DIR-2 FORMAT FOR DIRECTOR APPOINTMENT

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

Registrar of Companies

Kanpur

Subject: Consent to act as a director.

I  …………………… , hereby give my consent to act as director of …………………………. PRIVATE LIMITED, 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. Nil
12. Particulars of membership No. and Certificate of practice no. if the applicant is a member of any professional Institute. Nil

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: Director

Date:-

Place:-