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
*State / UT
Contact details
*Mobile No
Fax
*Email ID

Page 15 of 20

(iii) *Particulars of the person signing on behalf of the body corporate as nominee
First Name
Middle Name
Surname
Father's First name
Father's Surname
*Gender
*Nationality
Yes
No
PAN
Passport number
*Occupation type
*Area of Occupation
Diploma /Others)
*Mobile No
*Email ID
*Permanent address
*Address Line I
*Address Line II
Page 16 of 20
*Country
*Area/ Locality
*City
District
*State / UT
(iv) * Whether present residential address same as permanent residential address
Yes
No
*Present address
*Address Line I
*Address Line II
*Country
*Area/ Locality
*City
District
*State / UT
residence
(v) *Identity Proof

*Residential Proof
Rent Agreement)
*Identity Proof No.

*Proof of identity
Max 2 MB
*Residential proof
Max 2 MB
Page 17 of 20
Max 2 MB
8. Total monetary value of contribution by partners in the LLP

*Total monetary value of contribution by partners in the LLP (in figures) 100000
*Total monetary value of contribution by partners in the LLP (in `) (in words) One Lakh
9.PAN/ TAN Information

*Additional Information for applying Permanent Account Number (PAN) and Tax Deduction Account Number (TAN)
*Information specific to PAN
*Area code NWR
*AO type C
*Range code 107
*AO No. 1
*Information specific to TAN
*Area code NWR
*AO type WT
*Range code 74
*AO No. 7
*Source of Income
(Income from Business/profession/ Capital Gains /Income from house property
Income from other source /No Income) Income from Business/profession
*Business/Profession code 20
Attachments
(a)Valuation Certificate
Max 2 MB
(b)Optional attachment(s) - if any
Max 2 MB
*Consent by Designated partners/Partners

We, the several partners whose names are subscribed below, are desirous of being formed into a LLP for carrying on a lawful
business with a view to earn profit and have entered or agreed to enter into a LLP agreement in writing.
We respectively agree to contribute money or other property or other benefit or to perform services for the LLP in accordance with
the LLP agreement, the particulars of which are stated against our respective names.
We hereby give our consent to become a partner/ designated partner/ nominee/ nominee & designated partner of the LLP
pursuant to section 7(4) / 25(3)(c) of the Limited Liability Partnership Act, 2008. (format as an attachment)
To the best of my knowledge and belief, the information given in this form and its attachments is correct and complete. I
further confirm that the proposed name is not undesirable, identical or too nearly resembles to that of any other partnership
firm or limited
liability partnership or body corporate or a registered trade mark or a trade mark which is subject of an application for registration of
any other person under the Trade Marks Act, 1999.
*Subscribers' sheet including consent.
Page 18 of 20
Max 2 MB
Part B: Statement
Declaration by designated partner
* To be digitally signed by a designated partner
DIN0 AHZPB6685Q
*Signature Field 1
*DIN/DPIN/PAN of the designated partner AHZPB6685Q
Declaration and certification by professional
I Manish joshi Son / Daughter of LD joshi do state that I am*
Advocate Company Secretary in whole time practice
Chartered Accountant in whole time practice Cost Accountant in whole time practice
engaged in the formation of the limited liability partnership and my membership number or certificate of practice number
with Institute of Chartered Accountants of (Name of regulatory body) is (certificate of practice

India 458613
number in case of company secretary /membership in all the cases)
(ii) all the requirements of the Limited Liability Partnership Act, 2008 and the rules made thereunder have been complied with, in
respect of incorporation and matters precedent and incidental thereto;
(iii) I make this statement conscientiously believing the same to be true.
* Whether:
Associate Fellow
MANISH Digitally signed by
*Signature Field 2
MANISH JOSHI
DIN1 458613
Date: 2023.08.30
JOSHI 13:53:52 +05’30’
I, the designated partner of the LLP do state that

(i) am a person named in the incorporation document as a designated partner/partner of the limited liability partnership;
(ii) the designated partner(s)/partner(s) have given their prior consent to act as designated partner(s)/partner(s);
(iii) all the requirements of the Limited Liability Partnership Act, 2008 and the rules made thereunder in respect of Designated Partner
Identification Number (DIN/DPIN), registration of the LLP and matters precedent or incidental thereto have been complied with;
(iv) I make this statement conscientiously believing the same to be true.
Page 19 of 20
For office use only:
eForm Service request number (SRN)
eForm filing date (dd/mm/yyyy)
Digital signature of the authorizing officer
This e-form is hereby approved

DSC Box
This e-form is hereby rejected

DSC Box
Date of signing (dd/mm/yyyy)
Page 20 of 20

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Form language

Refer instruction kit for filing the form

All fields marked in * are mandatory.

Part A: Incorporation document

1.Purpose of filing the

(b) Service Request Number (SRN) of RUN-LLP M28164647

2.Particulars of the proposed or approved

(b) *Significance of abbreviated or coined word in the proposed name

* If yes, furnish particulars of trademark or application

(a) In principle approval of regulatory authority, if required. Choose file

(c) Copy of approval in case the proposed name contains any

(e) Copy of Board resolution of the existing company or consent

3 (a) Address of registered office of LLP

*Address Line I house no 130 A

*Address Line II New colony , gurgaon

*Pin code / Zip Code 122001

*City Sohna Adda

*Jurisdiction of Police Station gurgaon

(a) *Proof of Office address along with NOC, if applicable

*- NIC code 01611

*- NIC code 46209

1 Number of Designated Partners 1 1

2 Number of Partners other than Designated Partners

(A) Particulars of individual designated partners having DIN/

*Designated partner Identification number (DIN/DPIN)

Number of shares held

If 'Other than cash' selected, please specify

*Monetary value of contribution (in INR.) (in figures) 30000

*Monetary value of contribution (in words) Thirty Thousand

*Number of LLP(s) in which he/ she is a partner 0

*Number of company(s) in which he/ she is a director 1

(i) *Basic details of Designated partner

First Name SHASHI

Father's First name KRISHAN

Father's Middle name CHAND

Father's Surname MALHOTRA

*Income-tax PAN/Passport number details AHZPB6685Q

*Place of Birth (State) Haryana

*Place of Birth (District) Gurgaon

*Area of Occupation Business

If ‘Others’ selected, please specify

*Address Line I House no 130A

*Address Line II New colony, gurgaon

*Pin code / Zip Code 122001

*Area/ Locality Gurgaon

*City Sohna Adda

*Address Line I House no 130A

*Address Line II New colony, gurgaon

*Pin code / Zip Code 122001

*Area/ Locality Gurgaon

*City Sohna Adda

Jurisdiction of Police Station gurgaon

Phone (with STD/ISD code) 12**01

(iv) *Identity Proof

*Identity Proof No. 451471338668

*Residential Proof No. 00000010552333334

Number of shares held

Paid up value of shares held (in INR)

If 'Other than cash' selected, please specify