Format of Register of Directors and Key Managerial Personnel

Register of Directors and Key Managerial Personnel and their Shareholding [Pursuant to Section 170 of the Companies Act, 2013 and Rule 17 of the Companies (Appointment and Qualification of Directors) Rules, 2014]

Name of the Company: XYZ Private Limited

Registered office: ................................................

Director Identification Number	:
Present Name	:
Any former Name	:
Father’s Name	:
Mother’s Name	:
Spouse’s Name (if married)	:
Date of Birth	:
Residential address (present as well permanent)	:
Nationality	:
Occupation	:
Date of Board Resolution in which the appointment was made	:
Date of appointment and re-appointment in the Company	:
Date of cessation of office and reasons therefore	:
Office of director or Key Managerial Personnel held or relinquished in any other body corporate	:
Membership Number of the Institute of Companies Secretaries of the India in case of Company Secretary	:
Permanent Account Number (mandatory for key managerial personnel if not having DIN)	:

Details of Securities held in the Company, its holding Company, subsidiaries and associate Companies:

S.No.	1	2	3	4
Name of Company
Number of Securities
Description of Securities
Nominal Value of Securities
Date of Acquisition
Price paid for acquisition of securities
Other consideration paid for acquisition
Date of disposal
Price received on disposal
Other consideration received on disposal
Cumulative balance and number of securities held after each transaction
Mode of acquisition of securities
Mode of holding – Physical or dematerialised form
Securities have been pledged or any encumbrance has been created

Disclaimer: This document is suggestive only. Author shall not be responsible for any loss or damage caused due to any action taken on the basis of information contained in this document. Any person wishing to act on the basis of the information contained in this document should do so only after cross checking with the original source.