REPORT TO THE CENTRAL GOVERNMENT

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..... 1) (a) Name of the Company (b) CIN: (c) Address of the Registered Office: 2) (a) Name of the auditor or auditor s Firm (b) Membership Number (c) Address 3) Date of the annual general meeting when the Auditor was appointed or reappointed 4) SRN and date of filing 5) Address of the office or location where the suspect .....

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..... Board or Audit committee. Yes _____ No _____. 13) Estimated amount involved in the suspected fraud; 14) Details of steps , if any, taken by the company in this regard; (Furnish full details with references) 15) Any other relevant information. VERIFICATION I, , Proprietor/Partner of , Chartered Accountants .....

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