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      FORTIS WORLD OF SPORTS PRIVATE LIMITED

      CIN: U92419PB2012PTC036149 As on: 2026-07-13
      Purchase Report

      FORTIS WORLD OF SPORTS PRIVATE LIMITED (CIN: U92419PB2012PTC036149) is a Private company incorporated on 17 Apr 2012. It is classified as Non-government company and is registered at Registrar of Companies, Chandigarh. Its authorized share capital is Rs. 100000000.00 and its paid up capital is Rs. 10000000.00.FORTIS WORLD OF SPORTS PRIVATE LIMITED's NIC code is 9241 (which is part of its CIN). As per the NIC code, it is inolved in Sporting activities.

      Directors of FORTIS WORLD OF SPORTS PRIVATE LIMITED are SAFI KAMAL, KIRANKUMAR MAGANLAL DINGORIA, IMRAN HABIB PATEL, AMANULLAH MOHAMMAD HUSAIN KHAN, NASIR PYARE JAMAL KHAN, BHARAT MAHAPRASAD SEVAK, and VENKATESWARA RAO REKAPALLI.

      FORTIS WORLD OF SPORTS PRIVATE LIMITED's Corporate Identification Number (CIN) is U92419PB2012PTC036149 and its registration number is 36149. Users may contact FORTIS WORLD OF SPORTS PRIVATE LIMITED on its Email address - [email protected]. Registered address of FORTIS WORLD OF SPORTS PRIVATE LIMITED is 173, SHASTRI NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001.

      Current status of FORTIS WORLD OF SPORTS PRIVATE LIMITED is - Strike Off.

      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 FORTIS WORLD OF SPORTS 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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      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 FORTIS WORLD OF SPORTS 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 FORTIS WORLD OF SPORTS
      DIN Director Name Designation Appointment Date
      02610881 SAFI KAMAL Director 2012-04-17
      02737859 KIRANKUMAR MAGANLAL DINGORIA Additional Director 2012-05-04
      03124945 IMRAN HABIB PATEL Director 2012-04-17
      05205589 AMANULLAH MOHAMMAD HUSAIN KHAN Director 2012-04-17
      05208584 NASIR PYARE JAMAL KHAN Director 2012-04-17
      01781813 BHARAT MAHAPRASAD SEVAK Additional Director 2012-05-04
      02362730 VENKATESWARA RAO REKAPALLI Additional Director 2012-09-26
      Past Directors & Key Managerial Personnel of FORTIS WORLD OF SPORTS
      DIN Director Name Designation Appointment Date Cessation
      Other Directorships of SAFI KAMAL
      Company Name CIN Designation Appointment Date Cessation
      SAKHI COAL PRODUCTS PRIVATE LIMITED U10100WB2012PTC172744 Director 2012-01-23 Ongoing
      FORTIS GAS PRIVATE LIMITED U11100MH2012PTC232467 Director 2012-06-20 Ongoing
      BAGHWALE GRAINS PRIVATE LIMITED U15139DL2012PTC231786 Director 2012-02-28 Ongoing
      FORTIS LEATHER PRIVATE LIMITED U19115MH2012PTC234189 Director 2012-08-06 Ongoing
      FORTIS FERTILIZERS PRIVATE LIMITED U24233MH2012PTC234208 Director 2012-08-06 Ongoing
      FORTIS GLASS PRIVATE LIMITED U26960MH2012PTC232214 Director 2012-06-15 Ongoing
      FORTIS BULLION INDIA PRIVATE LIMITED U27310MH2012PTC227596 Director 2012-03-02 Ongoing
      FORTIS SUPER STRUCTURES PRIVATE LIMITED U45400MH2012PTC227947 Director 2012-03-12 Ongoing
      FORTIS LEISURE PRIVATE LIMITED U55204MH2012PTC227641 Director 2012-03-05 Ongoing
      FORTIS INTERNATIONAL COMPANY INDIA PRIVATE LIMITED U65100MH2012PTC226212 Director 2012-01-19 Ongoing
      FORTIS CORPORATION PRIVATE LIMITED U65900MH2012PTC237043 Director 2012-10-19 Ongoing
      HIGHNESS INVESTMENT & FINANCE COMPANY PRIVATE LIMITED U65921MP2012PTC027760 Director 2012-02-21 Ongoing
      FIC FINANCE (INDIA) LIMITED U65923MH2011PLC218649 Additional Director - 2012-10-18
      FORTIS FINANCE COMPANY PRIVATE LIMITED U65923MH2012PTC234186 Director 2012-08-06 Ongoing
      FORTIS HOUSING PRIVATE LIMITED U70102MH2012PTC227352 Director 2012-02-23 Ongoing
      FORTIS INFOTECH PRIVATE LIMITED U72100MH2012PTC227565 Director 2012-03-02 Ongoing
      SAPNEO SOFT TECHNOLOGIES BANGALORE PRIVATE LIMITED U72200KA2009PTC049933 Managing Director 2009-05-26 Ongoing
      FORTIS BPO PRIVATE LIMITED U72900MH2012PTC234175 Director 2012-08-06 Ongoing
      FORTIS EDUCATION PRIVATE LIMITED U80904MH2012PTC230654 Director 2012-05-07 Ongoing
      Other Directorships of KIRANKUMAR MAGANLAL DINGORIA
      Company Name CIN Designation Appointment Date Cessation
      FORTIS GAS PRIVATE LIMITED U11100MH2012PTC232467 Director 2012-06-20 Ongoing
      FORTIS LEATHER PRIVATE LIMITED U19115MH2012PTC234189 Director 2012-08-06 Ongoing
      FORTIS FERTILIZERS PRIVATE LIMITED U24233MH2012PTC234208 Director 2012-08-06 Ongoing
      FORTIS GLASS PRIVATE LIMITED U26960MH2012PTC232214 Director 2012-06-15 Ongoing
      FORTIS CORPORATION PRIVATE LIMITED U65900MH2012PTC237043 Director 2012-10-19 Ongoing
      FORTIS FINANCE COMPANY PRIVATE LIMITED U65923MH2012PTC234186 Director 2012-08-06 Ongoing
      FORTIS BPO PRIVATE LIMITED U72900MH2012PTC234175 Director 2012-08-06 Ongoing
      Other Directorships of IMRAN HABIB PATEL
      Company Name CIN Designation Appointment Date Cessation
      FORTIS GAS PRIVATE LIMITED U11100MH2012PTC232467 Director 2012-06-20 Ongoing
      FORTIS LEATHER PRIVATE LIMITED U19115MH2012PTC234189 Director 2012-08-06 Ongoing
      FORTIS GLASS PRIVATE LIMITED U26960MH2012PTC232214 Director 2012-06-15 Ongoing
      H & H TRADERS AND MANUFACTURERS PRIVATE LIMITED U27109MH2021PTC368228 Director 2021-09-27 Ongoing
      FORTIS BULLION INDIA PRIVATE LIMITED U27310MH2012PTC227596 Director 2012-03-02 Ongoing
      FORTIS SUPER STRUCTURES PRIVATE LIMITED U45400MH2012PTC227947 Director 2012-03-12 Ongoing
      GODBLESS SUPPLIERS PRIVATE LIMITED U51101WB2010PTC143871 Additional Director 2012-02-07 Ongoing
      APEKSHA TOURS & TRAVEL PVT.LTD. U51909WB1995PTC067552 Director - 2013-11-05
      CORNFLOWER VINCOM PRIVATE LIMITED U51909WB2010PTC144389 Additional Director 2012-02-04 Ongoing
      FORTIS LEISURE PRIVATE LIMITED U55204MH2012PTC227641 Director 2012-03-05 Ongoing
      FORTIS INTERNATIONAL COMPANY INDIA PRIVATE LIMITED U65100MH2012PTC226212 Director 2012-01-19 Ongoing
      FORTIS CORPORATION PRIVATE LIMITED U65900MH2012PTC237043 Director 2012-10-19 Ongoing
      FIC FINANCE (INDIA) LIMITED U65923MH2011PLC218649 Additional Director 2012-05-02 Ongoing
      FORTIS FINANCE COMPANY PRIVATE LIMITED U65923MH2012PTC234186 Director 2012-08-06 Ongoing
      FORTIS HOUSING PRIVATE LIMITED U70102MH2012PTC227352 Director 2012-02-23 Ongoing
      FORTIS INFOTECH PRIVATE LIMITED U72100MH2012PTC227565 Director 2012-03-02 Ongoing
      FORTIS EDUCATION PRIVATE LIMITED U80904MH2012PTC230654 Director 2012-05-07 Ongoing
      Other Directorships of AMANULLAH MOHAMMAD HUSAIN KHAN
      Company Name CIN Designation Appointment Date Cessation
      FORTIS INFOTECH PRIVATE LIMITED U72100MH2012PTC227565 Director 2012-03-02 Ongoing
      Other Directorships of NASIR PYARE JAMAL KHAN
      Company Name CIN Designation Appointment Date Cessation
      FORTIS GAS PRIVATE LIMITED U11100MH2012PTC232467 Director 2012-06-20 Ongoing
      FORTIS GLASS PRIVATE LIMITED U26960MH2012PTC232214 Director 2012-06-15 Ongoing
      FORTIS CORPORATION PRIVATE LIMITED U65900MH2012PTC237043 Director 2012-10-19 Ongoing
      MASS DREAM DESTINATIONS REALTY PRIVATE LIMITED U70100MH2013PTC241414 Director 2013-03-28 Ongoing
      Other Directorships of BHARAT MAHAPRASAD SEVAK
      Company Name CIN Designation Appointment Date Cessation
      FORTIS GAS PRIVATE LIMITED U11100MH2012PTC232467 Director 2012-06-20 Ongoing
      PIPAL FOOD INDUSTRIES LIMITED U14101DL2006PLC148496 Additional Director - 2014-09-01
      SHRADDHA MULTIPLE MINING PRIVATE LIMITED U14200GJ2008PTC055414 Director - 2019-05-02
      SHRRADHA MINERALS PRIVATE LIMITED U15543GJ1993PTC019289 Director 2006-01-02 Ongoing
      FORTIS LEATHER PRIVATE LIMITED U19115MH2012PTC234189 Director 2012-08-06 Ongoing
      SPECTRA GASES PRIVATE LIMITED U24111KA1986PTC007585 Director 2011-01-11 Ongoing
      FORTIS FERTILIZERS PRIVATE LIMITED U24233MH2012PTC234208 Director 2012-08-06 Ongoing
      LIVERPOOL RETAIL INDIA LIMITED U33111GJ2001PLC039979 Additional Director - 2010-09-30
      LIVERPOOL RETAIL INDIA LIMITED U33111GJ2001PLC039979 Director - 2011-02-04
      OCEAN DISTRIBUTORS PRIVATE LIMITED U51100MH1997PTC111142 Additional Director 2009-07-21 Ongoing
      QUBIC TRADELINK COMPANY LIMITED U51900GJ2011PLC064842 Director 2011-04-08 Ongoing
      VISISHTA TELECOM LIMITED U64200KA2007PLC044309 Additional Director - 2010-09-30
      VISISHTA TELECOM LIMITED U64200KA2007PLC044309 Director 2010-09-30 Ongoing
      FORTIS CORPORATION PRIVATE LIMITED U65900MH2012PTC237043 Director 2012-10-19 Ongoing
      FORTIS FINANCE COMPANY PRIVATE LIMITED U65923MH2012PTC234186 Director 2012-08-06 Ongoing
      MID WEST REALITIES PRIVATE LIMITED U70102GJ2010PTC060346 Director 2010-04-20 Ongoing
      PETRONET CYBER SOLUTIONS PRIVATE LIMITED U72200KA2000PTC027533 Additional Director - 2009-09-30
      PETRONET CYBER SOLUTIONS PRIVATE LIMITED U72200KA2000PTC027533 Director 2009-09-30 Ongoing
      SOFTWARE LABS INDIA PRIVATE LIMITED U72200KA2010PTC052592 Additional Director 2010-04-05 Ongoing
      CUBIC ESERVICES PRIVATE LIMITED U72200KA2010PTC054910 Additional Director 2012-05-11 Ongoing
      FORTIS BPO PRIVATE LIMITED U72900MH2012PTC234175 Director 2012-08-06 Ongoing
      BOUTIQUE CINEMA PRIVATE LIMITED U92100MH2010PTC206377 Director 2010-12-01 Ongoing
      HITRON TELEVISION ENTERTAINMENT PRIVATE LIMITED U92412MH2010PTC205282 Director - 2015-04-01
      Other Directorships of VENKATESWARA RAO REKAPALLI
      Company Name CIN Designation Appointment Date Cessation

      CIN Company Name Company Address
      U55101PB2022PTC055588 TSR HOTELS PRIVATE LIMITED 220 LAWRENCE ROAD SHASTRI NAGAR,AMRITSAR,Amritsar,Punjab,143001-India
      U55101PB2024PTC061420 KISHORE BUNGALOWS AND HOSPITALITY PRIVATE LIMITED 214-A, Shastri Nagar,,Lawrence Road,,Amritsar,Amritsar,Punjab,143001-India
      U31100PB2012PTC036481 BDS LIGHTING PRIVATE LIMITED 342, SHASTRI NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U74992PB2009PTC033430 DISCOVER SECURITIES PRIVATE LIMITED 163-C, Shastri Nagar, Lawrence Road , Amritsar, Punjab, India - 143001
      U80904PB2018PTC048691 ASTROGURU SERVICES PRIVATE LIMITED 348-C, SHASTRI NAGAR, LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U74999PB2008PTC031583 KAPIL KHURANA FINANCIAL VENTURES PRIVATE LIMITED 123-A, SHASTRI NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U71200PB2023OPC059854 DR. N.S. MICROANALYSIS BIOLABS (OPC) PRIVATE LIMITED 1018,GURU GOBIND SINGH,NAGAR,MAJITHA ROAD,Amritsar G.P.O.,Amritsar,Amritsar,Punjab,India,143001.,Amritsar,Amritsar,Punjab,143001-India
      U55101PB2020PTC051849 BANSAL THE FOOD HOUSE PRIVATE LIMITED 13 A, DAYANAND NAGAR, LAWRENCE ROAD, AMRITSAR , AMRITSAR, Punjab, India - 143001
      ACE-0887 WISEMEN ASSOCIATES & REPRESENTATIVES LLP 11, LANE NO.1, DAYANAND,NAGAR, LAWRENCE ROAD,Amritsar -I,Amritsar,Punjab,India-143001
      U51909PB2021PTC054055 KABIRU GLOBAL VENTURES PRIVATE LIMITED 311, Lawrence Road, Krishna Nagar Near D.A.V Public School, Amritsar , Amritsar, Punjab, India - 143001
      U15541PB1982PTC005044 HARYANA DRINKS PRIVATE LIMITED 4 KISHAN NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U15400PB2007PTC031324 K.R.RICE SOLUTIONS PRIVATE LIMITED 11-Brahm Nagar Lawrence Road , Amritsar, Punjab, India - 143001
      AAQ-8399 CONGLO PRODUCTS LLP HNO. 11 KRISHNA NAGAR LAWRENCE ROAD AMRITSAR, Punjab, India - 143001
      U72300PB2000PTC023472 T C INTERNET SOFTWARE PRIVATE LIMITED 320 AKRISHANA NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U70109PB2011PTC035179 DAWARKADHEESH COLONISERS PRIVATE LIMITED 18, KRISHNA NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U70102PB2012PTC036126 SHREEJI BIHARIJI COLONISERS AND BUILDERS PRIVATE LIMITED 40, Dayanand Nagar Lawrence Road , Amritsar, Punjab, India - 143001
      U50100PB2017PTC046625 NOVELTY CARS PRIVATE LIMITED 1-B, BRAHM NAGAR, LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U63090PB2011PTC034576 GUPTA FAST FORWARDERS PRIVATE LIMITED 21-A, KRISHAN NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U36999PB2018PTC048012 AFTER BRICKS CONCEPTS AND SOLUTIONS PRIVATE LIMITED H. NO. 40, DAYANAND NAGAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U74999PB2000PTC023345 VIDEH INTERNATIONAL PRIVATE LIMITED 320-A, KRISHNA NAGAR, NEAR LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U35105PB2024PTC062569 ASTRABEAM GREEN ENERGY PRIVATE LIMITED 32A, RACE COURSE ROAD,LAWRENCE ROAD, AMRITSAR,Amritsar -I,Amritsar,Punjab,143001-India
      U74140PB2011PTC034762 SAGA MANAGEMENT CONSULTANTS PRIVATE LIMITED 107-C, Gali No.3, Dayanand Nagar Lawrence Road , Amritsar, Punjab, India - 143001
      U93000PB2013PTC037194 SKG COMMERCIAL & ALLIED SERVICES PRIVATE LIMITED 53-E, DAYANAND NAGAR, LANE NO.2 LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      U51397PB2004PTC027294 NIRVANA MEDICINE AND HERBAL SUPPLEMENTS PRIVATE LIMITED H. NO. 11, GALI NO.1 DAYANAND NAGAR, LAWRENCE ROAD , AMRITSAR, Punjab, India - 143001
      ACJ-7356 SARB SAVERA PROPERTIES LLP 39, MALL ROAD,LAWRENCE ROAD,Amritsar -I,Amritsar,Punjab,India-143001
      U21000PB2025PTC063557 JONAEL PHARMA PRIVATE LIMITED 8-B, CIRCULAR ROAD,LAWRENCE ROAD,Amritsar -I,Amritsar,Punjab,143001-India
      ACN-3757 LIBRA JEWELS LLP 38, BASEMENT MALL ROAD,LAWRENCE ROAD,Amritsar -I,Amritsar,Punjab,India-143001
      U46596PB2023PTC059636 DIVINE BENEDICTIONS PRIVATE LIMITED 4 R B Duni chand road,Lawrence Road,Amritsar,Amritsar,Punjab,143001-India
      U86201PB2025PTC066112 DIVYY RESEARCH GLOBAL PRIVATE LIMITED 36-A/2, B/S HOTEL LAWRENCE,LAWRENCE ROAD,Amritsar,Amritsar,Punjab,143001-India
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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
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      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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