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      PRIME SURGICAL CENTERS PRIVATE LIMITED

      CIN: U85100PN2011PTC141113 As on: 2026-07-13
      Purchase Report

      PRIME SURGICAL CENTERS PRIVATE LIMITED (CIN: U85100PN2011PTC141113) is a Private company incorporated on 19 Oct 2011. It is classified as Non-government company and is registered at Registrar of Companies, Pune. Its authorized share capital is Rs. 1000000.00 and its paid up capital is Rs. 619770.00.

      PRIME SURGICAL CENTERS PRIVATE LIMITED's Annual General Meeting (AGM) was last held on 30 Sep 2023. and as per records from Ministry of Corporate Affairs (MCA), its balance sheet was last filed on 2023-03-31.PRIME SURGICAL CENTERS PRIVATE LIMITED's NIC code is 851 (which is part of its CIN). As per the NIC code, it is inolved in Human health activities.

      Directors of PRIME SURGICAL CENTERS PRIVATE LIMITED are MARUTHUR NEELAMBARAM PANICKER, and MILIND BHARATLAL DOSHI.

      PRIME SURGICAL CENTERS PRIVATE LIMITED's Corporate Identification Number (CIN) is U85100PN2011PTC141113 and its registration number is 141113. Users may contact PRIME SURGICAL CENTERS PRIVATE LIMITED on its Email address - [email protected]. Registered address of PRIME SURGICAL CENTERS PRIVATE LIMITED is Office No. 404, 4th Floor, Lunkad Sky Station, Co-op. Premises Soc. Ltd, Viman Nagar, , Pune, Maharashtra, India - 411014.

      Current status of PRIME SURGICAL CENTERS PRIVATE LIMITED is - Active.

      Basic Information

      • CIN
      • Name
      • Listed on Stock Exchange
      • Company Status
      • ROC
      • Registration Number
      • Company Category
      • Company Sub Category
      • Class of Company
      • Date of Incorporation
      • Age of Company
      • Activity
      • Number of Members

      Annual Compliance Status

      • Date of Last Annual General Meeting
      • Date of Last Filed Balance Sheet

      Key Numbers

      • Authorised Share Capital
      • Paid-up Share Capital
      • Total Assets
      • Revenue
      • Profit
      • Salaries & Other Employee Benefit Expenses
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      Previous Names

      Previous CINs

      ZaubaCorp's company report for PRIME SURGICAL CENTERS includes audited balance sheets, profit & loss statements, charges, director history, shareholding and related-party transactions, compiled from official MCA filings — delivered as PDF and Excel.

      Purchase Report

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      Our reports are designed to save you significant time by surfacing key information easily and structuring it in a way that helps in your research.

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      Companies are required to file half yearly returns showing payments due to Micro & Small Enterprises that have been delayed more than 45 days. This information is crucial to understand if PRIME SURGICAL CENTERS pays its vendors promptly. When seen over a period of time, this information could show if the company has slowed down in making payments to its small vendors. This information is available only if the company has filed its half yearly returns with the registrar of companies.

      Filing Type As On Amount Due to MSME Current Liabilities Ratio to Current Liabilities Reasons for Delay

      This section contains details of investor complaints or serious complaints filed with the registrar of companies. This information can surface potential red flags about a company.

      Director Complaints
      Date DIN Cessation Date Cessation Reason Complaint
      Serious Complaints
      Date Complaint Other Details
      Investor Complaints & Other Complaints
      Date Complaint Type Complaint Sub Type Particulars of Secutiries Period Complaint Other Details

      Current Directors & Key Managerial Personnel of PRIME SURGICAL CENTERS
      DIN Director Name Designation Appointment Date
      07060387 MARUTHUR NEELAMBARAM PANICKER Director 2020-12-29
      07084468 MILIND BHARATLAL DOSHI Director 2020-12-29
      Past Directors & Key Managerial Personnel of PRIME SURGICAL CENTERS
      DIN Director Name Designation Appointment Date Cessation
      00057953 AJIT TEKCHAND VASWANI Director - 2012-03-29
      00328668 SALIL BALDEVRAJ TANEJA Additional Director - 2012-10-26
      00328668 SALIL BALDEVRAJ TANEJA Director - 2020-07-14
      03636433 AMAR PRADHAN Additional Director - 2012-03-29
      03636433 AMAR PRADHAN Managing Director - 2020-08-12
      07060387 MARUTHUR NEELAMBARAM PANICKER Additional Director - 2020-12-29
      07084468 MILIND BHARATLAL DOSHI Additional Director - 2020-12-29
      07736981 SACHIN LAXMAN JADHAV Additional Director - 2019-09-30
      07736981 SACHIN LAXMAN JADHAV Director - 2020-07-14
      00328723 RAJIV GOEL Additional Director - 2018-11-05
      00812373 SHASHIKANT MANOHAR PRADHAN Director - 2012-03-29
      02619382 AJIT SINGH GILL Additional Director - 2012-10-26
      02619382 AJIT SINGH GILL Director - 2020-07-14
      Other Directorships of AJIT TEKCHAND VASWANI
      Company Name CIN Designation Appointment Date Cessation
      TERRUZZI FERCALX INDIA LIMITED L12801PN1963PLC149701 Director - 2010-02-16
      KEC INTERNATIONAL LIMITED L45200MH2005PLC152061 Director - 2020-07-28
      ZENSAR TECHNOLOGIES LIMITED L72200PN1963PLC012621 Director 2020-04-01 Ongoing
      ZENSAR TECHNOLOGIES LIMITED L72200PN1963PLC012621 Director - 2020-03-31
      SONOCO INDIA PRIVATE LIMITED U15133PN2006PTC139152 Director 2006-05-08 Ongoing
      EMBIO LIMITED U24110MH1986PLC038680 Director 2001-10-16 Ongoing
      MARGO BIOCONTROLS PRIVATE LIMITED U24119KA1994PTC016163 Director - 2019-07-01
      PJ MARGO PRIVATE LIMITED U24219KA1991PTC011795 Director - 2019-07-01
      ZENSAR TRANSFORMATION SERVICES LIMITED U72200PN1984PLC034103 Director 2000-03-15 Ongoing
      Other Directorships of SALIL BALDEVRAJ TANEJA
      Company Name CIN Designation Appointment Date Cessation
      ISMT LIMITED L27109PN1999PLC016417 Managing Director - 2009-04-01
      ISMT LIMITED L27109PN1999PLC016417 Whole-time director - 2014-12-01
      TD POWER SYSTEMS LIMITED L31103KA1999PLC025071 Additional Director - 2011-01-17
      TD POWER SYSTEMS LIMITED L31103KA1999PLC025071 Director - 2013-05-17
      TANEJA AEROSPACE AND AVIATION LTD L62200TZ1988PLC014460 Director 2018-10-01 Ongoing
      TANEJA AEROSPACE AND AVIATION LTD L62200TZ1988PLC014460 Director - 2014-12-01
      TANEJA AEROSPACE AND AVIATION LTD L62200TZ1988PLC014460 Whole-time director - 2018-10-01
      TAAL ENTERPRISES LIMITED L74110KA2014PLC176836 Whole-time director 2020-10-01 Ongoing
      STRUCTO HYDRAULICS INDIA PRIVATE LIMITED U29299PN2007FTC131108 Director - 2016-03-05
      FAIR MILLENNIUM INVESTMENT AND TRADING PRIVATE LIMITED U51900MH2000PTC126025 Director - 2015-08-25
      LOVYAM INFRASTRUCTURE AND TRADING PRIVATE LIMITED U64201PN2006PTC144143 Additional Director - 2010-03-24
      TAAL TECHNOLOGIES PRIVATE LIMITED U72200TZ2000PTC015547 Director 2000-11-08 Ongoing
      TAAL TECH INDIA PRIVATE LIMITED U74900KA2012PTC067450 Director - 2019-04-01
      TAAL TECH INDIA PRIVATE LIMITED U74900KA2012PTC067450 Managing Director 2019-04-01 Ongoing
      Other Directorships of AMAR PRADHAN
      Company Name CIN Designation Appointment Date Cessation
      PRIME SURGICAL DAMLE PATH LLP AAB-4196 Designated Partner - 2020-08-12
      PRIME SURGICAL DAMLE PATH LLP AAB-4196 Partner - 2020-08-10
      Other Directorships of MARUTHUR NEELAMBARAM PANICKER
      Company Name CIN Designation Appointment Date Cessation
      PRIME SURGICAL DAMLE PATH LLP AAB-4196 Designated Partner 2020-08-11 Ongoing
      SANAY TRADEX PRIVATE LIMITED U51220PN1987PTC197752 Director 2015-09-29 Ongoing
      NISH SALES & SERVICES PRIVATE LIMITED U52190PN2012PTC142178 Additional Director - 2015-09-30
      NISH SALES & SERVICES PRIVATE LIMITED U52190PN2012PTC142178 Director - 2016-05-20
      Other Directorships of MILIND BHARATLAL DOSHI
      Company Name CIN Designation Appointment Date Cessation
      SANAY TRADEX PRIVATE LIMITED U51220PN1987PTC197752 Additional Director - 2019-09-28
      SANAY TRADEX PRIVATE LIMITED U51220PN1987PTC197752 Director 2019-09-28 Ongoing
      NISH SALES & SERVICES PRIVATE LIMITED U52190PN2012PTC142178 Additional Director - 2015-09-30
      NISH SALES & SERVICES PRIVATE LIMITED U52190PN2012PTC142178 Director - 2019-09-04
      LOVYAM INFRASTRUCTURE AND TRADING PRIVATE LIMITED U64201PN2006PTC144143 Additional Director - 2019-08-19
      Other Directorships of SACHIN LAXMAN JADHAV
      Company Name CIN Designation Appointment Date Cessation
      GLOBAL TUBE AND STEEL SOLUTIONS PRIVATE LIMITED U29299PN2008PTC131221 Additional Director - 2017-09-29
      GLOBAL TUBE AND STEEL SOLUTIONS PRIVATE LIMITED U29299PN2008PTC131221 Director - 2018-10-19
      Other Directorships of RAJIV GOEL
      Company Name CIN Designation Appointment Date Cessation
      ISMT LIMITED L27109PN1999PLC016417 CFO(KMP) - 2022-10-01
      ISMT LIMITED L27109PN1999PLC016417 Director - 2023-03-18
      ISMT LIMITED L27109PN1999PLC016417 Whole-time director - 2017-09-30
      ASSCHER ENTERPRISES LIMITED U29000PN1995PLC090946 Director - 2016-03-30
      STRUCTO HYDRAULICS INDIA PRIVATE LIMITED U29299PN2007FTC131108 Director 2007-12-12 Ongoing
      GLOBAL TUBE AND STEEL SOLUTIONS PRIVATE LIMITED U29299PN2008PTC131221 Director - 2008-01-11
      PRECISION MERCHANDISE PRIVATE LIMITED U51109PN2012PTC141893 Additional Director - 2013-03-21
      PRECISION MERCHANDISE PRIVATE LIMITED U51109PN2012PTC141893 Director 2013-03-21 Ongoing
      LAURUS TRADECON PRIVATE LIMITED U51909PN2007PTC130869 Director - 2017-12-21
      Other Directorships of SHASHIKANT MANOHAR PRADHAN
      Company Name CIN Designation Appointment Date Cessation
      ENGINEERING SYSTEMS PRIVATE LIMITED U29100KA1978PTC003271 Director - 2014-05-05
      SYSTEMS MANUFACTURING PRIVATE LIMITED U30007KA1971PTC002144 Director - 2014-07-01
      CONVEYOR SYSTEMS PRIVATE LIMITED U31200TZ1984PTC001765 Director - 2014-06-01
      INDUS BUSINESS SOLUTIONS PRIVATE LIMITED U70100KA2008PTC048203 Director - 2014-05-05
      OTTO HOFSTETTER INDIA PRIVATE LIMITED U72900KA2002PTC030022 Director - 2009-08-04
      BULK SYSTEMS INTERNATIONAL PRIVATE LIMITED U85110KA1987PTC008724 Director - 2014-07-01
      Other Directorships of AJIT SINGH GILL
      Company Name CIN Designation Appointment Date Cessation
      OSR INFRA PRIVATE LIMITED U45209TG2010PTC070547 Additional Director - 2015-09-30
      OSR INFRA PRIVATE LIMITED U45209TG2010PTC070547 Director - 2022-02-15
      SLEEPCARE SOLUTIONS PRIVATE LIMITED U74900TG2010PTC069083 Additional Director - 2013-09-30
      SLEEPCARE SOLUTIONS PRIVATE LIMITED U74900TG2010PTC069083 Director 2015-09-30 Ongoing
      SLEEPCARE SOLUTIONS PRIVATE LIMITED U74900TG2010PTC069083 Director - 2014-09-29

      CIN Company Name Company Address
      U68100PN1994PTC076383 VISHKUL ENTERPRISES PRIVATE LIMITED OFFICE NO. 503, 5TH FLOOR, LUNKAD SKY STATION PREMISES CO-OP SOC. LTD, PLOT NO. 109, V,IMAN NAGAR,PUNE,Pune,Maharashtra,411014-India
      U74110PN1994PTC076383 VISHKUL ENTERPRISES PRIVATE LIMITED OFFICE NO. 503, 5TH FLOOR, LUNKAD SKY STATION PREMISES CO-OP SOC. LTD, PLOT NO. 109, V IMAN NAGAR , PUNE, Maharashtra, India - 411014
      U51900PN2000PTC130349 FAIR MILLENNIUM INVESTMENT AND TRADING PRIVATE LIMITED OFFICE NO. 503, 5TH FLOOR, LUNKAD SKY STATION CO-OP PREMISES SOC. LTD, PLOT NO.109, VIMAN NAGAR PUNE Pune MH 411014 IN
      U41001PN2008PTC131352 SAROD REALITY PRIVATE LIMITED OFFICE NO. 503, 5TH FLOOR,LUNKAD SKY STATION CO-OP PREMISES SOCIETY LIMITED, PLOT NO. 109,V,IMAN NAGAR,PUNE,Pune,Maharashtra,411014-India
      U65910MH1993PTC075787 KNOX INVESTMENTS PVT LTD OFFICE NO.503, 5TH FLOOR, LUNKAD SKY STATION CO-OP PREMISES SOCIETY, PLOT NO 9, VIMAN NAGAR , PUNE, Maharashtra, India - 411014
      U45200PN2007PTC131032 KETAKI PROMOTERS AND DEVELOPERS PRIVATE LIMITED OFFICE NO.503, 5TH FLOOR, LUNKAD SKY STATION CO-OP PREMISES SOCIETY, VIMAN NAGAR , PUNE, Maharashtra, India - 411014
      U29000PN1995PLC090946 ASSCHER ENTERPRISES LIMITED 503, 5th Floor, Lunkad Sky Station Co-operative Premises Society Ltd, Plot No.109 Viman Nagar, , Pune, Maharashtra, India - 411014
      ACI-6491 RISENIX GLOBAL LLP LUNKAD SKY STATION CO-OPERATIVE PREMISES SOCIETY LIMITED, SITUATED AT,UNIT NO.206 SECOND FLOOR SITUATED AT LOHEGAON VIMAN NAGAR TALUKA HAVELI PUNE MAHARASHTRA,Pune,Pune,Maharashtra,India-411014
      AAB-4196 PRIME SURGICAL DAMLE PATH LLP 404,4th Floor,Lunkad Sky Station, Co-operative Premises Society Limited,Viman Nagar Pune, Maharashtra, India - 411014
      U52190PN2012PTC142178 NISH SALES & SERVICES PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U51109PN2012PTC141879 TULIP STEEL TRADEX PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U64201PN2006PTC144143 LOVYAM INFRASTRUCTURE AND TRADING PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U72200PN2007PTC144349 M M INFOPROC AND STEEL SERVICES PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U74999PN2016PTC157832 VISATA SERVICES AND TRADING PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U74999PN2016PTC157974 FORENTE SERVICES AND TRADING PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station, Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U74999PN2016PTC164466 UNITO ALLOYS PRIVATE LIMITED 404, 4th Floor, Lunkad Sky Station Co-operatives Premises Society Limited,V iman Nagar , Pune, Maharashtra, India - 411014
      U66190PN2021PTC201247 FINGEL MANAGEMENT SERVICES PRIVATE LIMITED SNO-199, Office No. 401, Lunkad SkyStation Co-operative Premises society Ltd.,Vimannagar, Pune 411014,Pune,Pune,Maharashtra,411014-India
      U34300PN2009PTC133716 B-2 MOTOR COMPANY (INDIA) PRIVATE LIMITED Office No 25,Fourth Floor,Royal Tower Premises Co op Housing Society Ltd,Plot No 45 Vim an Nagar , Pune, Maharashtra, India - 411014
      U62099PN2023PTC224926 SPASHAL TECHNOLOGY PRIVATE LIMITED Office No 304, 3rd Floor, Lunkad Sky Station Co-Op HSG. Society,Near HDFC Bank,Pune,Pune,Maharashtra,411014-India
      ACM-9853 STRATTON LANDMARKS LLP S. NO. 206/209, PLOT NO. 3, OFFICE NO. 302, 4TH FLOOR,,NEAR GANPATI CHOWK, LUNKAD TOWER, VIMAN NAGAR,,Pune,Pune,Maharashtra,India-411014
      ACM-9856 PROP BUTLERS LLP S. NO. 206/209, PLOT NO. 3, OFFICE NO. 302, 4TH FLOOR,,NEAR GANPATI CHOWK, LUNKAD TOWER, VIMAN NAGAR,,Pune,Pune,Maharashtra,India-411014
      ACM-9860 STRATTON DRONES LLP S. NO. 206/209, PLOT NO. 3, OFFICE NO. 302, 4TH FLOOR,,NEAR GANPATI CHOWK, LUNKAD TOWER, VIMAN NAGAR,,Pune,Pune,Maharashtra,India-411014
      AAG-1830 NUMMER EINS EDUCATORS LLP Office No.508, Lunkad Sky Max Co.Op.Hsg Society, Viman Nagar Pune, Maharashtra, India - 411014
      U29248PN2009FTC134786 JORDAHL INDIA CONSTRUCTION ACCESSORIES PRIVATE LIMITED Office No. 601-604, 6th Floor, Lunkad Sky Station, Viman Nagar, Taluka- Haveli , Pune, Maharashtra, India - 411014
      AAI-3984 ADHAU AND ASSOCIATES LLP Office No.508, Lunkad Sky Max Co.Op .Hsg Society Opp. Datta Mandir Chowk, Viman Nagar Pune, Maharashtra, India - 411014
      U29413PN1985PLC035413 ELARA TRADING AND SERVICES LIMITED 404,4th Floor, Lunkad Sky Station, Co-operative Premises Society Limited, V iman Nagar , Pune, Maharashtra, India - 411014
      U72900PN2014FTC151338 ITYX INDIA PRIVATE LIMITED Office No. 403 & 404, 4th Floor, B Wing Nyati Empress, Nagar Road , Viman Nagar , Pune, Maharashtra, India - 411014
      U72501PN2017PTC174063 THINKOWL OFFSHORE SOFTWARE PRIVATE LIMITED OFFICE NO - 403 & 404, 4th Floor, B WING, NYATI EMPRESS, NAGAR ROAD, VIMAN NAGAR, , Pune, Maharashtra, India - 411014
      F04769 MHA ZENTGRAF GMBH & CO. KG Office No. 601 - 604, 6th Floor, Lunkad Sky Statio Viman Nagar, Taluka Haveli, Pune , Pune, Maharashtra, India - 411014
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      Charge ID Charge Creation Date Charge Modification Date Charge Closure Date Assets Under Charge Amount Charge Holder

      • Email ID
      • Website
      • Address

      This information shows products and services that contribute highest to the company's revenue. Analysing this over a period of time can show the evolution of the company in terms of the products and services it offers.

      Financial Year Business Activity Code Business Activity Description Percentage of Turnover

      Financial information is availalbe only if it has been filed by the company. If the company has not filed its returns, financials for the defaulting period will not be available.

      2024-03-31 2023-03-31 2022-03-31 2021-03-31 2020-03-31 2019-03-31 2018-03-31 2017-03-31 2016-03-31 2015-03-31 2014-03-31 2013-03-31 2012-03-31
      Download Audited Financials
      EQUITY AND LIABILITIES
         Shareholder's funds
            Share Capital
            Reserves & Surplus
            Money Received Against Share Warrants
         Share Application Money Pending Allotment
         Non-current Liabilities
            Long-term borrowings
            Deferred tax liabilities
            Other Long Term Liabilities
            Long Term Provisions
         Current Liabilities
            Short-term borrowings
            Trade Payables
            Other Current Liabilities
            Short Term Provisions
      Total Equity and Liabilities
      ASSETS
         Non-current Assets
            Fixed Assets
               Tangible Assets
               Intangible Assets
               Capital Work In Progress
               Intangible Assets Under Development
            Non-current Investments
            Deferred Tax Assets (net)
            Long-term Loans & Advances
            Other Non-current Assets
         Current Assets
            Current Investments
            Inventories
            Trade receivables
            Cash & Cash Equivalents
            Short-term Loans & Advances
            Other Current Assets
      Total Assets

      Financial information is availalbe only if it has been filed by the company. If the company has not filed its returns, financials for the defaulting period will not be available.

      2024-03-31 2023-03-31 2022-03-31 2021-03-31 2020-03-31 2019-03-31 2018-03-31 2017-03-31 2016-03-31 2015-03-31 2014-03-31 2013-03-31 2012-03-31
      Download Audited Financials
      REVENUE FROM OPERATIONS
         Domestic Turnover
            Sale of Goods Manufactured
            Sale of Goods Traded
            Sale of Supple of Services
         Export Turnover
            Sale of Goods Manufactured
            Sale of Goods Traded
            Sale or Supply of Services
         Other Income
      Total Revenue From Operations
      EXPENSES
         Cost of Materials Consumed
         Purchases of Stock in Trade
         Change in Inventories of
            Finished Goods
            Work in Progress
            Stock in Trade
         Employee benefit Expenses
         Managerial Remuneration
         Payment to Auditors
         Insurance Expenses
         Power & Fuel
         Finance Cost
         Depreciation & Amortization Expenses
         Other Expenses
      Total Expenses
      Profit before Exceptional Items, Extraordinary Items and Tax
         Exceptional Items
      Profit before Extraordinary items and Tax
         Extraordinary Items
      Profit before Tax
         Tax Expense
            Current Tax
            Deferred Tax
      Profit/Loss after Tax from Continuing Operations
      Profit/Loss after Tax from Discontinuing Operations
         Tax Expense of Discontinuing Operations
      Total Profit/Loss
      Earnings per Equity Share (EPS) before Extraordinary Items
         Basic
         Diluted
      Earnings per Equity Share (EPS) after Extraordinary Items
         Basic
         Diluted

      This section contains details of cash raised by allocation of equity or debentures. All types of fund raising acitivity is listed here including funding raised through Venture Capital. Attachments would contain further details of the fund raising activity including names of the investors. This information is available only if the company has raised funds through cash allotment of equity or debentures.

      Date of Allotment Securities Alloted Terms Number of Securities Nominal Amount Premium Amount Due & Payable Premium Amount Paid Total Discount Amount to be Paid on Calls (Excluding Premium) Attachments

      This section contains list of associate companies and joint ventures as per the most recently available annual returns. This information would not be available if the company has not filed annual returns at all or it does not have any subsidiaries or joint ventures.

      Company Identifier Name Percentage of Shares Held

      This section contains list of board resolutions reported by the company to the Registrar of Companies.

      Date of Filing Date of Dispatch of Notice Date of Passing Resolution Section (Companies Act 2013) Section (Companies Act 1956) Subject Matter of Resolution Resolution Agreed By Resolution Type Additional Documents

      This section contains auditors of a company over the years. This information is available if the company has filed their annual returns with the Registrar of Companies.

      Financial Year Name of Auditor or Firm PAN of Auditor or Firm Membership Number / Registration Number Name of Auditor Signing Report Membership Number of Auditor Signing Report

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