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Form No.DIR-3

Application for allotment of Director Idendtification Number before appointment in an existing company or LLP [Pursuant to section 153 of the Companies Act, 2013 & Rule 9(1) of the Companies (Appointment and Qualification of Directors) Rules, 2014 & Rule 10 of Limited Liability Partnership, 2009]

Refer instruction kit for filing the form


I,   son/daughter of   born on     resident of     hereby confirm and verify that the particulars given in this Form are true and also are the documents being attached thereto.

I hereby confirm and declare that:

a) The photograph and documents being attached to the Form DIR-3 belong to me. I fruther confirm that all required documents have been duly certified by the respective government authority and are being attached to the said Form DIR-3,

b) I am not restrained, disqualified, removed of, for being appointed as Director of a company under the provisions of the Companies Act, 2013 including sections 164 and 169,

c) I have not been declared as proclaimed offended by any Economic Offence Court or Judicial Magistrate Court or High Court or any other court,

d) I also declare that:-
  I am not required to obtain the security clearance from the Ministry of Home Affairs, Government of India under sub-rule(1) of rule 10 before applying for director identification number; or
  I am required to obtain the security clearance from the Ministry of Home Affairs, Government of India under sub-rule(1) of rule 10 before applying for director identification number; or

e) I have not been already allotted a Director Identification Number(DIN) under section 154 of the Companies Act, 2013,

f) I further declare that I have read and understood the provisions of sections 154, 155, 447 and 448 read with sections 449, 450 and 451 of the Companies Act, 2013, and

g) I solemnly declare that the declaration given herein as stated above are true to the best of my knowledge and belief and that it conceals nothing and that no part of it is false.



   *I declare that I have satisfied myself about the identity of the applicant based on the perusal of the original of the attached document.Note: In case where the applicant is residing outside India the particulars have to be verified from the documents duly attested by the attesting authority as prescribed.
   *I also declare that the company/LLP intends to appoint the applicant as a director / designated partner after allotment of DIN.
  *I further verify that:
   * All the required attachments have been completely and legibly attached to this form;
   * I have kept a copy of this form and attachments thereto, in my records for future references;
   * It is understood that I shall be liable for action under section 449 of the Companies act, 2013 for wrong certification, if any found at any stage.
*Category
*DIN / DPIN of the Director / Designated Partner or PAN of the Manager or CEO or CFO; or membership number of Company Secretary
*Corporate Identification Number (CIN) / FCRN / LLPIN / FLLPIN with which the authorized signatory is associated and in which the applicant is proposed to be a director /
*Name of Company / foreign company / LLP / foreign LLP


Sr. No
(a) *Proof of residence of applicant
1.
Sr. No
(b) Optional Attachment(s) - if any
1.
Applicant's Details
2 *Passport Size Photograph

4. Applicant's Name (Enter full name and do not use abbrevations)

5. Father's Name (Even married women must enter details of father's name)

Income tax PAN attachment
Aadhaar attachment
15. Voter's Identity card number
16. Passport Number
17. Driving license number
18. Permanent residential address
17. Driving license number
21. Present residential address