FORM DIN-1 - Application for Allotment of Director Identification Number - Companies (Director Identification Number) Rules, 2006

FORM DIN-1 Application for Allotment of Director Identification Number [See rule 3(1)] Provisional Director Identification Number (DIN) (not to be filled by the applicant as it is generated by the system) Applicant's name (Enter full name and do not use abbreviations) Photograph 1. ( a ) *First name (Affix a latest passport size photograph and get it attested/certified for submission of physical copy of the form with MCA) ( b ) *Last name ( c ) Middle name Father's name (Even married women must give father's name) 2. ( a ) *First name ( b ) *Last name ( c ) Middle name 3. *Whether a citizen of India Yes No 4. Nationality 5. *Date of birth (DD/MM/YYYY) (Signature of the applicant) Signature should be within the box 6. *Gender 7. Place of birth 8. Income-tax Permanent Account Number 9. Voter's identity card number 10. Passport number 11. Driving licence number 12. ( a ) *Permanent residential address Line I Line II ( b ) *City ( c ) *State ( d ) *Country ( e ) *Pin code ( f ) Phone ( g ) Fax ( h ) e-mail ID 13. *Whether present residential address is same as permanent Yes No residential address 14. ( a ) Permanent residential address Line I Line II ( b ) City ( c ) State ( d ) Country ( e ) Pin code ( f ) Phone ( g ) Fax *Mandatory fields Instruction kit Submit Following documents are being enclosed: Proof of identity (Tick against the document being enclosed) 1. Passport 2. Election (voter identity) card 3. Driving licence 4. Income-tax PAN card 5. Others Please specify Proof of residence (Tick against the document being enclosed) 1. Passport 2. Election (voter identity) card 3. Ration card 4. Driving licence 5. Electricity bill 6. Telephone bill 7. Bank account statement 8. Others Please specify I Son/daughter of Resident of hereby declare and verify that the information given in this application and the documents enclosed is correct and complete. I confirm that I do not possess and have not been allotted another Director Identification Number by the Central Government. I also confirm that no other application (including physical documents) submitted by me is pending for allotment of Director Identification Number. Signature of the applicant (to be signed for submission of physical copy of the form with MCA) Dated Place General Guidelines for Director Identification Number (DIN) Application 1. Obtain Provisional DIN The applicant should first fill in the application on-line, generate a provisional DIN and then take a print out for dispatch to the DIN Processing Cell. An application without a provisional DIN cannot be accepted for further process and would merit straight rejection. 2. Attestation/certification of photograph, proof of identity and proof of residence A Public Notary or a Gazetted Officer of a Government or a practising professional (Chartered Accountant/Company Secretary/Cost Accountant) or a Company Secretary in full-time employment of the company. 3. Particulars of the attesting/certifying authority The attesting authority must indicate the following while attesting the documents: ( i ) Signatures; ( ii ) Name in full in Capitals; ( iii ) Registration No., if applicable; and ( iv ) Seal/Stamp. 4. Language of proofs for identity and residence In case the proof of identity and proof of residence is in a language other than Hindi or English, a certified copy of translation of the same in Hindi or English should be enclosed and the transaction be also certified by the professional who has otherwise certified the said proofs. 5. Date of Birth The proof of identity enclosed with DIN Form should also contain the Date of Birth of the applicant and the same should match the Date of Birth filled in the application form. In case the proof of identity does not indicate the Date of Birth then additional proof of Date of Birth, duly certified/attested, should be attached. 6. Process for applicants who are ( i ) Indian citizens residing abroad; ( ii ) foreign nationals residing in India; and ( iii ) foreign nationals residing outside India While general conditions as mentioned at Sr. Nos. 1, 3, 4 and 5 would be applicable in these categories also, the certification of attached documents and the photograph may be done by a notary in the resident country of the applicant or the Managing Director/CEO of the Company on which he is a Director or the Company Secretary in full-time employment of the Company. Further, in the case of a Foreign National, certified copy of the valid passport should be enclosed. For office use only: Signature of the authorising officer Dated (DD/MM/YYYY) Place