FORM NO.

Registration No. of Company Nominal

Capital Rs.

THE COMPANIES ACT, 1956

Modification of charges
Particulars of charges created by a company
registered in India
Subject to which property
has been acquired by a
company registered in
India

[Pursuant to section 125/127/135]

Name of the company

Presented by

1 Date and description of the

. instrument creating the charge
2 Amount secured by the
. charge/amount owing on
security of the charge
3 Short particulars of the property
. charged. If the property acquired
is subject to charge, of date of
acquisition of property should
be given   
4 Gist of the terms and conditions
. and extent and operation of the
charge
5 Name, addresses and description
. of the persons entitled to charge

6 Date and descriptions of

. instrument modifying the charge

7 particulars of modification
. specifying the terms and
conditions or the extent or
operation of the details of the
which modification is made, and
details of the modification.
Dated the day of 19

Signature ………………………………….
Name

(In Block Capitals)

Designation

Notes:

1. Charge’ includes mortgage ----see section 124.    A

description of the instrument that is to say whether trust
deed mortgage or debenture should also be given.
2. “Person entitled to the charge” will be include
mortgages.
3. Amount or rate per cent of the commission allowance
or discount (if any) paid or made either directly or
indirectly by the company to any person in consideration
of his subscribing or agreeing to subscribe, whether
absolutely or conditionally or procuring or agreeing to
procure subscriptions, whether absolute or conditional for
any of the debentures in this return, should be given in
item No.