Note- All fields marked * are to be mandatorily filled
1. Name of the Company*
2.(a) *Country where the company is registered (enter ISO country code):
(b) Country:
3.*State of principal place of business in India:
4. *Date of establishment of the principal place of business in India
5. Full address of registered or principal office of foreign company [see sub-section (1) (b)]
(a)*Address
(b) *City
(c) *State
(d) Country
(e) *Pin code
6. Address of principal place of business in India
*Address
(b) *City
(c) *District
(c) *State
(d) *Pin code
(e) Country
(f) *Email ID
7. Details of type of office and main division of business activity
(a) *Type of office
(b) If other, then provide details
(c) *Main division of bussiness activity to be carried out in India
(based on relevant sub class and description given in NIC-2004)
Description of Main division*
List of persons resident in India and authorised to accept on behalf of the company service of process and
any notices or other documents
8. *No. of persons authorised
Particulars of person authorised
*Income-tax permanent acount number (Income-tax PAN)
*Name of person resident in India authorised to accept on behalf of foreign company
Surname
checked />Father's Name
checked />Husband's Name
*Designation
Nationality
Date of birth
If already a director or promoter of a company then CIN of the company
Occupation
Permanent residential address
*Address
(b) *City
(c) *State
(d) Country
(e) *Pin code
(e) *ISO Country Code
(f) *Phone
(g) Fax
(h) Email ID
*Whether present residential address is same as the permanent residential address
checked >Yes
checked >No
Present Residential Address
*Address
(b) *City
(c) *State
(d) Country
(e) *Pin code
(e) *ISO Country Code
(f) *Phone
(g) Fax
(h) Email ID
*Whether the person authorised has been appointed through power of attorney or by passing the resolution
Power Of Attorney
Resolution
checked />Power Of Attorney
checked />Resolution
9.Particulars of payment of stamp duty (Refer instruction kit for details before filling the particulars)
State or Union Territory in respect of which stamp duty is paid or to be paid on foreign executed power of attorney
(b) *Is the stamp duty paid electronically
Yes
No
NA
(i) Details of stamp duty to be paid
Amount of stamp duty to be paid
(ii) Provide Details of stamp duty already paid
Type of Document/Particulars
Form44
Total amount of stamp paid (in Rs.)
Mode of payment of stamp duty
Name of the office of the collector of stamps or prescribed authority for stamping in foreign executed documents as per Rule 18 of the Indian Stamp Act
Serial number of embossing or stamps or treasury challan number
Date of payment of stamp duty
Place of payment of stamp duty
Attachements
1. *Charter, statutes or memorandum and articles of association or other Instrument constituting or
defining the constitution of the company(In the manner provided under Rule 16, 17 of the
Companies (Central Govement's) General Rules and Forms, 1956)
Verfication
I hereby confirm that I am duly authorised by the board of directors of the company to sign and submit this form and
to the best of my knowledge and belief, the information given in this form and its attachments is correct and complete.