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Form DIR2
[Pursuant to Section 152(5) and rule 8 of Companies (Appointment and Qualification of Director) Rules, 2014]
To, Company Name Address Line 1 Address Line 2 City, State Pin Code
Subject: Consent to act as a Director
I, (Mr./Ms. Director Name) hereby give my consent to act as Director of (Company Name), pursuant to subsection (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.
Sl. No Particulars Details
1. Director Identification Number (DIN)
2. Full Name
3. Father’s Name
4. Address
5. Email
6. Mobile Number
7. Income Tax PAN
8. Occupation
9. Date of Birth
10. Nationality
11. No. of companies in which I am a Managing (Name of Company),
Director, Chief Executive Officer, Whole Time (Designation) Director, Secretary, Chief Financial Officer, Manager. 12. Particulars of membership No. and Certificate of NIL practice No. if the applicant is a member of any professional Institute. Specifically state NIL if none.
Declaration
I declare that I have not been convicted of any offence in connection with 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.
