CS Vipul Goyal
Author has compiled format of Share Application form under Companies Act,2013 for ready Reference of our readers, Which is re-produced below and also link to download the same in word format is provided at the end of the Article:-
SHARE APPLICATION FORM
(Private & confidential, not for circulation)
To:
M/S: ABC PRIVATE LIMITED
202, Mumbai City MH 400056
Sir/Madam,
Sub: APPLICATION FOR PRIVATE PLACEMENT OF EQUITY SHARES OF RS.10/- EACH
Please refer to the offer document issued by you. Having read and understood the terms of offer and the instructions, apply for the allotment of equity shares to me/us. The application is an irrevocable offer by me/us. The amount payable on application as shown below is remitted. On allotment, please place my/our name(s) on the Register of shareholder(s). I/We bind myself/ourselves by the provisions as contained in the scheme.
In Figures In words
|
Date:
FOR OFFICE USE ONLY Date of receipt of application Sl. No: |
I am/we are applying as (Tick) whichever is applicable
Cheque/Demand Draft drawn on | Cheque/ DD No | Date | Amount | Individual ( ) Society/ Trust ( ) Mutual Fund ( ) Company ( ) Others ( ) |
–
APPLICANT’S NAME IN FULL | Name of father/ husband | Sex | Age | |
Sole /First | ||||
Second | ||||
Third | ||||
Nominee’s Name for sole/first applicant |
–
Name (IN CAPITAL LETTERS): ……………………………………………………
Address : ……………………………………………………………………………………………………… ………………………………………………………………… Phone No:______________ Mobile No: __________Fax:__________ E-mail :__________________ |
|||||||
Applicant | PAN | SPECIMEN | SIGNATURES | Sole/First
applicant |
|||
Sole/ First | Second applicant | ||||||
Second | Third applicant | ||||||
Third | Nominee |
……………………………………………………………Tear Here……………………………………………………
–
Address for Correspondence:
M/s: ABC PRIVATE LIMITED 202, Mumbai City MH 400056 |
NAME/S:………………………………………….
CHEQUE/DEMAND DRAFT DRAWN ON……………………………………………………… CHEQUE / DD NO:……………DT:…………… AMOUNT RS.:……………………………… Please draw the Cheque/DD in favour of :M/S; ABC PRIVATE LIMITED |
Receiver’s
Stamp
Received on |
Note: Cheques and Drafts are subject to realization.
Download Share Application Form under Companies Act, 2013 in word format
required share issued application form for pvt ltd company
When Nominee is mentioned, do they have to give their specimen signature. Is it compulsory or only mentioning nominee name is enough.