Form ADT-1-01112018 - Signed PDF

FORM NO.
ADT-1 Notice to the Registrar by

company for appointment of
[Pursuant to section 139 of the Companies Act, auditor
2013 and Rule 4(2) of the Companies
(Audit and Auditors) Rules, 2014]
Form language English Hindi

Refer the instruction kit for filing the form.
1.(a) *Corporate identity number (CIN) of company U85320TG2017NPL120267 Pre-fill
(b) Global location number (GLN) of company

2.(a) Name of the company ROZI ROTI FOUNDATION
(b) Address of the registered office 3-3-110/R1/504, HYDERGUDA,

of the company ATTAPUR
HYDERABAD
Rangareddi
Telangana
500048
(c) * email id of the company [email protected]
3.(a) * Whether company is falling under any class of companies as per section 139(2) Yes No
(b) * Nature of appointment Appointment/Re-appointment in AGM

4. * Whether joint auditors have been appointed Yes No
* Number of auditor(s) appointed
1
I. (a) *Category of Auditor Individual Auditor's Firm
(b) *Income Tax permanent account number of auditor or auditor's firm AAOPB7601A
(c) *Name of the auditor or auditor's firm
KAMLESH KUMAR BHARGAVA
(d) *Membership Number of auditor or auditor's firm's registration number 016307

(e) *Address of the Auditor Line I
or auditor's firm #235, ADARSH NAGAR, (OLD # 5-9-22/86)
Line II HILL FORT ROAD
*City HYDERABAD
*State Telangana-TG
Country IN
*Pin code 500063

*email id of the auditor
[email protected]
or auditor's firm
(f) *Period of account for which appointed From 01/04/2018 (DD/MM/YYYY)
(DD/MM/YYYY)
To 31/03/2023
(g) *Number of financial year(s) to which appointment relates
5
(h) * Whether the appointment of auditor is within the limits of twenty companies as specified
in sub section 3(g) of section 141 Yes No
Page 1 of 3
(i) Specify the tenure of previous appointment(s) of the auditor or auditor's firm or its member in the same company in
which audit was conducted or is functioning (excluding previous years having break of five or more years as specified
in Rule 6)
* Number of financial year(s) 1

S.no. Person appointed as auditor Financial year Financial year
Start date End date
1. Individual 26/10/2017 31/03/2018
2.
3.
4.
5.
6.
7.
8.
9.
10.
Page 2 of 3
5. (a) *Whether auditor(s) has been appointed in the annual general meeting (AGM) Yes No
(b) If yes, date of AGM 28/09/2018 (DD/MM/YYYY)
6. *Date of appointment 28/09/2018 (DD/MM/YYYY)
7. (a) * Whether auditor is appointed due to casual vacancy in the office of auditor Yes No
(b) * Specify the SRN of relevant form
(c) * Person vacated the office Individual Auditor's firm

(d) * Mention the membership number of auditor or Registration number of auditor's firm
who has vacated the office
(e) * Mention the date of such vacancy
(f) * Reasons of the casual vacancy
Attachments
1. Copy of the intimation sent by company Attach

List of Attachments
2. *Copy of written consent given by auditor AUDITOR APPOINTMENT LETTER-ROZI ROTI-2018.pd
Attach
AUDITOR CONSENT LETTER-ROZI ROTI-2018.pdf
3. *Copy of resolution passed by the board/company AGM EXTRACTS-AUDITOR APPOINTMENT-ROZI ROT
Attach
4. Copy of the letter of appointment from C&AG Attach
6. Optional attachment(s) - if any Attach

Remove attachment
Declaration
I am authorized by the Board of Directors of the Company vide resolution number * 007 dated * 01/09/2018
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of the
subject matter of this form and matters incidental thereto have been complied with. I also declare that all the information given
herein above is true, correct and complete including the attachments to this form and nothing material has been suppressed.
* To be digitally signed by
ANJAN Digitally signed by
ANJANEYULU
* Designation Director Date: 2018.10.27
EYULU 16:50:22 +05'30'
* Director identification number of the director; or DIN or

07925846
PAN of the Manager/CEO/CFO; or Membership number of
the Company Secretary
Note: Attention is also drawn to provisions of Section 448 of the Companies Act which provide for punishment for false
statement.
Modify Check Form Prescrutiny Submit
This eForm has been taken on file maintained by the registrar of companies through electronic mode and on the basis of
statement of correctness given by the company.
Page 3 of 3

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FORM NO.

ADT-1 Notice to the Registrar by

Form language English Hindi

1.(a) *Corporate identity number (CIN) of company U85320TG2017NPL120267 Pre-fill

(b) Global location number (GLN) of company

(b) Address of the registered office 3-3-110/R1/504, HYDERGUDA,

(c) * email id of the company [email protected]

(b) * Nature of appointment Appointment/Re-appointment in AGM

I. (a) *Category of Auditor Individual Auditor's Firm

KAMLESH KUMAR BHARGAVA

(d) *Membership Number of auditor or auditor's firm's registration number 016307

Line II HILL FORT ROAD

*Pin code 500063

(f) *Period of account for which appointed From 01/04/2018 (DD/MM/YYYY)

* Number of financial year(s) 1

1. Individual 26/10/2017 31/03/2018

(b) If yes, date of AGM 28/09/2018 (DD/MM/YYYY)

6. *Date of appointment 28/09/2018 (DD/MM/YYYY)

(b) * Specify the SRN of relevant form

(c) * Person vacated the office Individual Auditor's firm

(f) * Reasons of the casual vacancy

1. Copy of the intimation sent by company Attach

6. Optional attachment(s) - if any Attach

* Director identification number of the director; or DIN or

Modify Check Form Prescrutiny Submit

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