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Application to Regional Director
FORM NO. INC.18 for conversion of section 8
[Pursuant to section 8(4)(ii) of The
Companies Act, 2013 and Rule 21 (3) company into company of any
of The Companies (Incorporation) other kind
Rules 2014]
Form language o English o Hindi
Refer the instruction kit for filing the form.
1. (a)*Corporate identification number (CIN) of the company Pre-fill
(b) Global location number (GLN) of the company
2. (a) Name of the company
(b) Registered office address of the company
(c) email ID of the company
3. License number issued to the Company under Section 8
4. (a) Date of incorporation of the company
(b) Type of company
5. *Present object of the company
6. *The proposed object of the company after conversion and the changes in the activities and
operations of the company and manner of application of its income and assets, after the proposed conversion
7. Brief description of the activities of the company done in pursuance of section 8, if any
8. *Detailed reasons for conversion into any other kind of company
9. (a) *Date of passing board resolution
(b) *Date of passing special resolution
(c) *SRN of Form No. MGT.14
10. (a) *Whether the company is regulated under a special Act □ Yes □ No
(b) If yes, furnish the below details
(i) *Name of the regulatory body
172 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
(ii) *Date of obtaining the approval of regulatory body approving conversion
11. *Number of existing director(s) and key managerial personnel
*Particulars of existing director(s) and key managerial personnel
(i) DIN or Income tax PAN
Pre-fill
(ii) Name
(iii) Designation
12. *Whether the company has obtained any special status/ privilege as mentioned in rule 22(4)
□ Yes □ No
(If yes, name the authority and attach No objection certificate)
13. *Whether the company has acquired any immovable property through lease or otherwise from any
Government or authority or body corporate or person since incorporation at concessional rate or free of cost
□ Yes □ No
(If yes, attach proof of payment of differential amount as per rules)
14. *Whether company has received any donation and/or grant/benefits from any person or authority since
incorporation □ Yes □ No (If yes, attach the details of the same)
15. *Whether there is any surplus amount after payment of dues to be transferred to IEPF as per applicable rule
□ Yes □ No
If yes, mention the amount to be so transferred
16. *Whether the company is regular in filing of financial statements, annual returns and other due statutory
filings □ Yes □ No
17. * Whether NOC is obtained from all the creditors □ Yes □ No (If Yes, attach the NOC)
18. *Whether the company is being regulated by any sectoral regulator □ Yes □ No
If yes, attach approval/concurrence of the regulator and specify the below
Name of the regulator
Letter number Approval/concurrence Dated
19. I* ,
the Director of the company hereby affirm that:
a) The conversion is not being sought with the object of depriving the creditors of their dues or to cause
loss or prejudice to any person.
b) No portion of the income or property of the company has been paid or transferred directly or indirectly
by way of dividend or bonus or otherwise to persons who are or have been members or promoters of
the company or to any one or more of them or to any persons claiming through any one or more of
them.
c) I/We shall be liable under section 448 of the Act and under relevant provision of the Indian Penal Code,
1860 and any other law as applicable, if any statement in this application is found to be false or any fact
in any material particular is found to be omitted.
Attachment(s)
Attachment
1. * Memorandum of association;
2. * Articles of association; Attachment
3. *Copy of board resolution(s); Attachment
4. *Copy of the special resolution passed and Notice convening the general meeting Attachment
along with the relevant explanatory statement annexed thereto; Attachment
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5. *Certificate from CA/CS/CWA (in practise) certifying that the conditions laid down Attachment
in the Act and rules, have been complied with;
Attachment
6. *Statement of assets and liabilities of the company as on the date not earlier than
thirty days of that date duly certified by the auditor;
Attachment
7. *Copy of valuation report by a registered valuer about the market value of assets;
8. *Audited financial statements, the Board’s reports, annual returns and Attachment
the audit reports for each of the two financial years immediately preceding
the date of the application or, where the company has functioned only for
one financial year, for such year;
Attachment
9. Statement of financial position if applicable;
Attachment
10. Full details of fixed assets alienated if any, during the preceding three financial years;
11. Written consent of the lenders, if any loan is outstanding; Attachment
12. NOC from the concerned authority in case special status; Attachment
13. Proof of payment of differential amount; Attachment
14. Details of donation/grant/benefit received since incorporation of company; Attachment
15. Copy of NOC received from sectoral regulatory authority; Attachment
16. NOC from all the creditors
Attachment
17. Optional attachment(s)
Declaration
I am authorized by the Board of Directors of the Company vide *resolution number *dated
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in
respect of the subject matter of this form and matters incidental thereto have been complied with. I further
declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no
information material to the subject matter of this form has been suppressed or concealed and is as per the
original records maintained by the company.
2. All the required attachments have been completely and legibly attached to this form;
3. *I ,
a *{Drop down - Values: Chartered Accountant/ Company Secretary/ Cost Accountant/ } having
*Membership number and *Certificate of practice number
has been engaged to give declaration as per applicable rules and such declaration is attached.
*To be digitally signed by DSC BOX
Director
*Director identification number of the director
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Note: Attention is drawn to provisions of Section 448 and 449 which provide for punishment for false
statement / certificate and punishment for false evidence respectively.
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