Name of the Companies/Firms
|
Nature of Interest
| |
a)
|
As per Annexure “A”
|
Companies of which I am a Director/ Managing Director/Manager/Secretary / Committee Member
|
b)
|
As per Annexure “B”
|
Private Companies in which I am a Member
|
c)
|
As per Annexure “C”
|
Public Companies in which I hold more than 2% of the paid up capital
|
d)
|
As per Annexure “D”
|
Firms in which I am a Partner
|
e)
|
As per Annexure “E”
|
Firms in which I am a Partner as a Karta of HUF
|
f)
|
As per Annexure “F”
|
Firms in which my relatives are Partners
|
g)
|
As per Annexure “G”
|
Any other business enterprises and organization/institutions in which I should be considered interested
|
Mumbai
Dated :
|
Signature :
Name :__________________________
|
Annexure “A”
Designation Address of the
Name of Company (Director/Committee Member) Registered Office
Annexure “B”
List of Private Companies in which I am a Member
| Address of theRegistered Office |
Annexure “C”
Public Companies in which I hold Address of the
more than 2% of the Paid-up Capital Registered Office
Annexure “D”
Firms in which I am a Partner
|
SIGNATURE
|
Annexure “E”
Firms in which I am a Partner Address of the
as a Karta of HUF Registered Office
SIGNATURE
|
Annexure “F”
Firms in which my relatives are Partner
|
Annexure “G”
Organization/institutions in which I Address
of the should be considered interested Registered Office
SIGNATURE
|
LIST OF RELATIVES
1.
2.
3.
|
Wife
Father
Mother
|
:
:
:
|
4.
5.
6.
|
Son(s)
Son’s Wife
Daughter
|
:
:
:
|
7.
8.
9.
10.
11.
12.
13.
|
Father’s Father
Father’s Mother
Mother’s Mother
Mother’s Father
Son’s Son
Son’s Son’s wife
Son’s Daughter
|
:
:
:
:
:
:
:
|
14.
15.
16.
17.
18.
19.
|
Son’s Daughter’s husband
Daughter’s Husband
Daughter’s Son
Daughter’s son’s wife
Daughter’s daughter
Daughter’s Daughter’s husband
|
:
:
:
:
:
:
|
20.
21.
22.
23.
24.
|
Brother (Including step brother)
Brother’s wife
Sister (Including step sister)
Sister’s Husband
Members of H.U.F.
|
:
:
:
:
:
|

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