LLP Form 17 06.07.2023

LLP FORM NO.
17 Application and statement for the conversion of a

firm into Limited Liability Partnership (LLP)
[Pursuant to rule 38(1) of Limited Liability
Partnership Rules, 2009]
Note - All fields marked in * are to be mandatorily filled.
Part A: Application
1. *Indicate Registrar's reference number for name approval
Pre-fill
(Service Request Number (SRN) of Form 1)
2. Name of the Limited

Liability Partnership (LLP)
3. *Name of the firm
4. Principal address of the firm

* Line I
Line II
* City *District
* State *PIN
Country
ISO Country Code Phone Fax
* Email ID
5. (a) *Whether the firm is registered under the Partnership Act,1932. Yes No
(b) * Date of agreement by which firm was formed (DD/MM/YYYY)
6. *Total number of partners in the firm
7. *Total capital contribution in the firm (in Rs.)
8. Total number of partners in the LLP
9. *Whether all the partners of firm have given their consent for conversion of the firm Yes No
into the limited liability partnership. (attach the copy of the consent. )
10.*Whether all the partners of the limited liability partnership comprise all the partners of
Yes No
the Firm and no one else.
11.*Whether up to date Income-tax return is filed under the Income-tax Act, 1961. Yes No
If Yes, indicate the financial year end date upto which such return has been filed (DD/MM/YYYY)
12. *Whether any proceedings by or against the firm are pending in any Court or Tribunal
or any other Authority. Yes No
13. *Whether any earlier application for conversion of the said firm into limited liability Yes No
partnership was refused by the Registrar.
14. *Whether any conviction, ruling, order, judgment of any Court, Tribunal or other Yes No
authority in favour of or against the firm are subsisting.
15. (a) *Whether there are any secured creditors Yes No

16. *Whether any clearance, approval or permission for conversion of the firm into
Yes No
limited liability partnership is required from any other body/authority.
Part B: Statement
Declaration
1. I, partner of
registered under the Indian Partnership Act, 1932 or under
at (name of the place) in the
State/UT of Territory) on
(DD/MM/YYYY) registration number and also named in the incorporation document of
as a partner or designated partner give my consent for the conversion of the said firm M/s
into the limited liability partnership.
2. I state that I shall be personally liable (jointly and severally with the limited liability partnership) for the
liabilities and obligations of the firm which were incurred prior to the conversion or which arose from any
contract entered into prior to the conversion.
I further state as under:
(i) that all the requirements of the Limited Liability Partnership Act, 2008 and the rules made thereunder have
been complied with, in respect of conversion of firm into limited liability partnership and matters precedent and
incidental thereto;
(ii) that all the partners of the limited liability partnership comprise all the partners of the firm and no one else;
(iii) that the applicable clearances, approvals or permissions for conversion of the firm into a limited liability
partnership from any body/authority have been obtained;
(iv) that the consent of all the creditors for conversion of the firm into limited liability partnership has been
obtained;
(v) that to the best of my knowledge and belief, the information given in this form and its attachments is correct
and complete.
Attachments
List of attachments
1. *Statement of consent of partners of the firm Attach
2. *Statement of Assets and Liabilities of the firm
duly certified as true and correct by the Attach
Chartered Accountant in practice.
3. *Copy of acknowledgement of latest income tax Attach
return
4. Approval from any body/authority. Attach

5. List of all the secured creditors along with their
consent to the conversion Attach
6. Optional attachment (If any) Attach
Remove attachment
*To be digitally signed by a
partner or designated Partner
*DPIN of the Designated Partner
Certificate
It is hereby certified that I have verified the above particulars from the books and records of
and found them to be true and correct.

* Company Secretary in whole time practice Cost Accountant in whole time practice
Chartered Accountant in whole time practice
* Whether associate or fellow Associate Fellow

* Membership number or certificate of practice number
Modify Check Form Prescrutiny
For office use only:
(DD/MM/YYYY)
eForm Service request number (SRN) eForm filing date
Digital signature of the authorising officer
This e-Form is hereby approved

Confirm submission
This e-Form is hereby rejected
Date of signing (DD/MM/YYYY)

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LLP FORM NO.

17 Application and statement for the conversion of a

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

2. Name of the Limited

3. *Name of the firm

4. Principal address of the firm

ISO Country Code Phone Fax

(b) * Date of agreement by which firm was formed (DD/MM/YYYY)

6. *Total number of partners in the firm

7. *Total capital contribution in the firm (in Rs.)

8. Total number of partners in the LLP

15. (a) *Whether there are any secured creditors Yes No

registered under the Indian Partnership Act, 1932 or under

at (name of the place) in the

(DD/MM/YYYY) registration number and also named in the incorporation document of

into the limited liability partnership.

I further state as under:

4. Approval from any body/authority. Attach

6. Optional attachment (If any) Attach

*DPIN of the Designated Partner

and found them to be true and correct.

* Whether associate or fellow Associate Fellow

Modify Check Form Prescrutiny

For office use only:

This e-Form is hereby approved

This e-Form is hereby rejected

Date of signing (DD/MM/YYYY)

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