Annual Return
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The Companies Act (1 of 1956) Schedule V - Part II (See Section 159) Annual Return Of Form of Annual Return of A Company Having a Share Capital The Companies Act (1 of 1956) Annual Return Schedule V - Part II (See Section 159)
Registration Details Registration No.
0
Registration Date
1
0
5
7
3 0
Date
6
3
0 4
(Refer Code List 1)
Whether shares listed on recognised Stock Exchange(s)
2008
Year
N
Y – Yes, N- No
A
B
Y - Yes N - No
Y
State Code
7
Month
If yes, Stock exchange code (Totals) (Refer Code List 2) AGM Held
2
Date of AGM/ Due Date
1 3
5 0 Date
0 9 2009 0 9 2009 Month Year
Name and Registered Office Address of Company Company
C
O R
L
T
E
H R
S
E
R
V I
U N R N R. S E J D V
I W U A
S A D S
E M I G E T R
C
E
S
P
V T.
Name
Address
2 0 M A T E W
D. 8, S L L M P L R O A
S H O N A R S B A P U
P P I N G A Y A N U N G L O R ,
Town/City
A H M E
State
GU J
D A B
A D Pin Code 3
A R A T
8
0
0
1
5
Telephone With STD Fax Number Email
A
N
N
A
P
O
O
R
N
A
D
A
Y
A
N
Address A
N
D
@
Y
A
H
O
O
.
C
O
M
Capital Structure of the Company (Amount in Rs. Thousand) - Authorised Share Capital Breakup Type of shares (i)
No. of shares
Equity
Nominal value (in Rs.) 1 0
1 0 0 0 0
(ii) Preference
0
Total Authorised Capital
1
0
0 0
0
0
0
0
0
0
0
- Issued Share Capital Breakup Type of shares (i)
No. of shares
Equity
1
0
0
0
Nominal value (in Rs.) 1 0
0
(ii) Preference Total Issued Capital
1
0
0
0
0
0
- Subscribed Share Capital Breakup Type of shares
No. of shares
(i) Equity
1
0
0
0
0
Nominal value (in Rs.) 1 0
0
Nominal value (in Rs.) 1 0
(ii) Preference Total Subscribed Capital
1
0
0
0
0
0
- Paid-Up Share Capital Breakup Type of shares
No. of shares
(i) Equity
1
0
0
0
(ii) Preference Total Paid-Up Capital
1
0
0
0
0
0
- Debentures Breakup Type of shares
No. of shares
Nominal value (in Rs.)
(i) Non Convertible (ii) Partly Convertible
0 0
0 0
0 0
0 0
0 0
(iii) Fully Convertible
0
0
0
0
0
0
0
0
0
0
Total Amount
0
0
0
0
Directors/ Manager/ Secretary Information (Past and Present) [Refer clause 6 of Part I of Schedule V] Name
J
O S E P H
M A T H E W Middle Name
Surname Nationality
I – Indian F – Foreign
I
S U N I L First Name
Date of Birth
2
6
0
Date Designation
7
0
Date J
19
Month
73 Year
M C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director
1 Date of Appointme nt
Name
6
3
Month
-
-
Date
Month
K Date of Birth
3
1
Date Designation
7
-
Year
0
8
19
Month
0
Date
Year
3
Date of ceasing
2008
Month
Year
Date
Month
Year
Election Commission Identity Card No.
Directors/ Manager/ Secretary Information (Contd.) Residential K Address V
43
C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director
D
Date of 1 Appoint ment
-
M A R I A M MA First Name
Middle Name
I – Indian F – Foreign
I
-
Year
O S E P H Surname
Nationality
Date of ceasing
2008
4 0
6
S
R
I
E J
A L
P
U R
N A N D N A G A R
-
2
Town/City
A H M E
D A B
A D
District State
G U
J
A
R
A
T
Pin Code Residential Address
U
P P O O R A T H I
L
A Y A M K U D Y Town/City
K A D U T
H U R
P U T
H O U S E O H Y
District State
K E
R
A
L
A
Pin Code Note: Additional Sheets may be attached if needed. Details of shares/ Debentures Held at Date of AGM * Ledger Folio of share/ Debenture Holder J Share/ Debenture Holder’s Name
0
O S E P H
0
M A T H E W
Surname Father’s/ J Husband’s Name Type of Share/ Debenture
L
First Name
U P P O O R A T M A T H E W H I L
1 – Equity, 2- Preference Shares, 3 – Debentures, 4 - Stock
1 0
0
Amount per Share (in Rs.)
0
Ledger Folio of share/ Debenture Holder
0
Share/
K A L A T H U P
J
S U N I
Middle Name
O S E P H
Number of Shares/ 6 Debentures Held/ Stock, if any
1
O S E P H
0
1
0
2 M A R I
A M M A
Debenture Holder’s Name
A R A M B I
Surname
L
Middle Name
First Name
Father’s/ T H O M A S Husband’s Name Type of Share/ Debenture
K A L A T H U P A R A M B I L
1 – Equity, 2- Preference Shares, 3 – Debentures, 4 - Stock
1
Number of Shares/ 4 Debentures Held/ Stock, if any
0
0
Amount per Share (in Rs.)
0
1
0
Note: Separate sheet may be attached if needed. If number of such share holders exceed 10, if so desired a text file may be submitted on a floppy or a cartridge tape in the format given in Annexure – III.
Details of shares/ Debentures Held at Date of AGM (Contd.) Address
K B
- 4 0 P A R U S
V E
J
6 T S
T
S H R I N A N D 2 N R. V E J A L A N D
A L
P
U
Town/City
A H M E
D A B
A D
District
A H M E
D A B
A D
State
G U
J
A
Pin Code
R 3
Residential U Address A R
P P
O O R
K E
R
A L
A
District
K E
R
A L
A
Pin Code
T 8
A T
0 H I
Y A M K U D Y A ( V I P )
Town/City State
A
K
E
R
A
L 6
N A G A R P U R
P
0
5
1
L
H O U S
E
O
M U T
U C
T
H I
A 8
6
6
1
3
Details of Shares/ Debentures Transfers since Date of last AGM (or in the case of the first return at any time since the incorporation of the company) * Date of Previous AGM
Date
Date of Registration of Transfer of Shares
-
-
Date Type of Transfer
-
-
Month
-
Month
-
-
Year
-
Year
1 – Equity, 2- Preference Shares,3 – Debentures, 4 - Stock
Number of Shares/ Debentures Transferred
Amount per Share (in Rs.)
Ledger Folio of Transferror Transferror ’s Name Surname
Middle Name
First Name
Surname
Middle Name
First Name
Ledger Folio of Transferree Transferre e’s Name
Date of Registration of Transfer of Shares Date Type of Transfer
Month
Year
1 – Equity, 2- Preference Shares,3 – Debentures, 4 - Stock
Number of Shares/ Debentures Transferred
Amount per Share (in Rs.)
Ledger Folio of Transferror Transferror ’s Name Surname Ledger Folio of Transferree Transferre e’s Name
Middle Name
First Name
Surname
Middle Name
First Name Note: Separate sheet may be attached if needed. If number of such share holders exceed 10, if so desired a text file may be submitted on a floppy or a cartridge tape in the format given in Annexure – IV.
Indebtedness of the Company (Amount in Rs. Thousand) [Secured Loans including interest outstanding / accrued but not due for payment Amount Equity Share Capital Breakup [Percentage of Total Equity] (i) Govt. [Central & State(s)]
(ii) Govt. Companies
(iii) Public Financial
(iv) Nationalised/ Other Institutions Banks
(v) Mutual Funds
(vi) Venture Capital
(vii) Foreign Holdings (FIIs/FCs/FFIs/NRIs / OCBs
(viii) Bodies Corporate (Not Mentioned Above)
(ix) Directors / Relatives
(x) Other top 50 Share Holders of Directors [Other than those listed above]
1
0
0
We certify that : •
the return states the facts as they stood on the date of the annual general meeting aforesaid, correctly and completely;
•
since the date of the last annual return the transfer of all shares, debentures, the issue of all further certificates of shares and debentures have been appropriately recorded in the books maintained for the purpose;
•
the whole of the amount of dividend remaining unpaid or unclaimed for a period of three years from the date of transfer to the special account has been transferred to the General Revenue Account of the Central Government as required under subsection (5) of Section 205 A:
Annexure – I Code List 1 : State Codes State Code 01 03 05 07 09 11 13 15 17 20 22 24 53 55 57 59
State Name
State Code 02 04 06 08 10 12 14 16 18 21 23 52 54 56 58
Andhra Pradesh Bihar Haryana Jammu & Kashmir Kerala Maharashtra Meghalaya Orissa Rajasthan Uttar Pradesh Sikkim Goa Chandigarh Delhi Lakshwadeep Pondicherry
State Name Assam Gujarat Himachal Pradesh Karnataka Madhya Pradesh Manipur Nagaland Punjab Tamil Nadu West Bengal Arunachal Pradesh Andaman Islands Dadra Islands Daman & Diu Mizoram
Annexure – II Code List 2 : Stock Exchange Codes Exchange Code
Stock Exchange
A1 Bombay
Exchange Code
Stock Exchange B1 OTCEI
A2 Delhi
B2 Nagpur
A4 Calcutta
B4 Coimbatore
A8 Madras
B8 Cochin
A16 Bangalore
B16 MP
A32 Hyderabad
B32 Jaipur
A64 Ahmedabad
B64 Rajkot
A128 Pune
B128 Gauhati
A256 Kanpur
B256 Bhubaneshwar
A512 Ludhiana
B512 Magadh
A1024 National Stock
B1024 Vadodra
Exchange
B2048 Rajkot
Note: If listed in more then one exchange, add the respective codes to arrive at the Totals under the same category. For example a company listed in Bombay, Pune, Nagpur and Cochin will fill in the exchange codes as follows: A
1
2
9
B
1
Annexure – III Shares / Debentures held : (format for floppies) Registration Details Field
Type
Length Value
Format/
State Code
Number
2
Registration No.
Number
6
Date of AGM
Date
8 (DD/MM/YY)
Date of last AGM
Date
8 (DD/MM/YY)
Note: The first text file cid.txt will contain the data for above field for Company identification. Shares held by Share Holders Field
Type
Length Value
Ledger folio of Share-holder
Character
8
Name of shareholder
Character
20
Format/
Surname Middlename Firstname
0
Father’s/ Husband’s Name
Character
20
Residential Address
Character
40
Town/ City
Character
20
State
Character
20
Pin Code
Number
6
Type of Shares/ Debentures
Number
1
No. of Shares/ Debentures
Number
6
Amount per Share/ Debentures Number
6
Surname Middlename Firstname
1 –Equity 2 – Preference 3 –Debentures 4 – Stock
Note: The second text file shh.txt will contain the data for above fields for the share holders/ debenture holders. The file may be submitted in 5.25" or 3.5" floppies (preferably 3.5") or 60/150 MB Normal Cartridge Tapes (mini Cartridges not acceptable) The Floppies/ Cartridges may be formatted in DOS/ Unix. Annexure – IV Shares Transferred : (Format for floppies) Registration Details Field
Type
Length Value
Format/
State Code
Number
2
Registration No.
Number
6
Date of AGM
Date
8 (DD/MM/YY)
Date of last AGM
Date
8 (DD/MM/YY)
Note: The first text file cid.txt will contain the data for above field for Company identification. Transactions after the last AGM Field
Type
Length Value
Format/
Date of Transfer of Share
Date
8 (DD/MM/YY)
Type of Shares/Debentures
Number
1 1 –Equity 2 – Preference 3 –Debentures 4 – Stock
No. of Shares/ Debentures
Number
6
Amount per Share/ Debentures
Number
6
Ledger folio of Transferror
Character
8
Name of Transferror
Character
20 Surname Middlename Firstname
Note: The second text file sht.txt will contain the data for above fields for each such share transfer. The file may be submitted in 5.25" or 3.5" floppies (preferably 3.5") or 60/150 MB Normal Cartridge Tapes (mini Cartridges not acceptable) The Floppies/ Cartridges may be formatted in DOS/ Unix
Registration Details Registration No.
0
Registration Date
1
0
5
7
3 0
Date
6
3
0 4
(Refer Code List 1)
Whether shares listed on recognised Stock Exchange(s)
2008
Year
N
Y – Yes, N- No
A
B
Y - Yes N - No
Y
State Code
7
Month
If yes, Stock exchange code (Totals) (Refer Code List 2) AGM Held
2
Date of AGM/ Due Date
1 3
5 0 Date
0 9 2009 0 9 2009 Month Year
Name and Registered Office Address of Company Company
C
O R
L
T
E
H R
S
E
R
V I
U N R N R. S E J D V
I W U A
S A D S
E M I G E T R
C
E
S
P
V T.
Name
Address
2 0 M A T E W
D. 8, S L L M P L R O A
S H O N A R S B A P U
P P I N G A Y A N U N G L O R ,
Town/City
A H M E
State
GU J
D A B
A D Pin Code 3
A R A T
8
0
0
1
5
Telephone With STD Fax Number Email
A
N
N
A
P
O
O
R
N
A
D
A
Y
A
N
Address A
N
D
@
Y
A
H
O
O
.
C
O
M
Capital Structure of the Company (Amount in Rs. Thousand) - Authorised Share Capital Breakup Type of shares (i)
No. of shares
Equity
Nominal value (in Rs.) 1 0
1 0 0 0 0
(ii) Preference
0
Total Authorised Capital
1
0
0 0
0
0
0
0
0
0
0
- Issued Share Capital Breakup Type of shares (i)
No. of shares
Equity
1
0
0
0
Nominal value (in Rs.) 1 0
0
(ii) Preference Total Issued Capital
1
0
0
0
0
0
- Subscribed Share Capital Breakup Type of shares
No. of shares
(i) Equity
1
0
0
0
0
Nominal value (in Rs.) 1 0
0
Nominal value (in Rs.) 1 0
(ii) Preference Total Subscribed Capital
1
0
0
0
0
0
- Paid-Up Share Capital Breakup Type of shares
No. of shares
(i) Equity
1
0
0
0
(ii) Preference Total Paid-Up Capital
1
0
0
0
0
0
- Debentures Breakup Type of shares
No. of shares
Nominal value (in Rs.)
(i) Non Convertible (ii) Partly Convertible
0 0
0 0
0 0
0 0
0 0
(iii) Fully Convertible
0
0
0
0
0
0
0
0
0
0
Total Amount
0
0
0
0
Directors/ Manager/ Secretary Information (Past and Present) [Refer clause 6 of Part I of Schedule V] Name
J
O S E P H
M A T H E W Middle Name
Surname Nationality
I – Indian F – Foreign
I
S U N I L First Name
Date of Birth
2
6
0
Date Designation
7
0
Date J
19
Month
73 Year
M C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director
1 Date of Appointme nt
Name
6
3
Month
-
-
Date
Month
K Date of Birth
3
1
Date Designation
7
-
Year
0
8
19
Month
0
Date
Year
3
Date of ceasing
2008
Month
Year
Date
Month
Year
Election Commission Identity Card No.
Directors/ Manager/ Secretary Information (Contd.) Residential K Address V
43
C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director
D
Date of 1 Appoint ment
-
M A R I A M MA First Name
Middle Name
I – Indian F – Foreign
I
-
Year
O S E P H Surname
Nationality
Date of ceasing
2008
4 0
6
S
R
I
E J
A L
P
U R
N A N D N A G A R
-
2
Town/City
A H M E
D A B
A D
District State
G U
J
A
R
A
T
Pin Code Residential Address
U
P P O O R A T H I
L
A Y A M K U D Y Town/City
K A D U T
H U R
P U T
H O U S E O H Y
District State
K E
R
A
L
A
Pin Code Note: Additional Sheets may be attached if needed. Details of shares/ Debentures Held at Date of AGM * Ledger Folio of share/ Debenture Holder J Share/ Debenture Holder’s Name
0
O S E P H
0
M A T H E W
Surname Father’s/ J Husband’s Name Type of Share/ Debenture
L
First Name
U P P O O R A T M A T H E W H I L
1 – Equity, 2- Preference Shares, 3 – Debentures, 4 - Stock
1 0
0
Amount per Share (in Rs.)
0
Ledger Folio of share/ Debenture Holder
0
Share/
K A L A T H U P
J
S U N I
Middle Name
O S E P H
Number of Shares/ 6 Debentures Held/ Stock, if any
1
O S E P H
0
1
0
2 M A R I
A M M A
Debenture Holder’s Name
A R A M B I
Surname
L
Middle Name
First Name
Father’s/ T H O M A S Husband’s Name Type of Share/ Debenture
K A L A T H U P A R A M B I L
1 – Equity, 2- Preference Shares, 3 – Debentures, 4 - Stock
1
Number of Shares/ 4 Debentures Held/ Stock, if any
0
0
Amount per Share (in Rs.)
0
1
0
Note: Separate sheet may be attached if needed. If number of such share holders exceed 10, if so desired a text file may be submitted on a floppy or a cartridge tape in the format given in Annexure – III.
Details of shares/ Debentures Held at Date of AGM (Contd.) Address
K B
- 4 0 P A R U S
V E
J
6 T S
T
S H R I N A N D 2 N R. V E J A L A N D
A L
P
U
Town/City
A H M E
D A B
A D
District
A H M E
D A B
A D
State
G U
J
A
Pin Code
R 3
Residential U Address A R
P P
O O R
K E
R
A L
A
District
K E
R
A L
A
Pin Code
T 8
A T
0 H I
Y A M K U D Y A ( V I P )
Town/City State
A
K
E
R
A
L 6
N A G A R P U R
P
0
5
1
L
H O U S
E
O
M U T
U C
T
H I
A 8
6
6
1
3
Details of Shares/ Debentures Transfers since Date of last AGM (or in the case of the first return at any time since the incorporation of the company) * Date of Previous AGM
Date
Date of Registration of Transfer of Shares
-
-
Date Type of Transfer
-
-
Month
-
Month
-
-
Year
-
Year
1 – Equity, 2- Preference Shares,3 – Debentures, 4 - Stock
Number of Shares/ Debentures Transferred
Amount per Share (in Rs.)
Ledger Folio of Transferror Transferror ’s Name Surname
Middle Name
First Name
Surname
Middle Name
First Name
Ledger Folio of Transferree Transferre e’s Name
Date of Registration of Transfer of Shares Date Type of Transfer
Month
Year
1 – Equity, 2- Preference Shares,3 – Debentures, 4 - Stock
Number of Shares/ Debentures Transferred
Amount per Share (in Rs.)
Ledger Folio of Transferror Transferror ’s Name Surname Ledger Folio of Transferree Transferre e’s Name
Middle Name
First Name
Surname
Middle Name
First Name Note: Separate sheet may be attached if needed. If number of such share holders exceed 10, if so desired a text file may be submitted on a floppy or a cartridge tape in the format given in Annexure – IV.
Indebtedness of the Company (Amount in Rs. Thousand) [Secured Loans including interest outstanding / accrued but not due for payment Amount Equity Share Capital Breakup [Percentage of Total Equity] (i) Govt. [Central & State(s)]
(ii) Govt. Companies
(iii) Public Financial
(iv) Nationalised/ Other Institutions Banks
(v) Mutual Funds
(vi) Venture Capital
(vii) Foreign Holdings (FIIs/FCs/FFIs/NRIs / OCBs
(viii) Bodies Corporate (Not Mentioned Above)
(ix) Directors / Relatives
(x) Other top 50 Share Holders of Directors [Other than those listed above]
1
0
0
We certify that : •
the return states the facts as they stood on the date of the annual general meeting aforesaid, correctly and completely;
•
since the date of the last annual return the transfer of all shares, debentures, the issue of all further certificates of shares and debentures have been appropriately recorded in the books maintained for the purpose;
•
the whole of the amount of dividend remaining unpaid or unclaimed for a period of three years from the date of transfer to the special account has been transferred to the General Revenue Account of the Central Government as required under subsection (5) of Section 205 A:
Annexure – I Code List 1 : State Codes State Code 01 03 05 07 09 11 13 15 17 20 22 24 53 55 57 59
State Name
State Code 02 04 06 08 10 12 14 16 18 21 23 52 54 56 58
Andhra Pradesh Bihar Haryana Jammu & Kashmir Kerala Maharashtra Meghalaya Orissa Rajasthan Uttar Pradesh Sikkim Goa Chandigarh Delhi Lakshwadeep Pondicherry
State Name Assam Gujarat Himachal Pradesh Karnataka Madhya Pradesh Manipur Nagaland Punjab Tamil Nadu West Bengal Arunachal Pradesh Andaman Islands Dadra Islands Daman & Diu Mizoram
Annexure – II Code List 2 : Stock Exchange Codes Exchange Code
Stock Exchange
A1 Bombay
Exchange Code
Stock Exchange B1 OTCEI
A2 Delhi
B2 Nagpur
A4 Calcutta
B4 Coimbatore
A8 Madras
B8 Cochin
A16 Bangalore
B16 MP
A32 Hyderabad
B32 Jaipur
A64 Ahmedabad
B64 Rajkot
A128 Pune
B128 Gauhati
A256 Kanpur
B256 Bhubaneshwar
A512 Ludhiana
B512 Magadh
A1024 National Stock
B1024 Vadodra
Exchange
B2048 Rajkot
Note: If listed in more then one exchange, add the respective codes to arrive at the Totals under the same category. For example a company listed in Bombay, Pune, Nagpur and Cochin will fill in the exchange codes as follows: A
1
2
9
B
1
Annexure – III Shares / Debentures held : (format for floppies) Registration Details Field
Type
Length Value
Format/
State Code
Number
2
Registration No.
Number
6
Date of AGM
Date
8 (DD/MM/YY)
Date of last AGM
Date
8 (DD/MM/YY)
Note: The first text file cid.txt will contain the data for above field for Company identification. Shares held by Share Holders Field
Type
Length Value
Ledger folio of Share-holder
Character
8
Name of shareholder
Character
20
Format/
Surname Middlename Firstname
0
Father’s/ Husband’s Name
Character
20
Residential Address
Character
40
Town/ City
Character
20
State
Character
20
Pin Code
Number
6
Type of Shares/ Debentures
Number
1
No. of Shares/ Debentures
Number
6
Amount per Share/ Debentures Number
6
Surname Middlename Firstname
1 –Equity 2 – Preference 3 –Debentures 4 – Stock
Note: The second text file shh.txt will contain the data for above fields for the share holders/ debenture holders. The file may be submitted in 5.25" or 3.5" floppies (preferably 3.5") or 60/150 MB Normal Cartridge Tapes (mini Cartridges not acceptable) The Floppies/ Cartridges may be formatted in DOS/ Unix. Annexure – IV Shares Transferred : (Format for floppies) Registration Details Field
Type
Length Value
Format/
State Code
Number
2
Registration No.
Number
6
Date of AGM
Date
8 (DD/MM/YY)
Date of last AGM
Date
8 (DD/MM/YY)
Note: The first text file cid.txt will contain the data for above field for Company identification. Transactions after the last AGM Field
Type
Length Value
Format/
Date of Transfer of Share
Date
8 (DD/MM/YY)
Type of Shares/Debentures
Number
1 1 –Equity 2 – Preference 3 –Debentures 4 – Stock
No. of Shares/ Debentures
Number
6
Amount per Share/ Debentures
Number
6
Ledger folio of Transferror
Character
8
Name of Transferror
Character
20 Surname Middlename Firstname
Note: The second text file sht.txt will contain the data for above fields for each such share transfer. The file may be submitted in 5.25" or 3.5" floppies (preferably 3.5") or 60/150 MB Normal Cartridge Tapes (mini Cartridges not acceptable) The Floppies/ Cartridges may be formatted in DOS/ Unix
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