Form No. XVIII
PARTICULARS OF MORTGAGES OR CHARGES

THE COMPANIES ACT, 1994

(See Section 159 & 391)
 
Name of the Company
Regd. Office
Regn. No
 
 
Particulars to be filled with the registrar pursuant to Sections 159 & 391 of a mort-
gage or charge created by the
and being;
 
  (a) A mortgage or charge for the purpose of securing any issue of debenture; or
  (b) A mortgage or charge on uncalled share capital of the company; or
  (c) A mortgage or charge on any immovable property whenever situated, or any interest therein; or
  (d) A mortgage or charge on any book debts of the company; or
  (e) A mortgage or a charge not being a pledge on any movable property of the company except stock-in-trade; or
  (f) A floating charge on the undertaking or property of the company;
   

( Check the Sub-heads (a), (b), (c), (d), (e) or (f) of which apply.)
 
Presented for filing by
 
 

PARTICULARS OF MORTGAGE OR CHARGE CREATED BY THE

Date of the instrument creating

or evidencing the mortgage or

charge and description

there of (a)

 Amount secured by the

mortgage or charge (b)

 Short particulars of the property

mortgage or charge

List of the terms or conditions of extent

or operation relating to any

mortgage or charge

Names with address and

description of the mortgage

or persons entitled

to the charge

Amount or rate percent

of the commission

allowance or

discount (if any)
1 2 3 4 5 6
           
           
           
           
 

(a) A description of the instrument e.g. "Trust" Deed "Mortgage" Debenture as the case may be given

Signature: .......................................

Designation:

(b) A definite figure should be given ( State whether Director, Manager, Secretary or
 

Person authorised to accept service of

Process under section 391 (i) ).