FORM NO. NCLT. 1

ANNEXURE – A

(See rule 4)

FORM NO. NCLT. 1

[see rules 34, 64, 66, 67, 68, 69, 70, 71, 73, 74, 75, 77, 78, 79, 80, 81, 83, 86 and 87]

[HEADING AS IN FORM NCLT. 4]

Columns required for filing of Original Application / Reply / Rejoinder / Interlocutory Application or

filing of additional documents under directions of the Bench

i. Details of Original Application / Reply / Rejoinder / Interlocutory Application

Particulars of the Petitioner / Applicant / Respondent and state whether company, whether petitioner or

not.

(Name, description, father’s / husband’s name, occupation, capacity, i.e. qua shareholder, qua depositor

and address)

ii. Jurisdiction of the Bench:

The petitioner declares that the subject-matter of the petition is within the jurisdiction of the Bench. 

88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]

iii. Limitation: (If applicable)

The petitioner / applicant further declares that the petition is within the limitation laid down in section

……. Of the Companies Act, 2013 (where applicable)

iv. Facts of the case are given below:

(Give here a concise statement of facts in a chronological order, each paragraph containing as nearly as

possible a separate issue, fact or otherwise.)

v. Relief(s) sought.

In view of the facts mentioned above, the petitioner/applicant / respondent prays for the following

relief(s):

(Specify below the relief(s) sought explaining the ground for relief(s) and the legal provisions (if any)

relied upon)

vi. Particulars of Bank draft evidencing payment of fee for the petition or application made:

Branch of the Bank on which drawn:

Name of the issuing branch:

Demand Draft No………

Date…………..

Amount Rs………..

(Signature/Signature of Authorised signatory)

Date:

Place: