Company form No. 57

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1053

Registration No. of Company F.

THE COMPANIES ACT, 1956

Particulars of an issue of debentures in a series by a foreign company

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[Pursuant to section 600 read with section 128, proviso]

(For registration of particulars of the entire series Form No. 58 must be used)

Name of company’

Presented by

Date of registration of the series

Date of present issue

Amount of present issue

Gist of the terms and conditions and extent charge

Particulars as to the am( or rate per cent of the commission, allowance discount (if any) paid or made either directly or indirectly, by the company to any person in consideration of his subscribing agreeing to subscribe whether her absolutely or conditionally, or procure scriptions, whether absolute or conditional, for any of the debentures included in this return3

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Signature or signatures of one or more persons………………………………………………………………….

authorised under section 592(1)(d) of the………………………………………………………………………….

Companies Act, 1956 or of some other person…………………………………………………………………..

in India, duly authorised by the company………………………………………………………………………….

Dated this ……………………………………………………day of ………………………………..19

Country of origin also.

“Charge” includes a mortgage – see section 124.

The rate of interest payable under the terms of the debentures should not be entered.

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