Format as below
Affidavit from the applicant in case of Form DIN-1 as per
Annexure 1 of the DIN rules
(Affidavit to be notarized in non judicial stamp paper of Rs.
10, to be scanned as annexed with DIN-1 )
1. I,…………………………….. (name of
applicant), Son/Daughter* of …………………………….(applicant’s father’s name), born
on………………….. (date of birth), resident of (present residential address of the
applicant) hereby confirm and verify that the particulars given in the Form
DIN-I are true and correct and also in agreement with the documents being
attached to the Form DIN-I and I am solely responsible for its accuracy.
2. I further confirm that
(i) The photograph and document
attached to the Form DIN-1 belong to me. I further confirm that all required
documents have been duly attested by me or duly attested by either Public
Notary or a Gazetted Officer of a Government and are attached to the form DIN-1
and
(ii) I am not restrained/
disqualified/ removed of, for being appointed as director of a company under
the provisions of Companies Act, 1956 including Section 203, 274, 284 and 388
(E) of the said Act or for being appointed as a designated partner of a limited
liability partnership under the provisions of the Limited Liability Partnership
Act, 2008 including section 5 of the said Act and
(iii) nave not been declared as
proclaimed offender by any Economic Offence Court or Judicial Magistrate Court
or High Court or any other court and
(iv) I have not been already allotted
a Director Identification Number (DIN) under Section 266B of the Companies Act,
1956 or a Designated Partner Identification Number (DPIN) under section 7 of
the Limited Liability Partnership Act, 2008.
(v) Mr. ………….. in practice has been authorised to digitally
sign DIN application on my behalf.
(vi) The particulars of address
provided in DIN-1 of the applicant and documents attached as address proof are
correct beyond all reasonable- doubts.
(vii) I have not furnished any false
information or suppressed any material information with view to obtain DIN. In
case information provided is found to be false or suppressed or willful
omission, I have no objection to de-activate and cancel the DIN allotted by the
Central Government and I shall be liable for penal action u/s 628 of the
Companies Act.
(viii) In case of DIN allotted by the
Central Government has not been activated within 365 days from the date of
allotment, I have no objection for cancelling! Deactivating for cancelling/
deactivating the allotted DIN.
*Note: Strike out whichever is not
applicable.
Signature:
(Name)
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