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Prospectus and Allotment Rules Form PAS-5
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The Companies (Prospectus and Allotment of Securities) Rules, 2014

Form PAS-5 Form PAS-5

Chapter
Annexures · Forms and Registers
[see rule 14(4)]
Record of a private placement offer to be kept by the company
Name of the Company: Registered office of the Company: CIN:
DETAILS OF PRIVATE PLACEMENT OFFER:
Date when approval of the relevant authority (board or the shareholders, as the case may be) obtained for the current Private Placement Offer Letter:
Amount of the offer:
Date of circulation of private placement offer letter:
Following details (in a tabulate statement) of the persons to whom private placement offer letter has been circulated:-
(i) Name
(ii) Father's name
(iii) Complete Address including Flat/House Number, Street, Locality, Pin Code
(iv) Phone number, if any
(v) email ID, if any
(vi) Initial of the Officer of the company designated to keep the Record