Registration form for Indian Companies

Indicate Registrar of Companies(RoC) reference number for name approval (Service request number (SRN) of Form 1A)*
Name of the Company*
Type of Company*
Whether the company is public or private*		checked />Public checked />Private
Category*
Sub-Category*
Section 25 License number*
Whether the company is		checked / >Having Share Capital checked />Not Having Share Capital
Name of the State in which the company is to be registered*
Name of the Office of the registrar of Companies in which the company is to be Registered*

Capital structure of the company

Authorised capital of the company
No. of Equity Shares
Total amount of Equity Shares
Nominal amountt per Equity Share
No. of Preference Shares
Total amount of Preference Shares
Nominal amount per Preference Share
Subscribed capital of company (in Rs)
Break up of Subscribed Capital
No. of Equity Shares
Total amount of Equity Shares
Nominal amount per Equity Share
No. of Preference Shares
Total amount of Preference Shares
Nominal amount per Preference Share
Details of number of members
Maximum number of members including proposed Employees
Maximum number of members excluding proposed Employees
Main division of industrial activity of company*
Description of Main division		{MAINDIVDESC}
Number of Promoters (first subscribers to the MoA)

Tax Information

Sales Tax
VAT(Value Added Tax) Registration Number
CST(Central Sales Tax) Number
ST (Service Tax) Number
TAN(Tax Account Number) Number
Excise Registration
Excise Registration Number
Excise Rsnge
Commissionerate
Division
ECC(Excise Control Code) Number
Service Tax Registration Number

Office Details

Registered Office
Address
Locality*		City
State		Country
Pin code*		Company URL
Contact Person*		Designation*
Phone*		Mobile phone*
Fax		e-mail ID*
Head Office
Address
Locality		City
State		Country
Pin code		Company URL
Contact Person		Designation
Phone		Mobile phone
Fax		e-mail ID
Factory
Address
Locality		City
State		Country
Pin code		Company URL
Contact Person		Designation
Phone		Mobile phone
Fax		e-mail ID

Particulars of Promoters (first subscribe to the MoA)

Name*
Category*
Direct Identification number (DIN) or income-tax permanent account number (income-tax PAN) or passport number or corporate identity number (CIN) or foreign company registration number (FCRN) or any other registration number*
checked />Father checked />Husband

Nationality*		Date of birth*
Occupation*		Sub Occupation*
Voter identity card number*		Others (Specify)
Permanent Address
Address*
Locality*		City'
State		Country
Pin code		ISO Country Code
Phone*		Mobile phone*
Fax		e-mail ID*
Present Address
Address*
Locality*		City
State		Country
ISO Country Code		Pin code
Phone*		Fax

If already a director or promoter of a company(s), specify details of such company(s) (In case director or promoter in more than 3 companies, attach seperate sheet as optional attachment
checked />Director checked />Promoter	CIN	Name of the Company
checked />Director checked />Promoter	CIN	Name of the Company
checked />Director checked />Promoter	CIN	Name of the Company

Particulars of Payment of stamp duty

State or Union Territory in respect of which stamp duty is paid

Is the stamp duty paid electronically

checked />Yes checked />No checked />NA

(i) Details of stamp duty to be paid

Type of Document/Particulars	Form1	Memorandum of Association	Articles of Association
Stamp Duty paid (in Rs.)

(ii) Provide Details of Stamp Duty already paid

Type of Document/Particulars	Form1	Memorandum of Association	Articles of Association	Others
Total amount paid
Mode of payment
Stamp Vendor***
Sl No. of Stamps
Place of Payment
Date of Payment

*** Name of vendor or treasury or authority or any other competent agency authorised to collect Stamp Duty or to sell Stamp Papers or to emboss the documents or to dispense stamp vouchers on behalf of the Government

Declaration

I, *	*	*
do solemnly declare as under:
(i) That i am*
checked /> An advocate of the supreme court or a high court who is engaged in the formation of the company
checked /> An attorney or a pleader entitled to appear before a high court who is engaged in the formation of the company
checked /> A company secretary (in whole-time practice) in India who is engaged in the formation of the company
checked /> A chartered accountant (in whole-time practice) in India who is engaged in the formation of the company
checked /> A person named in the articles as a director, manager or secretary of the company
(ii) And I, further declare that the particulars given above are true to the best of my knowledge and belief;
(iii) Form 18 and 32 are also being filed simultaneously
(iv) I further confirm that i am duly authorised to submit this application; and that all the perticulars mentioned above are as provided in the articles of association as subscribed by the subscribers of the company
(v) That all the requirements of the Companies Act, 1956 and rules there under in respect of all the matters precedent in the registration of the company and the incidental thereto have been compiled with and I make this solemn declaration conscientiously believing the same to be true;
(vi) That the company has paid correct stamp duty per applicable Stamp Act.
To be digitally signed by
A person named in the articles as director or manager or secretary of the company
Designation
DIN of the Director, or Income-tax PAN of the manager, or Membership number, if applicable or income-tax Pan of the srcretary (secratary of the company who is not a member of ICSI, may quote his/her income-tax PAN)
An advocate, or Attorney or Pleader or Company Secretary or Chartered Accountant (in whole time practice)
In case of Company Secretary or Chartered Accountant (in whole time practice), mention
Whether associate or fellow	checked />Associate checked />Fellow
Membership number or certificate of pan number

For Office use only:
eForm Service Request Number	eForm Filling date
This Form is hereby registered:
Digital Signature of the authorising officer
Date of Signing