Form I-XBRL - Form for filing XBRL document in respect of Cost Audit Report and Other Documents with the Central Government - Companies (Cost Audit Report) Rules, 2011

Form I-XBRL Form for filing XBRL document in respect of Cost Audit Report and Other Documents with the Central Government [Pursuant to sections 233B(4) , 600(3)(b) of the Companies Act, 1956 and Companies (Cost Audit Report) Rules, 2011 ] ------------------- Notes:- 1. Substituted vide Notification No. G.S.R. 861(E), Dated 30-11-2012 , before it was read as:- FORM-I Form for filing Cost Audit Report and other documents with the Central Government [Pursuant to sections 233B(4), 600(3)( b ) of the Companies Act, 1956 and rule 2 of The Companies (Cost Audit Report) Rules, 2011] PART I - GENERAL INFORMATION Note: All fields marked in *are to be mandatorily filled. 1 ( a ) *Corporate identity number (CIN) or foreign company registration number of the company Pre-Fill ( b ) Global location number (GLN) of company 2 ( a ) *Name of the company ( b ) *Address of the registered office or of the principal place of business in India of the company ( c ) *E-mail address of the company 3 ( a ) *Financial year From (DD/MM/YYYY) To (DD/MM/YYYY) ( b ) *Date of Board of Directors meeting in which annexure to the cost audit report was approved (DD/MM/YYYY) 4 ( a ) *State number of Product Groups for which the Cost Audit Report is being submitted ( b ) *Details of such Product Groups of the company ( Number of rows depending on 4 ( a ) above ) Name of the Product Group Major Products/Activities Covered 5 ( a ) *State number of Product Groups/Activities not covered in the Cost Audit Report ( b ) *Details of such Product Groups/Activities of the company ( Number of rows depending on 5 ( a ) above ) Name of the Product Group Major Products/Activities Covered 6. Details of the cost auditor ( a ) *Category of the cost auditor Individual Cost accountant s firm ( b ) *Name of the cost auditor or the cost auditor s firm appointed as cost auditor of the company ( c ) *Income-tax permanent account number of the cost auditor or cost auditor's firm ( d )*Membership number of cost auditor or cost auditor s firm s registration number ( e ) Address of the cost auditor or cost auditor's firm ( i ) Line I Line II ( ii ) City ( iii ) State ( iv ) Country ( v ) Pin Code ( f ) *E-mail ID of the cost auditor or cost auditor s firm 7 ( a ) *Whether the cost auditor's report has been qualified or has any reservations or contains adverse remarks Yes No ( b )*If yes, cost auditor's qualifications, reservations or adverse remarks as given in the cost auditor's report 8 ( a ) *Whether the cost auditor's report contain any observations or suggestions Yes No ( b ) *If yes, cost auditor's observations/suggestions PART-II Attachments: 1. Cost audit report as per The Companies (Cost Audit Report) Rules, 2011 Attach 2. Optional attachment(s) - if any Attach List of attachments Remove attachment Verification: To the best of my knowledge and belief, the information given in this form and its attachments is correct and complete. I have been authorised by the Board of directors' resolution number to sign and submit this form. dated (DD/MM/YYYY) I am authorised to sign and submit this form. To be digitally signed by: Managing Director or director or manager or secretary (in case of an Indian company) Digital or an authorised representative (in case of a foreign company) Signatures *Designation *Director identification number of the director or Managing Director; or Income-tax PAN of the manager or of authorised representative; or Membership number, if applicable or Income-tax PAN of the secretary (secretary of a company who is not a member of ICSI may quote his/her income-tax PAN) Digital Director of the company Signatures Director identification number of the director Digital *Cost Auditor Signatures Whether associate or fellow Associate Fellow Membership number Modify Check Form Prescrutiny Submit This e-form has been taken on file maintained by the Central Government through electronic mode and on the basis of statement of correctness given by the filing company and the cost auditor