Form DIR-2
Consent to act as a Director of a Company
{Pursuant to section 152(5) and rule 8 of Companies (Appointment and Qualification of Directors) Rules, 2014}
To,
The Board of Director,
Company name
Address of the company
Subject: Consent to act as a Director
I, ________, hereby give my consent to act as Director of company name, pursuant to sub-section (5) of section 152 of Companies Act, 2013 and certify that I am not disqualified to become a director under the Companies Act, 2013.
1. | Director Identification Number (DIN) | |
2. | Name (in full) | |
3. | Fathers Name (In full) | |
4. | Address | |
5. | E mail ID: | |
6. | Mobile no. | |
7. | Income Tax PAN | |
8. | Occupation | |
9. | Date of Birth | |
10. | Nationality |
11. No. of companies in which I am already a director and out of such companies the names of the companies in which I am a Managing Director, Chief Executive Officer, Whole time Director, Secretary, Chief Financial Officer, Manager.
S. No. | Name of the Company/ LLP | Whether also a Managing Director, Chief Executive Officer, Whole time Director, Secretary, Chief Financial Officer, Manager |
12. Particulars of membership No. and Certificate of practice No. if the applicant is a member of any professional Institute: –
S. No. | Name of Institute | Membership No. |
1. | Institute of Chartered Accountants of India | |
2. | Institute of Company Secretaries of India |
Declaration
I declare that | have not been convicted of any offence in connection with the promotion, formation or management of any company or LLP and have not been found guilty of any fraud or misfeasance or of any breach of duty to any company under this Act or any previous company law in the last five years. I further declare that if appointed my total Directorship in all the companies shall not exceed the prescribed number of companies in which a person can be appointed as a Director.
Signature:
Director name
Designation: Proposed Director
Date:
Place:
Attachments:
1. Proof of Identity;
2. Proof of residence;