FORM NO. 67 - Form for filing addendum for rectification of defects or incompleteness - Companies (Central Government’s) General Rules and Forms, 1956

FORM NO. 67 Form for filing addendum for rectification of defects or incompleteness [Pursuant to Rule 20A(3) of the Companies (Central Government s) General Rules and Forms, 1956] Note - All fields marked in * are to be mandatorily filled. 1. *Service request number (SRN) of relevant form(s) Pre-fill (Mention SRN of relevant form(s) in respect of which addendum is being filed. Ensure that correct SRN is mentioned in this field and verify the system displayed details below) 2. ( a ) Date of SRN (DD/MM/YYYY) ( b ) Form number(s) 3. ( a ) Corporate identity number (CIN) or foreign company registration number (FCRN) of the company ( b ) Global location number (GLN) of company 4. ( a ) Name of the company ( b ) Address of the registered office or of the principal place of business in India of the company ( c ) Name of the person filing this form (applicable in case of filing in respect of non-company or company yet to be incorporated) ( d ) *e-mail ID 5. ( a ) Details of defects pointed out or further information called by the Registrar of Companies (RoC) or any other competent authority ( b ) *Details of rectification of the defects or further information furnished 6. ( a ) SRN of additional (differential) stamp duty payment Pre-fill Details of additional (differential) stamp duty ( b )( i ) Amount of stamp duty Document name ( ii ) Amount of stamp duty Document name ( iii ) Amount of stamp duty Document name (Ensure that correct type of document is selected from the list of documents given in the drop down below. Maximum five documents can be attached). 7. ( a ) Type of document Attach ( b ) Type of document Attach ( c ) Type of document Attach ( d ) Type of document Attach ( e ) Type of document Attach List of attachments Remove attachment Verification To the best of my/our knowledge and belief, the information given above and in the attached documents is correct and complete. To be digitally signed by 1. Director or Managing Director or manager or secretary (In case of an Indian company) or an authorised representative (In case of a foreign company) Designation Director identification number (DIN) of the director or Managing Director; or Income-tax PAN of the manager or 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) 2. Director or Managing Director Designation DIN of the director or Managing Director 3. In case the form in respect of which addendum is being filed was signed by applicant or subscriber or advocate or attorney or pleader or person charged or chargeholder or ARC or assignee or trustee of debenture holder or receiver or person securing appointment or auditor or liquidator or cost auditor or chartered accountant (in whole-time practice) or company secretary (in whole-time practice) or cost accountant (in whole-time practice) or others ( i ) Designation Capacity ( ii ) Designation ( iii ) Designation Certificate It is hereby certified that I have verified the above particulars [including attachment(s)] from the records of and found them to be true and correct. I further certify that all required attachment(s) have been completely attached to this form. Chartered accountant (in whole-time practice) or Cost accountant (in whole-time practice) or Company secretary (in whole-time practice) Whether associate or fellow Associate Fellow Membership number or certificate of practice number Modify Check Form Pre-scrutiny Submit This form is not required to be signed by the authorising officer as this has been filed in respect of an already filed e-Form