The Companies Directors Identification Number(Third Amendment) Rules 2012-DIN1

Affidavit from the applicant in case of Form DIN-1 as per Annexure I of the DIN rules

(Affidavit to be notarized in-non judicial stamp paper of Rs. 10, to be scanned as annexed with DIN-1

I . (name of applicant), Son/Daughter* of (applicant’s father’s name), born on …………(date of birth), resident of ……………….(present residential address of the

applicant) hereby confirm and verify that the particulars given in the Form DIN-1 are true and correct and also in agreement with the
documents being attached to the Form DIN-1 and I am solely
responsible for its accuracy.

2. I further confirm that

(i) The photograph and document attached to the Form DIN-1 belong to me. I further confirm that all required documents have been duly attested by me or duly attested by either Public Notary or a  Gazetted Officer of a Government and are attached to the form DIN-1 and

(ii) I am not restrained/ disqualified! removed of, for being appointed as director of a company under the provisions of Companies Act, 1956 including Section 203, 274, 284 and 388 (E) of the said Act or for being appointed as a designated partner of a limited liability partnership under the provisions of the Limited Liability Partnership Act, 2008 including section 5 Qf the said Act and

(iii) I have not been declared as proclaimed offender by any Economic Offence Court or Judicial Magistrate Court or High Court or any other Court and

(iv) I have not been already allotted a Director Identification Number (DIN) under Section 266B of the Companies Act, 1956 or a Designated Partner Identification Number (DPIN) under section 7 of the Limited Liability Partnership Act, 2008.

(v) Mr/ Ms ………….CA/ CS/ CWA in practice has been authorised to digitally sign DIN application on my behalf.

(vi)  The particulars of address provided in DIN-1 of the applicant and documents attached as address proof are correct beyond all reasonable doubts.

(vii) I have not furnished any false information or suppressed any material information with view to obtain DIN. In case information provided is found to be false or suppressed or willful omission, I have no objection to de-activate and cancel the DIN allotted by the Central Government and I shall be liable for penal action u/s 628 of the Companies Act.

(viii) In case of DIN allotted by the Central Government has not been activated within 365 days from the date of allotment, I have no objection for cancelling/ Deactivating for cancelling/ deactivating the allotted DIN.

*Note: Strike out whichever is not applicable.

Signature:

(Name)