Registration No. of the Company
Nominal Capital: Rs
THE COMPANIES ACT, 1956

[pursuant to section 146]

Name of the company
Notice is hereby given that —-
1. (a) the registered office of the company is situated

.with effect from

[date]
(b) the situation of the registered office of the company of
was changed from to

with effect form

.

[date]

2. Situation of registered office falls under the jurisdiction
of

(name of the police

station).*
Dated this Day of 19

Signature

Name
(In Block Capitals)

Designation

*State address of nearest police station with district and tehsil