Company Law Board, Northern Region Bench, 3rd floor, "B" Block, Paryavaran Bhawan, C.G.O.

Complex, , Lodhi Road, New Delhi – 110 003. Company Law Board, Eastern Region Bench, 9, Old Post Office Street, 6th floor, Calcutta – 700 001. Company Law Board, Southern Region Bench, Shastri Bhavan, 5th floor, Block – I, No. 26, Haddows Road, Chennai (Madras) – 600 006. Tel.: 044 - 827 3639 Company Law Board, Western Region Bench, NTC House, 2nd floor, 16, Narottam Morarjee Marg, Ballard Estate, Mumbai – 400 038. Tel.: 261 1456 (Bench Officer) & 261 9636 Note 1:

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Haryana, Himachal Pradesh, Jammu and Kashmir, Punjab, Rajasthan, Uttar Pradesh, and Union Territories of Delhi and Chandigarh.

Arunachal Pradesh, Assam, Bihar, Manipur, Meghalaya, Nagaland, Orissa, Sikkim, Tripura, West Bengal, and Union Territories of Anadaman and Nicobar Islands and Mizoram Andhra Pradesh, Karnataka, Kerela, Tamil Nadu, and Union Territories of Pondecherry and Lakshadweep Island.

Goa, Gujarat, Madhya Pradesh, Maharashtra, and Union Territories of Dadra and Nagar Haveli and Damman and Diu.

The application shall be accompanied by a fee of Rupees Fifty by way of a Challan evidencing remittance of cash into PNB under the Head of A/c. 1475 - OGES. Fees realized by the Central Govt. and Company Law Board on application made to it under the Companies Act, 1956" OR by way of Bank Draft in favour of "The Pay and Accounts Officer, Department of Company Affairs, Mumbai." This application shall be made in triplicate.

2.

FORM NO. 11 (See Rule 36A) *APPLICATION BY DEPOSITOR UNDER SECTION 58A(9) OF THE COMPANIES ACT, 1956 (for manufacturing companies) or APPLICATION BY DEPOSITOR UNDER SECTION 45QA(2) OF THE RESERVE BANK OF INDIA ACT, 1934 (for non-banking financial companies) BEFORE THE COMPANY LAW BOARD (WESTERN REGION BENCH) (Change address as required) NTC House, 2nd floor, 16, Narottam Morarjee Marg, Ballard Estate, Mumbai - 400 038. APPLICATION NO. OF 2002

In the matter of the Companies Act, 1956 (1 of 1956), Sec.58A AND In the matter of (state the name of the : Depositor-Applicant : AND In the matter of (state the name of the : company) : Name and address Depositor-applicant of the : :

Name of the company and address of its : Registered Office :

Name(s) of Depositor(s) with full address

:

Amount of Deposit

:

Fixed Deposit Receipt No. and date : (photostat copy to be enclosed) : Terms and conditions of Deposit as also : date of Maturity of Deposit : Details of payment made by the company, : if any : Actual amount due as on date of : application (principal + interest) : Details of correspondence, if any, made : between the company and the Depositor : (copies of correspondence : to be enclosed) : Any other particular(s) considered relevant as may be : :

P R A Y E R S :The Depositor-applicant, therefore, prays:(a). that the company abovenamed be directed to make repayment of the aforesaid deposit(s) along with interest due thereon in accordance with the terms and conditions of the deposit; that such further orders be passed as the Company Law Board may deem fit in the circumstances of the case.

(b).

Dated at Mumbai, this ________ day of __________________ 2002.

(Signature of the Depositor-applicant)

NAME
Address Tel.:
Thursday, 31st October, 2002. To: The Company Law Board, (Change address as required) Western Region Bench, NTC House, 2nd floor, 16, Narottam Morarjee Marg, Ballard Estate, Mumbai - 400 038.

Respected Sir, Re: New Complaint __________________ ... COMPLAINANT. v/s __________________ ... RESPONDENTS. ___________________________________________ Enclosed herewith please find the above captioned new complaint which is being filed in triplicate (1 original + 2 extra sets). I am also enclosing herewith the prescribed fees of Rs.50/-, paid through Pay Order bearing cheque no. ________________ dated ___________________________ drawn on __________________________________________________, payable to "The Pay and Accounts Officer, Department of Company Affairs, Mumbai". I request appropriate action to be taken on my compliant. The date of hearing and the order may kindly be communicated to me at the above address. Thanking you, Yours faithfully,

Encl.: As above.

(Signature of the Depositor-applicant)

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