Form for filing balance sheet, profit and loss

FORM 23AC
[Pursuant to section 220 of the
account and other documents with the Registrar

Companies Act, 1956]

Note - All fields marked in * are to be mandatorily filled.

I. General information of the company

1(a). *Corporate identity number (CIN) of company Pre-Fill

(b). Global location number (GLN) of company

2(a). Name of the company

(b). Address of the

registered office
of the company

3(a). *Whether the company is a subsidiary company as defined under section 4 Yes No

(b). CIN of the holding company, if applicable Pre-Fill

(c). Name of the holding company

(d). Section under which the company has become a subsidiary

4(a). *Date of balance sheet (DD/MM/YYYY)

(b). Date of annual general meeting (DD/MM/YYYY)

5. *Number of auditors If the company has more than two auditors,

specify information for any two auditors
(i) (a). *Income-tax permanent account number (PAN) of auditor
(b). *Name of the auditor

(c). *Membership number of auditor

(d). *Name of auditor's firm

(e). *Address of the auditor Line I
or auditor's firm
Line II

*City *State

Country *Pin code

(ii) (a). Income-tax PAN of auditor

(b). Name of the auditor

(c). Membership number of auditor

(d). Name of auditor's firm

(e). Address of the auditor Line I

or auditor's firm
Line II

City State

Country Pin code

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 II. Performance of the company
Figures for the period Figures for the period
(Current financial year) (Previous financial year)
*6. (Amount in rupees thousands) (Amount in rupees thousands)
*From (DD/MM/YYYY) From (DD/MM/YYYY)
Particulars
*To (DD/MM/YYYY) To (DD/MM/YYYY)

Domestic turnover

(i) Sale of goods manufactured

(ii) Sale of goods traded

(iii) Sale or supply of services

Export turnover

(i) Sale of goods manufactured

(ii) Sale of goods traded

(iii) Sale or supply of services

Other income

Total income
Raw material consumed (see note 1)

Purchases made for re-sale(see note 2)

Salaries, wages and bonus

Managerial remuneration

Payment to auditors

Interest paid or payable

Insurance expenses

Consumption of power and fuel

Other expenditure

Total expenditure

Net Profit or Net Loss

Income tax including deferred tax

Note 1 - Raw material consumed is to be given as per following calculation -

Opening stock of raw materials + purchases of raw materials - closing stock of raw materials

Note 2 - Purchases made for re-sale is to be given as per following calculation -

Opening stock of goods traded + purchases of goods traded - closing stock of goods traded

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 III. Particulars of mobilisation and deployment of funds

Figures for the period Figures for the period

(Current financial year) (Previous financial year)
(Amount in rupees thousands) (Amount in rupees thousands)
From (DD/MM/YYYY) From
*7. Particulars (DD/MM/YYYY)
To (DD/MM/YYYY) To (DD/MM/YYYY)

Sources of funds

Paid-up capital

Reserves and surplus

Secured loans

Unsecured loans

TOTAL

Application of funds

Gross fixed assets

Less: depreciation and amortisation

Net fixed assets

Capital work-in-progress

Investments

Current assets, loans and advances

(a) Inventories

(b) Sundry debtors

(c) Cash and bank balances

(d) Other current assets

(e) Loans and advances

Less: Current liabilities and provisions

(a) Liabilities

(b) Provisions

Net current assets

Miscellaneous expenditure to the

extent not written off or adjusted

Profit and loss account

TOTAL

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IV. Details of qualification(s) and adverse remark(s) made by auditors

8. *Whether auditors' report has been qualified or contains adverse remarks Yes No

9(a). Auditors' qualification(s) and adverse remark(s) in the auditors' report

9(b). Directors' comments on qualification(s) and adverse remark(s) of the auditors

V. Financial parameters - Balance sheet items (Amount in Rs. thousands)

10. Share application money received

11. Share application money given

12. Paid-up capital held by foreign company 0.00 per cent

13. Number of shares bought back

14. Public deposits received

15. Deposits matured, but not paid

16. Deposits matured and claimed, but not paid

17. Investment in subsidiary companies

18. Investment in government companies

19. Capital reserve

20. Loans, advances and investments given by related parties (as per register under section 301)

21. Loans, advances and investments given to related parties (as per register under section 301)

VI. Financial parameters - Profit and loss account items (Amount in Rs. thousands)

22. Dividend paid per cent

23. Earning per share

24. Income in foreign currency

25. Expenditure in foreign currency

26. Subsidies received

27. Rent paid

28. Gross purchase of goods and services from related parties (as per register under section 301)

29. Gross sale of goods and services to related parties (as per register under section 301)

30. Bad debts of related parties

31. Increase (+) or decrease (-) in the value of finished goods

32. Increase (+) or decrease (-) in the value of work in progress

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 VII. Capital raised during the current year (Amount in Rs. thousands)

Equity shares Preference shares Total

33. (a). Public issue

(b). Bonus issue

(c). Rights issue

(d). Private placement

(e). Preferential allotment

(f). Total amount of capital raised during the current year

VIII. Turnover details of three principal products or services of the company (as per monetary terms)

(i) Indian trade classification (ITC) code Unit of measurement (UoM)

Description of the product or service

Turnover (Amount in Rs. thousands) (Quantity in UoM)

(ii) Indian trade classification (ITC) code Unit of measurement (UoM)

Description of the product or service

Turnover (Amount in Rs. thousands) (Quantity in UoM)

(iii) Indian trade classification (ITC) code Unit of measurement (UoM)

Description of the product or service

Turnover (Amount in Rs. thousands) (Quantity in UoM)

Note - For ITC code of products please refer to the publication 'Indian Trade Classification' based on
harmonized commodity description and coding system by the Ministry of Commerce, Directorate General of
Commercial Intelligence and Statistics, Calcutta - 700 001

Attachments
Attach
1. *Balance sheet and other documents.

2. Profit and Loss Account. Attach

3. Statement of the fact and reasons for not adopting balance sheet in the annual general Attach
meeting (AGM).
Attach
4. Statement of the fact and reasons for not holding the AGM.

5. Optional attachment(s) - if any. Attach

List of attachments

Remove attachment

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Declaration

I confirm that all the particulars mentioned above are as per the attached balance sheet, profit and loss acoount and
other related documents.
To the best of my knowledge and belief, the information given in the form and its attachments is correct and complete.
I have been authorised by the board of directors’ resolution dated * (DD/MM/YYYY)
to sign and submit this form.

To be digitally signed by

Managing director or director or manager or secretary of the company

Modify Check Form Prescrutiny Submit

For office use only:

This e-Form is hereby registered

Digital signature of the authorising officer Submit to BO

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