71 - Report by A Public Company

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FORM DD-B Report by a public company

[Pursuant to section 274(1)(g) and rule 5 of the Companies


(Disqualification of Directors under section 274(1)(g) of the Companies
Act, 1956) Rules, 2003]

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

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. Paid-up capital (in Rs.)


*It is hereby reported under section 274(1)(g) of the Companies Act, 1956, that

M/s.

have failed to
file the annual accounts and annual return for the last three financial years ending

as on (DD/MM/YYYY)

and/or others

Repay deposits or interest thereon on due date being (DD/MM/YYYY)

Redeem its debentures on due date being (DD/MM/YYYY)


Pay dividend declared by the company since (DD/MM/YYYY)
The period of one year has expired on (DD/MM/YYYY)

The particulars of directors at the relevant period are as under :

1.* (a) Director identification number (DIN)

(b) Name of the director

2.*
(a) DIN

(b) Name of the director


3.*
(a) DIN

(b) Name of the director

4. (a) DIN

(b) Name of the director


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5. (a) DIN

(b) Name of the director

6. (a) DIN

(b) Name of the director

7. (a) DIN

(b) Name of the director

8. (a) DIN

(b) Name of the director

9. (a) DIN

(b) Name of the director

10. (a) DIN

(b) Name of the director

11. (a) DIN

(b) Name of the director

12. (a) DIN

(b) Name of the director

List of attachments
Attachments

Optional attachment(s) - if any Attach

Remove attachment
Declaration

To the best of my knowledge and belief, the information given in this 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


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Digital signature of the authorising officer Submit to BO

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