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...Form the companies act general provisions and forms regulations consent to as chief executive part i please complete in typescript or bold block capitals cuin registration number name of company fee payment details challan no amount ii we undersigned have consented above named pursuant section certify that am are not ineligible become under nic passport father s husband case full designation address occupation foreign national signature iii declaration do hereby solemnly sincerely declare information provided is true correct best my knowledge consonance with record maintained by nothing has been concealed reported after complying fulfilling all requirements relevant law rules directives circulars notifications whichever applicable authorized officer intermediary signatures if day month year date...