Form PAS-5 – Record of a Private Placement Offer to be kept by the Company w.e.f., 7.08.2018

Form PAS-5

(Section 42(7) and Rule 14(3) of Companies (Prospectus and Allotment of Securities) Rules, 2014)

Record of a Private Placement Offer to be kept by the Company

Name of the Company: ______________________

Registered Office of the Company: ___________________

CIN: ______________

DETAILS OF PRIVATE PLACEMENT OFFER:

Date when approval of the relevant authority (board or the shareholders, as the case may be) obtained for the current Private Placement Offer Letter:

Amount of the offer:

Date of circulation of private placement offer letter:

Following details (in a tabulate statement) of the persons to whom private placement offer letter has been circulated: –

1. Name
2. Father’s name
3. Complete Address including Flat/House Number, Street, Locality, Pin Code
4. Phone number, if any
5. email ID, if any
6. Initial of the Officer of the company designated to keep the Record