Form No.

INC-27 1-9915947811_SRN_FORM

Conversion of public company into private company Form language

or private company into public company and
Conversion of Unlimited Liability Company into a English Hindi
Company Limited by shares or guarantee or
conversion of guarantee company into a company
limited by shares
[Pursuant to section 14 and 18 of the Companies Act, 2013
and Rule 33, Rule 37 and Rule 39 of the Companies (Incorporation) Rules, 2014]

Refer instruction kit for filling the form

All fields marked in * are mandatory

Entity's Details
1. *Application for
Conversion of private company into public company
Conversion of public company into private company
Conversion of Unlimited Liability Company into a Company Limited by shares
Conversion of Unlimited Liability Company into a Company Limited by guarantee
Conversion of company limited by guarantee into a company limited by shares
2. *Corporate Identity Number (CIN) U63030GJ2022PTC134029

GCONNECT LOGITECH AND

3. (a) *Name of the company
SUPPLY CHAIN PRIVATE LIMITED

SHOP NO.6, SADGURU COMPLEX

NARI
(b) *Registered office address
CHOWKADI,NA,BHAVNAGAR,Gujar
at,India,364001.

(c) *email ID of the company [email protected]

proposed conversion of Company from private to public will take the Company
4. *Reason(s) for conversion
one step forward towards a future listing of the equity shares of the Company.

5. Particulars of filing Form MGT-14 with Registrar of Companies (ROC)

(a) *SRN of form MGT-14 AA3500311

(b) *Date of passing the special resolution (DD/MM/YYYY) 14/07/2023

6. Particulars of the order of Central Government
(a) SRN of Form RD-1

(b) Date of passing the order (DD/MM/YYYY)

(c) Date of recieving the order (DD/MM/YYYY)

GCONNECT LOGITECH AND

7. * Name of the company at the time of incorporation (to be displayed in the certificate)
SUPPLY CHAIN PRIVATE LIMITED
Page 1 of 4
8. (a) Date of publication of notice in English language as per the rule 37 of the
Companies (Incorporation) Rules, 2014 (DD/MM/YYYY)
(b) Date of publication of notice in vernacular language as per the rule 37 of the
Companies (Incorporation) Rules, 2014 (DD/MM/YYYY)
9. Particulars of Creditors and Debenture Holders

Name of Creditor Remarks

S. No. Type Address Amount Due
/ Debenture Holder (Nature of Debt/ Claim/Liability)

(I) (II) (III) (IV) (V) (VI)

Attachments

(a) Copy of Newspaper publication

MAX 2MB

(b) *A copy of Statutory Auditors Certificate

MAX 2MB

Resolition Minutes.pdf
MOA LTD.pdf
AOA LTD.pdf
(c) Optional attachment(s), if any
Consent both.pdf
CL_SHAREHOLDERS DIRECTORS NO

Declaration
I have been authorised by the board of director's resolution number* 01 dated(DD/MM/YYYY)*

07/07/2023 to sign and submit this application. I, further , declare the following :

✔ *To the best of my knowledge and belief, the information given in this application and its attachments are correct and complete.

✔ *The company has obtained all the mandatory approvals from the concerned authorities, departments and substantial creditors.

*To be digitally signed by

Digitally signed by
Vinodray Vinodray Venilal

DIN1
Venilal Sheth
Date: 2023.08.20
Sheth 12:10:26 +05’30’

09679045
*Designation Director
( Director/Manager/Company Secretary/CFO/CEO )

* Director identification number of the director; or DIN or PAN of the manager or CEO 09679045
or CFO; or Membership number of the company secretary

Declaration under Rule 37

I, on behalf of Board of Directors, hereby declare that conversion shall not affect any debt, liabilities, obligations or contracts
incurred or entered into by or on behalf of the Company before conversion (expect to the extent that the liability of the members
shall become limited )

Page 2 of 4
 I, on behalf of Board of Directors, hereby declare that we have made full inquiry into the affairs of the Company and, having
done so, have formed an opinion that the list of creditors is correct, and that the estimated value as given in the list of the debts or
claims payable on a contingency are proper estimates of the values of such debts and claims and that there are no other debts or
claims against the company to our knowledge.

I, on behalf of Board of Directors, hereby declare that we have made a full inquiry into the affairs of the Company, as a result of
which we have formed an opinion that it is capable of meeting its liabilities and will not be rendered insolvent within a period of one
year from the date of declaration, through a resolution, passed in a duly convened meeting or by circulation

I, on behalf of Board of Directors, hereby declare that no complaints are pending against the company from the members or
investors and no inquiry, inspection or investigation is pending against the company or its Directors or officers

I, on behalf of Board of Directors, hereby declare that notice as required under rule 37(2) of the Companies (Incorporation) Rules,
2014 has been dispatched to all the creditors and debenture holders with proof of dispatch.

To be digitally signed by
abc
Designation (Director) Director

Director identification number of the director

To be digitally signed by abc

Designation (Director) Director

Director identification number of the director

Declaration and Certification by Professional

The Institute of Company
I * Dip G Patel member of * Secretaries of India having office at* Bhavnagar,
gujarat
who is engaged in the conversion of the company, declare that I have been duly engaged for the purpose of certification of this
form It is hereby also 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 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 company is eligible for conversion and does not attract any disqualification as specified under rule 8 of the Companies
(Incorporation) Rules, 2014, and

(ii) All the requirements of Companies Act, 2013 and the rules made thereunder relating to conversion of the company from
unlimited liability to limited liability and matters precedent or incidental thereto have been complied with. 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;

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(iii) I have opened all the attachments to this form and have verified these to be as per requirements, complete and legible;

(iv) It is understood that I shall be liable for action under Section 448 of the Companies Act, 2013 for wrong certification, if any
found at any stage.

*To be digitally signed by Digitally signed by

Patel Dip Patel Dip

DIN4
Girishbhai
Girishbhai Date: 2023.08.20
12:11:24 +05’30’

Chartered accountant (in whole-time practice) or

Cost accountant (in whole-time practice) or
Company secretary (in whole-time practice)

* Whether associate or fellow:

Associate Fellow

*Membership number

Certificate of practice number 13774

Note: Attention is drawn to provisions of Section 448 and 449 which provide for punishment for false statement /
certificate and punishment for false evidence respectively.

For office use only:

eForm Service request number (SRN) 1-9915947811

eForm filling date (DD/MM/YYYY) 20/08/2023

Digital signature of the authorizing officer abc

The eForm is hereby registered

Date of signing (DD/MM/YYYY)

Page 4 of 4
For office use only:

eForm Service request number(SRN) AA3545511

eForm filing date(DD/MM/YYYY) 18/09/2023

Name of the authorizing officer Indrajit Vania

This e-Form is hereby approved

Signature Not
Verified
Digitally signed by
DS MINISTRY OF
CORPORATE
AFFAIRES 1
Date: 2023.09.19
03:46:50 IST

This e-Form is hereby rejected

Date of Signing (DD/MM/YYYY) 19/09/2023