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1. Director Identification Number (DIN)
FORM NO. DIR-6
2. Type of change:
Enter information that needs to be corrected. Enter only the relevant field(s)
(a) First name
(b) Last name
(c) Middle name
Photograph
7. Date of birth
6. Nationality
Name
(b)
(a)
Director
Nationality
Date of birth
Income-tax PAN
Driving license number
Voters Identity card number
Permanent residential address
Passport number
Present residential address
Yes
No
Father's name
Gender
E-mail ID/ Mobile
8. Gender
Male
Female
Transgender
(a) First name
(b) Last name
(c) Middle name
Note -
- All fields marked in * are to be mandatorily filled.
- In case of Indian nationals, Income-tax Permanent Account Name (Income-tax PAN) is mandatory in all
cases even if there is no change in Income-tax PAN. In such cases, director details
should be as per Income-tax PAN. In case the details as per Income-tax PAN are incorrect, director/
designated partner is advised to first correct the details in Income-tax PAN.Refer instruction kit for details
4. Father's name (Even married women must give father's name)
5. Whether a citizen of India
13. Aadhar number
3. Director's name(Enter full name and do not use abbreviations)
[Pursuant to rule 12 (1) of the Companies
(Appointment and Qualification of Directors)
Rules, 2014]
Intimation of change in particulars of Director
to be given to the Central Government
(Attach a latest passport
size photograph by clicking
on above box)(Refer
instruction kit for details)
Yes
No
6A. Whether resident in India
Residential Status
Photograph of Director
Aadhar number
10. Voter's identity card number
12. Driving license number
9. Income tax PAN
14. Mobile
15. E-mail ID
*
*
*
*
Form Language
English
Hindi
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Verify Income-tax PAN details
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Certification
I declare that I have been duly engaged for the purpose of certification/verification of this form. It is hereby certified
that
*
Note: In case where the applicant is residing outside India the particulars have to be verified from the documents
duly attested by the attesting authority as prescribed.
I also verify having attested the photograph of the said person:
(i) who is personally known to me; or
(ii) who meet me in person along with the original of the attested documents
Line II
City
State
Pin code
Phone
Fax
Line I
ISO country code
16. Permanent residential address
Country
Yes
No
17. Whether present residential address is same as permanent residential address
Line II
City
State
Pin code
Line I
18. Present address
ISO country code
Phone
Fax
Country
Attachments :
1.
2.
Proof of change in particulars;
Optional attachments, if any.
*
List Of Attachments
To be digitally signed by Applicant
*
I have satisfied myself about the identity of the applicant based on the perusal of the original of the attached
document
I, hereby confirm and verify that the particulars given in the Form herein above are true and also are in
agreement with the documents being attached to this form.
(i) The photograph and documents being attached to the Form DIR-6 belong to me. I further confirm that all
required documents have been duly certified by the respective government authority and are being attached to the
Form DIR-6 and
(ii) I am not restrained, disqualified, removed of, for being appointed as director of a company under the provisions
of the Companies Act, 2013 including sections 164 and 169, and
(iii) I have not been declared as proclaimed offender by any Economic Offence Court or Judicial Magistrate Court
or High Court or any other Court, and
(iv) I have no other allotted DIN other than DIN in which changes are intimated under section 154 of the Companies
Act, 2013 or a Designated Partner Identification Number under section 7 of the Limited Liability Partnership Act,
2008.
(v) I shall be liable under section 448 of the Act and under relevant provisions of the Indian Penal Code, 1860 and
any other law as applicable, if any statement in this application is found to be false or any material fact is found to
be have been omitted.
Verification
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To be digitally signed by
Whether associate or fellow
Associate
Fellow
*
*
Membership No.
Certificate of Practice Number
Note: Attention is also drawn to provisions of Section 448 and 449 of the Companies Act, 2013 which provide
for punishment for false statement/certificate and punishment of false evidence respectively.
For office use only:
Digital signature of the authorising officer
This e-Form is hereby approved
This e-Form is hereby rejected
eForm Service request number (SRN)
eForm filing date
Date of signing
(DD/MM/YYYY)
OR
This eForm has been taken on file maintained by registrar of companies through electronic mode and on
the basis of statement of correctness given by the company.
Category
*
*
I further certify that ;
*
All required attachments have been completely attached to this application
*
All the required attachments have been completely and legibly attached to this form;
*
I have kept a copy of this form and attachments thereto, in my records for future reference.
*
*
It is understood that I shall be liable for action under Section 448 of The Companies Act, 2013 for wrong
certification, if any found at any stage.
*
I have gone through the provisions of The Companies Act, 2013 and rules thereunder for the subject matter of
this form and matters incidental thereto and I have verified the above particulars (including attachment(s))
from the original records maintained by the Company/applicant which is subject matter of this form and found
them to be true, correct and complete and no information material to this form has been suppressed.
*
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