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Form No.CHG 1

Application for registration of creation, modification of charge (other than those related to debentures) including particulars of modification of charge by Asset Reconstruction Company in terms of Securitization and Reconstruction of Financial Assets and Enforcement of Securities Interest Act, 2002 (SARFAESI) [Pursuant to sections 77,78 and 79 and pursuant to Section 384 read with 77,78 and 79 of the Companies Act, 2013 and Rule 3(1) and 13 of the Companies (Registration of Charges) Rules 2014]

Refer instruction kit for filing the form
Sr. No
(a) Instrument(s) of creation or modification of charge
1.

  I am authorized by the Board of Directors of the Company vide resolution no     Dated     to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of the subject matter of this form and matters incidental thereto have been complied with. I also declare that all the information given herein above is true, correct and complete and as per the attached charge instrument(s) or document(s) and nothing material has been suppressed. A copy of the attached charge instrument(s) or document(s) is/ are available at the registered office or principal place of business in India of the company.

      I further declare that:
  1. The delay in filing the particulars of creation/modification, was accidental or due to inadvertence or some other sufficient cause and are or is not of a nature to prejudice the position of the charge holder, shareholders or creditors of the company;
  2. No prejudice would be caused to the charge holder(s) or any other creditor(s) of the company, if the delay is condoned;
  3. The company has not created or modified any other charge(s) whatsoever on the assets of the company, since the creation / modification of the present charge;
  4. The company is carrying on the business as on the date of filing this application and no proceedings to wind-up the company have commenced or are pending against the company;
  5. There is no litigation proceedings pending before any court of law for which condonation of delay is being filed;
  6. The company has not applied for striking off the name of the company from the register of Registrar of Companies

I/we confirm that the attached charge instrument(s) or document(s) is/are true copies of the original which is/are available with the charge holder and/or assignee and all the information and particulars mentioned above are derived there from are concisely and correctly stated. I/we am/are duly authorised to sign this form

I/we am/are a multilateral/International financial institution who has/have been exempted from payment of income tax in India under the UN Privileges and Immunities Act.

Pan of Charge Holder
Pan of ARC/Assignee

I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone through the provisions of the Companies Act, 2013 and rules thereunder for the subject matter of this form and matters incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified records maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete and no information material to this form has been suppressed. I further certify that:

i The said records have been properly prepared, signed by the required officers of the Company and maintained as per the relevant provisions of the Companies Act, 2013 and were found to be in order;

ii All the required attachments have been completely and legibly attached to this form.

Certificate by CA or CS or CoA
      Chartered accountant (in whole-time practice)         Cost accountant (in whole-time practice)         Company secretary (in whole-time practice)
Whether associate or fellow :
         Associate         Fellow
Membership number

Form 1

Details of charge instrument and Type
Types of charge
(a) Description of the property charged indicating whether it is a charge on
Details of charge holder
9. Particulars of the charge holder (in case charge is modified in favour of ARC or assignee, enter the particulars of ARC or assignee)
Details of charge
*(In case of modification of charge, enter the amount secured by the charge after such modification)
Asset Details