Fillip: Refer Instruction Kit For Filing The Form All Fields Marked in Are Mandatory
Fillip: Refer Instruction Kit For Filing The Form All Fields Marked in Are Mandatory
FiLLiP
English Hindi
(d) CIN
(c) State the name of the vernacular language(s) if used in the proposed name and meaning
thereof
(d) Whether the proposed name is based on a trademark registered or is subject matter of an
application pending for registration under the Trademarks Act
Yes No
Attachments
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(d) Copy of approval from the competent authority in case of
collaboration and connection with the foreign country or place Max. 2 MB Choose file
*Country India
*City Ghaziabad
District Ghaziabad
*Longitude 77.449791
*Latitude 28.667856
*Mobile No 96******73
Fax
*Email ID we******************il.com
c) Attachments
(d) * Name of the office of Registrar in whose jurisdiction the proposed LLP is to
be registered Registrar of Companies, Uttar Pradesh
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4.Details of business activity carried out by LLP on incorporation /conversion
A - *Individuals 0 0
B - *Body corporates and their nominees 0 0
3 *Total number of Partners and Designated Partners 3 0
6.Particulars of individual designated partners /designated partners who are nominee of body corporate
(A) Particulars of individual designated partners having DIN/DPIN
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Form of contribution
Cash
(Conversion/Cash /Other than cash)
6.Particulars of individual designated partners /designated partners who are nominee of body corporate
(A) Particulars of individual designated partners having DIN/DPIN
Form of contribution
Cash
(Conversion/Cash /Other than cash)
6.Particulars of individual designated partners /designated partners who are nominee of body corporate
(A) Particulars of individual designated partners having DIN/DPIN
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Name NIKHIL KUMAR JHA
Form of contribution
Cash
(Conversion/Cash /Other than cash)
Middle Name
Surname
Father's Surname
Gender
( Male/Female/ Transgender)
Nationality
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Place of Birth (District)
Occupation type
(Business/Professional/Government
Employment/Private Employment /Housewife/Student/Others)
Description of others
Area of Occupation
Educational Qualification
(Primary education/Secondary education Vocational qualification/Bachelor's degree/Master
degree/Doctorate or higher/Professional/Diploma /Others)
Mobile No
Email ID
(ii) Permanent address
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Phone (with STD/ISD code)
(iii) Whether present residential address same as permanent residential address Yes No
Present address
Address Line I
Address Line II
Country
Area/ Locality
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City
District
State / UT
If Duration of stay at present address is less than one year then address of previous
residence
Residential Proof
(Bank Statement/Electricity Bill/Telephone bill/Mobile bill/Utility Bill/Registered/Notarized
Rent Agreement)
Residential proof
Max 2 MB
(C) Particulars of bodies corporate and their nominees as designated partners having DIN/DPIN
(i) Particulars of body corporate
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Type of body corporate
(LLP/Company/Foreign LLP/ Foreign company/LLP incorporated outside India (LIOI)/
Company incorporated outside India (CIOI)
Corporate identity number (CIN) or foreign Company registration number (FCRN) or Limited
liability partnership identification number (LLPIN) or Foreign limited liability partnership
identification number (FLLPIN) or any other registration number
PAN
Name of body corporate
Registered office address or Principal place of business in India or Principal place of business outside India
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Contact details
Phone (with STD/ISD code)
Mobile No
Fax
Email ID
In case of company seeking conversion
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Whether resident of India Yes No
(D) Particulars of bodies corporate and their nominees as designated partners not having DIN/DPIN
(i) Particulars of body corporate
Type of body corporate
(LLP/Company/Foreign LLP/ Foreign company/LLP incorporated outside India (LIOI)/
Company incorporated outside India (CIOI)
Corporate identity number (CIN) or foreign Company registration number (FCRN) or Limited
liability partnership identification number (LLPIN) or Foreign limited liability partnership
identification number (FLLPIN) or any other registration number
PAN
Name of body corporate
Registered office address or Principal place of business in India or Principal place of business outside India
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Contact details
Phone (with STD/ISD code)
Mobile No
Fax
Email ID
In case of company seeking conversion
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Form of contribution
(Conversion/Cash /Other than cash)
Gender
( Male/Female/ Transgender)
Date of Birth (dd/mm/yyyy)
Nationality
Occupation type
(Business/Professional/Government Employment/Private Employment /Housewife/Student/Others)
Description of others
Area of Occupation
Educational Qualification
(Primary education/Secondary education Vocational qualification/Bachelor's degree/Master
degree/Doctorate or higher/Professional/Diploma /Others)
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If ‘Others’ selected, please specify
Mobile No
Email ID
Permanent address
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Phone (with STD/ISD code)
(iv) Whether present residential address same as permanent residential address Yes No
Present address
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Phone (with STD/ISD code)
If Duration of stay at present address is less than one year then address of previous
residence
Residential Proof
(Bank Statement/Electricity Bill/Telephone bill/Mobile bill/Utility Bill/Registered/Notarized
Rent Agreement)
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Proof of identity Max 2 MB
Name
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Gender
( Male/Female/ Transgender)
Nationality
Occupation type
(Business/Professional/Government
Employment/Private Employment /Housewife/Student/Others)
Description of others
Area of Occupation
Educational Qualification
(Primary education/Secondary education Vocational qualification/Bachelor's degree/Master
degree/Doctorate or higher/Professional/Diploma /Others)
Mobile No
Email ID
(ii) Permanent address
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
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Jurisdiction of Police Station
(iii) Whether present residential address same as permanent residential address Yes No
Present address
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
If Duration of stay at present address is less than one year then address of previous
residence
Residential Proof
(Bank Statement/Electricity Bill/Telephone bill/Mobile bill/Utility Bill/Registered/Notarized
rent Agreement)
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If 'Other than cash' selected, please specify
Corporate identity number (CIN) or foreign Company registration number (FCRN) or Limited
liability partnership identification number (LLPIN) or Foreign limited liability partnership
identification number (FLLPIN) or any other registration number
PAN
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Contact details
Phone (with STD/ISD code)
Mobile No
Fax
Email ID
In case of company seeking conversion
Form of contribution
(Conversion/Cash /Other than cash)
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If 'Other than cash' selected, please specify
(iii) Particulars of the person /designated partner signing on behalf of the body corporate as nominee
D Particulars of bodies corporate and their nominees as designated partners not having DIN/DPIN
(i) Particulars of body corporate
Corporate identity number (CIN) or foreign Company registration number (FCRN) or Limited
liability partnership identification number (LLPIN) or Foreign limited liability partnership
identification number (FLLPIN) or any other registration number
PAN
Name of body corporate
Registered office address or Principal place of business in India or Principal place of business outside India
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Contact details
Phone (with STD/ISD code)
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Mobile No
Fax
Email ID
In case of company seeking conversion
Form of contribution
(Conversion/Cash /Other than cash)
Gender
( Male/Female/ Transgender)
Nationality
Occupation type
(Business/Professional/Government Employment/Private Employment /Housewife/Student/Others)
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Description of others
Area of Occupation
Educational Qualification
(Primary education/Secondary education Vocational qualification/Bachelor's degree/Master
degree/Doctorate or higher/Professional/Diploma /Others)
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Phone (with STD/ISD code)
(iv) Whether present residential address same as permanent residential address Yes No
Present address
Address Line I
Address Line II
Country
Area/ Locality
City
District
State / UT
Jurisdiction of Police Station
Phone (with STD/ISD code)
If Duration of stay at present address is less than one year then address of previous
residence
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(v) Identity Proof
(Voters Identity Card/Passport/Driving License/Aadhaar)
Residential Proof
(Bank Statement/Electricity Bill/Telephone bill/Mobile bill/Utility Bill/Registered/Notarized
Rent Agreement)
Copy of resolution on the letterhead of such body corporate to become a partner in the
proposed LLP and a copy of resolution/ authorization of such body corporate also on a Max 2 MB
letterhead mentioning the name and address of an individual
nominated to act as nominee/designated partner on its behalf.
*Source of Income
(Income from Business/profession/ Capital Gains /Income from house property Income from other source
Income from other source /No Income)
*Business/Profession code
Attachments
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(a)Valuation Certificate Max. 2 MB
Max. 2 MB
(b)Optional attachment(s) - if any
liability partnership or body corporate or a registered trade mark or a trade mark which is subject of an application for registration of any
other person under the Trade Marks Act, 1999.
Part B: Statement
Declaration by designated partner
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I, the designated partner of the LLP do state that
(i) am a person named in the incorporation document as a designated partner/partner of the limited liability partnership;
(ii) the designated partner(s)/partner(s) have given their prior consent to act as designated partner(s)/partner(s);
(iii) all the requirements of the Limited Liability Partnership Act, 2008 and the rules made thereunder in respect of Designated
Partner Identification Number (DIN/DPIN), registration of the LLP and matters precedent or incidental thereto have been complied
with;
(iv) I make this statement conscientiously believing the same to be true.
*Signature Field 1
Chartered Accountant in whole time practice Cost Accountant in whole time practice
engaged in the formation of the limited liability partnership and my membership number or certificate of practice number
with Institute of Chartered Accountants of India (Name of regulatory body) is 5*1*5* (certificate of practice
Associate Fellow
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For office use only:
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