Chartered Accountants · Kolkata · Since 2007 +91 98305 33138gaurav@ggoenka.com

FORM NO.CAA.13

[Pursuant to section 233(5) and rule 25(6)]

Application by the Central Government to the Tribunal

[HEADING AS IN FORM NCLT. 4]

(Name and address of the applicant)

State the name and address of the persons who should be given opportunity of being heard in disposing of this reference.

(Note: Please enclose as many additional copies of the reference application as there are persons as above named.)

On the basis of the information available from the documents annexed hereto-

1.The applicant hereby makes reference to the National Company Law Tribunal, -----, Bench, under section …………….. of the Companies Act, 2013

2.The applicant states as follow :

(Here set out the brief facts of the case)

3.The submission of the applicant is as follows :

(Submission)

4.The applicant has annexed hereto the documents or copies thereof as specified below:

Place:

Date: Signature of the applicant

List of Document

1.

2.

3.

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