FORM No. 55
Registration No. of Company F......................................................................
THE COMPANIES ACT, 1956

Particulars of charge' on property in India created by a foreign company after the
15th January, 1937
[Pursuant to section 600 read with section 1251
Name of Company....................................................
Presented by..............................................................
Particulars of mortgage or charge created by .......................................a company incorporated in
and which has established a principal place of business in India at.............................................................
...................................................................................................................................................................
Date and
description
of the
instrument
creating or
evidencing
the charge
Amount
secured by
the charge
Short
particulars of
the charged
Gist of the
terms and
conditions
and extent
and operation
of the charge
Names,
adresses
descriptions of
the. persons
entitled to the
charge
Amount or rate percent
of the commission,
allowances or discount
(if any) paid or made
either directly or
indirectly by the
company to any person
in consideration of his
subscribing, or
agreeing to sub-
scribe,whether
absolutely or
conditionally, or
procuring or agreeing
to procure sub-
scriptions,whether
absolute or
conditional, for any of
the debentures
included in this return
1 2 3 4 5 6
Signature or signatures of one or more persons.............................................................
authorised under section 592@l)(d) of the....................................................................
Companies Act, 1956 or of some other person..............................................................
in India, duly authorised by the company......................................................................
Dated the .............................day of .... .......... 19.......................
1 "Charge" includes "mortgage". [See section 1241
2 Country of origin.
3 A description of the instrument e.g. "Trust Deed", "Mortgage", "Debentures", etc. as the case may be should be given.
4 Persons entitled to the charge will include mortgagees.
5 The rate of interest payable under the terms of the debentures should not be entered.

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Particulares of Charge' on Property in India Created

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