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Form No. 04B - Register of Securities Bought Back - Companies (Central Government’s) General Rules and Forms, 1956Extract [1] [Form No. 4B Companies Act, 1956 [Pursuant to section 77A(9)] (See rule 5C also) Register of Securities Bought Back by the (Indicate the name of the Company) 1. Date of member's special resolution authorising buy-back of securities. 2. Amount of securities authorised to be bought back 3. Date up to which buy-back referred to at serial number 2 above to be completed 4. Description of securities bought-back by the company: Sl. No. Folio No./Certificate number of securities bought-back Date of buy-back of securities Number of securities bought-back Category to which they belong (Preference/Equity/Employees' Stock Option/ Sweat equity, etc.) (1) (2) (3) (4) (5) Name of the last holder of security Reference to entry in register of members Mode of buy back of securities (Rs.) Face value of a security (Rs.) Buy-back value paid for a security (Rs.) (6) (7) (8) (9) (10) Total consideration paid for buy-back of securities (Rs.) Cumulative total of column 11 Date of cancellation of securities bought-back Date of Extinguishment of securities bought-back Date of physical destruction of securities bought-back (11) (12) (13) (14) (15) Remarks (16) * Indicate whether the securities have been bought back from the existing security-holders on a proportionate basis or from the open market or from odd-lots of listed securities or from Employees' Stock Option or from Sweat Equity or from any other mode, if so, indicate the mode. 5. Other relevant details, if any. Place: Signature of the person authorised to sign the register of members Date: Name of the above person: ................................... Designation: ...................................................... Company Seal ------------------------------ Notes:- [1] Inserted by GSR 788(E), dated 24-11-1999.
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