FORM OF APPLICATION TO THE CENTRAL GOVERNMENT FOR OBTAINING APPROVAL OF  APPOINTMENT/REAPPOINTMENT AND REMUNERATION PAYABLE TO MANAGING/WHOLE -TIME DIRECTOR
FORM No. 25A
	The Companies Act, 1956
 
	Nominal Capital 
	Registration No 					State where registered …………...
 
Form of application to the Central Government for approval of appointment/ reappointment and remuneration payable to Managing/Whole-time Directors) or Manager 
[Pursuant to sections 269, 198(4), 309(3), 311, 387 and 388]
 
Details of application fee paid:
 
(a) Payment is made by (i) treasury challan, (ii) demand draft.
(b) Treasury challan No./demand draft No. and date.
(c) Name of bank/treasury
(d) Fee paid 				Rs.
 
		PART A
1 . Particulars of company (in block letters)
(a) Name of the Company
(b) Address of the registered office
(c) Date of registration under the Companies
Act, 1956
(d)	Date of issue of certificate of commencement of business
(e)	Nature of business
	Whether the company is and deemed public
	limited company under section 43A 	Yes/No
 
If yes, date from which it became deemed public limited company.
2. (a) Management structure (list of Directors/Managing Directors/Whole-time Directors/Manager (in capital letters).
_________________________________________________________________________________________
SI. No. 	Name		Designation		Nationality 		Date of appointment

 
(b) Managerial remuneration paid during the last three years to be stated separate for each Director/Managing Director/Whole-time Director/Manager:
Year	Salary	Perqui-	Commi-		Others 	Total	%of net	Nature Whether	If No,
		sites	ssion				profits	of	approval 	reason									service	of		there
rende-	Govern-		for	ment
obtained			
			
			(Yes/No)
	______________________________________________________________________
3. Effective capital on date as per latest audited balance sheet (as defined in Schedule XIII)
 
(Rs. in thousands)
 
Effective capital as on
 
(i) Paid-up share capital							…………...…………...
Share premium account							…………...…………...
Reserves and surplus							…………...…………...
Long-term loans which are repayable after one year			…………...…………...
Deposits								…………...…………...
 
Total			…………...…………...
 
(ii) Investments								…………...…………...
Accumulated losses							…………...…………...
Preliminary expenses not written off					…………...…………...
 
							Total
								(i)-(ii)
 
4. Working results of the Company during last five years:
__________________________________________________________________
Financial parameters									Year			
 
Turnover 
Net profit (as computed under section 198) 
Net profit as per profit and loss account 
Amount of dividend paid 
Rate of dividend declared   
5. In the case of new companies, where the commercial production has not yet commenced, please furnish estimated project cost, the sources of finance and the projections of turnover, net profits (as computed under section 198) for the next three years.
 
6. Reasons for loss/inadequacy of profit, if any.
 
7. Steps taken to improve the performance of the Company, whether BIFR/financial institution/bank has approved any scheme for the revival of the Company, if so, furnish details thereof and copy of the scheme.
 
8. Name and address of the present auditors of the Company.
 
9. Shareholding pattern of the Company
 
(a)	(a)    Details of shareholding as on
______________________________________________________________________
Equity Shares   		(1) as %age of
	__________________________________________________________________
									(1)				(2)
______________________________________________________________________
(b) Total No. of shares
(c) Face value of the share Rs.
(d) Shares held by 
(i)	(i)                  Central/State Governments 
(ii)	(ii)                Public financial institutions/banks 
(iii)	(iii)               Foreign nationals 
(iv)	(iv)              Non-resident Indians 
(v)	(v)                Directors/promoters, their relatives, friends and associates 
(vi)	(vi)              Indian public
(vii)	Others (specify)
_________________________________________________________________________________________
Total
_________________________________________________________________________________________
PART B
 
10. Proposal for which Central Government's approval is sought and justification thereof.
	(a)	Proposal for						Appointment(s)/Reappointment(s)
	(b)	For remuneration proposed to				Managing Director/Whole-time Director(s)
		be paid to the proposed
	(c)	Proposed remuneration
________________________________________________________________________________________
Salary		Perqui- 	Commi-	Others 		Total 		%age of net 	Date from
sites	ssion	(Specify)		profits				which appro
	ved by the
		Board/Company
	________________________________________________________________________________________
(d) Which clause(s) of Schedule XIII is/are not
satisfied due to which the present application is being made? 
Give full particulars
 
(e)If the present proposal is for reappointment,
was the earlier appointment made in accordance with the 
provisions of Schedule XIII or with the approval of the Central
Government							Yes/No
 
11. Nature of services to be rendered by the
proposed appointee(s)						Yes/No
 
	12. Whether the proposed appointee(s) suffers
from any of the disqualifications mentioned in section
267 or 385							Yes/No
 
If yes, furnish details
13. Particulars of proposed appointee
	(i)	Name
	(ii)	Designation
	(iii)	Father's name
	(iv)	Nationality
	(v)	Date of birth
	(vi) 	Qualifications
	(vii)	Experience
	(viii) 	Income details during the last three years:
______________________________________________________________________
Organisation 	Designation	Duration	Salary 		Perquisites 	Commission 	Total
						________
	from 	to
	_____________________________________________________________________
	(ix) In case the proposed appointee is a
foreigner, also furnish the following:
	(a) Country of origin
	(b) Passport No.
	(c) Date of issue
	(d) Period of validity					From……………..To ……………..
	(e) Purpose of visit
 
14.Whether the proposal for which
Government's approval has been sought:
	(a) is covered by the articles of association of
	the Company?						Yes/No
	If so, reference be made to the relevant
	article(s)							..................................
	(b) has been approved by the Board of
	Directors of the Company?				Yes/No
	(c) has been approved by the Company in
	general meeting?					Yes/No
	(d) date of resolution of the Board and/or
	shareholders
15. Is the appointee working in any other
Company as Manager or Managing/Whole-time
Director or as a managing partner of any firm or is in
 	whole-time employment anywhere else?				Yes/No
	If yes, please furnish the following:
	(a)	(i) Name of the Company/firm
		(ii) Address
(iii) Whether registered Company/firm		Company			Firm
(iv) Nature of business
(v) Working results for the last four years
____________________________________________________________________
Financial parameters						Year ending on
_____________________________________________________________________
 
Turnover
Net profit
(as computed under section 198)
Dividend paid
Rate of dividend declared
Effective capital
(as defined in Schedule XIII)
______________________________________________________________________
(b) remuneration, if any, payable by the other Company/Firm:
_________________________________________________________________________________________
Organisation 	Designation	Duration		Salary 	Perquisites 	Commission 	Total
					_________
	From	   To
	______________________________________________________________________
whether rendering any professional services?
 
	(c)	Details of services rendered and
		remuneration
	(d)	Justification for proposed appointment, when
		the appointee is already managing/whole
		time Director in another Company or a firm
		or whole-time employee elsewhere:
	(e)	Whether provisions of section 316(2) have
		been complied with, if so, please furnish
		copy of resolution. If not, indicate the
		reasons therefor					Yes/No
(f)	(f)                 Whether he is engaged in any profession, if so 
details thereof
 
16. State whether the proposed appointee was sentenced to 
imprisonment for any period or to a fine exceeding Rs. 
1,000 on conviction for any offence under any of the 13 
Acts mentioned in clause 1 (a) of Part I of Schedule XIII. 
If so, please furnish full details
 
17. State whether the proposed appointee was detained for any 
period under the Conservation of Foreign Exchange and 
Prevention of Smuggling Activities Act, 1947? If so, details thereof
 
18. (a) State the nature and extent of direct or indirect 
interest of Director/Manager in selling/buying agencies, distribution, 
if any
 
(b)	Financial benefits derived therefrom during the last three years
 
19. The names of newspapers in which notices under section 640B 
have been published along with date thereof (enclose paper cutting).
___________________________________________________________________
Name of the newspaper					Date of publication
____________________________________________________________________
20. Whether a copy of the application together
with the enclosures has been sent to the Registrar of
Companies pursuant to rule 20A(i) of the Companies
(Central Government's) General Rules and Forms,
1956?									Yes/No
 
If yes, date of submission.
 
21. The following documents are enclosed:
 
(i)	Certified copy of the memorandum and articles of association
(ii)	(ii)                Certified copies of the annual accounts together with 
director's and auditors report for the latest five financial years.
(iii)	(iii)               Certified copies of the resolution of board/shareholder(s) 
including resolution under section 316(2) where applicable
(iv)	(iv)              Certified copy of Scheme approved by the BIFR/financial 
institution/bank, for the revival of the company, if any
(v)	(v)                Certified copies of newspaper clippings of notices published 
under section 64013, in original
 
	PART C
 
Application to the Central Government for approval to the payment of minimum remuneration or of remuneration in excess of the limits prescribed under section 198(1)/309(3)
[Pursuant to section 198(4)/309(3)/387]
 
	22. Whether the company proposed to pay
minimum remuneration in the absence or inadequacy
of profits or remuneration in excess of the limits
prescribed under section 198(1)/309(3)?						Yes/No
 
If, so, please furnish details of the proposal
 
(enclose copies of the relevant resolution)
 
Note: Separate application fees to be paid in respect of the application under Part C. Please enclose original copy of treasury challan/demand draft in favour of Pay and Accounts Officer, Department of Company Affairs, New Delhi.
 
Declaration
 
To the best of my/our knowledge and belief, the information given in this application and its Annexures is correct and complete.
 
Signature ...................................
Designation ................................
 
Dated this……………..day of……………..20……..