FORM 61

Form for filing an application with Registrar of

Companies

[Pursuant to section 166, 210, 394, 560,

621A of the Companies Act, 1956]

Form Language English ihndI

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

1. * Category of applicant

2. * Name of office of the Registrar of Companies (RoC) to which application is being made

3. (a) Corporate identity number (CIN) or foreign company Pre-fill

registration number (FCRN) of the company or Form 1A
reference number (Service request number (SRN) of Form 1A)

(b) Global location number (GLN) of company

4. (a) Name of the company

(b) Address of the

registered office or
of the principal place
of
business in India of
the company

(c) e-mail ID of the company

5. Details of applicant (in case category is others)

(a) Name

(b) Address Line I

Line II

(c) City

(d) State

(e) ISO country code

(f) Country

(g) Pin code

(h) e-mail ID
6. * Application filed for

Compounding of offences
Extension of period of annual general meeting by three months under section166(1)
Extending the period of annual accounts upto eighteen months under section 210(4)
Declaring a defunct company under section 560
Scheme of arrangement, amalgamation
Others
7. If others, then specify

Page 1 of 4
 8. * Details of application

9. In case of application for compounding of offences, provide the following details

(a) Whether application for compounding offence is filed in respect of

Company Director Manager or secretary Other

(b) Number of person(s) for whom the application is being filed
(c) Details of person(s) for whom the application is being filed
(i) Category Director identification number (DIN) or Pre-fill
income-tax permanent account number
(income-tax PAN) or passport number

Name

(ii) Category DIN or income-tax PAN or passport number Pre-fill

Name

(iii) Category DIN or income-tax PAN or passport number Pre-fill

Name

(iv) Category DIN or income-tax PAN or passport number Pre-fill

Name

(v) Category DIN or income-tax PAN or passport number Pre-fill

Name

(vi) Category DIN or income-tax PAN or passport number Pre-fill

Name

(vii) Category DIN or income-tax PAN or passport number Pre-fill

Name

(viii) Category DIN or income-tax PAN or passport number Pre-fill

Name

Page 2 of 4
 (d) Whether application is being filed

Suo-motu In pursuance to notice received from RoC or any other competent authority

(e) Notice number and date of notice

(f) Section for which application is being filed

(g) Brief particulars as to how the default has been made good

10. In case of application under section 166(1) or 210(4), mention financial (DD/MM/YYYY)
year end date in respect of which the application is being filed

11.(a) Service request number of Form 23

(b) Date of passing special or ordinary resolution (DD/MM/YYYY)

(c) Date of filing Form 23 (DD/MM/YYYY)

12. Particulars of payment of stamp duty

Total number of stamp duty payment(s) for which details to be entered

State or Union territory in respect of which stamp

(i) duty is paid

Total amount of stamps or stamp paper (in Rs.)

Particulars of instrument(s) on which stamp duty is

paid

Mode of payment of stamp duty

Name of vendor authorised to collect stamp duty or

to sell stamp papers on behalf of the Government

Serial number of stamps or stamp paper

Registration number of vendor

Date of purchase of stamps or stamp paper

(DD/MM/YYYY)

Place of purchase of stamps or stamp paper

Page 3 of 4
Attachments List of attachments
Attach
1. Board resolution
2. Scheme of arrangement, amalgamation Attach

3. * Detailed application
Attach
4. Copy of notice received from RoC or any
Attach
other competent authority

5. Optional attachment(s) - if any Attach

Remove Attachment
Verification
To the best of my knowledge and belief, the information given in this application and its attachments is correct and
complete.

I have been authorised by the Board of directors' resolution number dated (DD/MM/YYYY)
to sign and submit this application.

I am duly authorised to sign and submit this application.

To be digitally signed by

Managing Director or director or manager or secretary (in case of an Indian company

or an authorised representative (in case of a foreign company) or other

Designation

DIN of the director or Managing Director; or

income-tax PAN of the manager or authorised representative; or
Membership number, if applicable or income-tax PAN of the secretary (secretary of a
company who is not a member of ICSI, may quote his/ her income-tax PAN)

To be digitally signed by

Chartered accountant (in whole-time practice) or Cost accountant (in whole-time practice) or

Company secretary (in whole-time practice)

Whether associate or fellow Associate Fellow

Membership number or certificate of practice number

Modify Check Form Prescrutiny Submit

For office use only: Affix filing details

eForm Service request number (SRN) eForm filing date (DD/MM/YYYY)

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)

Page 4 of 4