{AJAXCONTENT}

   Note- All fields marked * are to be mandatorily filled
1. Name of the Company*

(b) Country:
2. (a) *Country where the company is registered (enter ISO country code):
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
(a) *Address

(b) *Locality


(c) *City


(d) *State


(e) *Country


(f) *Pin code

(g) *Email ID

(h) *Phone No1

(i) *Phone No2

6. Address of principal place of business in India
(a) *Address

(b) *Locality


(c) *City


(d) *State


(e) Country


(f) *Pin code

(g) *Email ID

(h) *Phone No1

(i) *Phone No2

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

(a) * Address {AP_PERMENANT_ADDR}
(b) * Locality


(c) * City


(d) * State


(e) * Country


(f) * Pin code

(g) * ISO Country Code

(h) * Phone No1

(i) * Phone No2

(j) * Mobile No

(k) Fax

(l) Email ID

*If present residential address is same as the permanent residential address click checkbox
Present Residential Address
(a) *Address

(b) *Locality


(c) *City


(d) * State


(e) Country


(f) * Pin code

(g) * ISO Country Code

(h) * Phone No1

(i) * Phone No2

(j) * Mobile No

(k) Fax

(l) Email ID

*Whether the person authorised has been appointed through power of attorney or by passing the resolution checked />Power Of Attorney checked />Resolution
9.Particulars of payment of stamp duty
State or Union Territory in respect of which stamp duty is paid or to be paid on foreign executed power of attorney
City 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
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
Attachments
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)
Verification
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.
To be digitally signed by
Authorised representative of the foreign company
*Income-tax PAN of the authorised representative

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