Form No. 4 : Application by depositor under section 58A(9) of the Act or section 45QA of the Reserve Bank of India Act, 1934 (See regulation 37) Before the Company Law Board ( _________________________ Bench) In the matter of the Companies Act, 1956, section 58A of the Act or section 45QA of the Reserve Bank of India Act, 1934 and In the matter of (state the name of the Depositor-applicant) and In the matter of ____________________________________ Limited (state the name of the company) (i) Name and address of the Depositor-applicant; (ii) Name of the company and address of its Registered Office; (iii) Name(s) of depositor(s) with full address; (iv) Amount of Deposit; (v) Fixed Deposit Receipt No. and Date (Photostat copy to be enclosed); (vi) Terms and conditions of deposit as also date of maturity of deposit; (vii) Details of payment made, by the company, if any; (viii) Actual amount due as on date of application (Principal/Interest); (ix) Details of correspondence, if any, made between the company and the depositor (copy of correspondence to be enclosed); (x) Any other particular(s) as may be considered relevant; The Depositor-applicant therefore, prays:- (i) that the company, above-named be directed to make repayment of the aforesaid deposit(s) along with interest due thereon in accordance with the terms and conditions of the deposit; (ii) that such further orders be passed as the Company Law Board may deem fit in the circumstances of the case. (Signature of the Depositor-applicant) Place _______________ Date _______________ Delete whichever is not applicable. Notes: 1. The application shall be accompanied by a fee of Rupees Fifty by way of Bank Draft in favour of ‘The Pay and Accounts Officer, Department of Company Affairs, New Delhi/Bombay/Calcutta/Madras’. 2. This application shall be made in duplicate. |