Form DIR-2

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,

The Board of Directors,

__________________ PRIVATE LIMITED

________________ INDIA

SUBJECT: CONSENT TO ACT AS DIRECTOR

I ______ hereby give my consent to act as a 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.

S.No.	PARTICULARS	DETAILS
1.	Directors Identification Number (DIN)
2.	Name
3.	Father’s Name
4.	Residential Address
5.	E-Mail Id
6.	Phone Number
7.	Income Tax PAN
8.	Occupation
9.	Date of Birth (D.O.B.)
10.	Nationality
11.	Number of companies in which I am already a Director and out of such companies the names of companies in which I am a Managing Director, Chief Executive Officer, Whole time Director, Secretary, Chief Financial Officer, and Manager
12.	Particulars of membership No. and Certificate of Practice No. of the applicant if the applicant is a member of any professional Institute. Specifically state NIL if none.

DECLARATION

1. 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.

2. I further declare that –
   I am not required to obtain the security clearance from Ministry of Home Affairs, Government of India, before seeking appointment as Director.

 

Date: ____ Place: _____

___________ (Proposed Director)

Attachments:

1. Proof of identity;
2. Proof of residence;