Form
DIR-2
Consent
to act as a director of a company
[Pursuant to section 152(5) and rule 8 of Companies
(Appointment and Qualification of Directors) Rules, 2014]
To
--------------------- (Name of the company)
-------------------- (Address of the company)
Subject: Consent to act as a director.
I ………………………, hereby give my consent to act as director of
……….. (name of the company), pursuant to sub-section (5) of section 152 of the
Companies Act, 2013 and certify that I am not disqualified to become a director
under the Companies Act, 2013.
1. Director Identification Number (DIN):
2. Name (in full):
3. Father’s Name (in full):
4. Address:
5. E-mail id:
6. Mobile no.:
7. Income-tax PAN. :
8. Occupation:
9. Date of birth:
10. Nationality:
11. No. of companies in which I am already a Director and
out of such companies the names of the companies in which I am a Managing
Director, Chief Executive Officer, Whole time Director, Secretary, Chief
Financial Officer, Manager.
12. Particulars of membership No. and Certificate of
practice No. if the applicant is a member of any professional Institute.
Specifically state NIL if none.
DECLARATION
I declare that I have not been convicted of any offence in
connection with the promotion, formation or management of any company or LLP
and have not been found guilty of any fraud or misfeasance or of any breach of
duty to any company under this Act or any previous company law in the last five
years. I further declare that if appointed my total directorship in all the
companies shall not exceed the prescribed number of companies in which a person
can be appointed as a Director.
Signature:…………………….
Designation:………………….
Date:
Place:
Attachments:
1.
Proof of identity;
2. Proof of residence;
