Change Request Form

  • Company related information
  • Attachment & Verification
  • Review & Submit

All fields marked in * are mandatory


*2 Company Information

*2 Company Information


3 Details of Stock Exchange where shares are listed






S. No
Stock exchange name
Date of listing
Description of Stock exchange



        You have reached your max attachment limit.

        if point 1(b)(ii) is selected as ‘Yes’, please ensure the Copy of Court/Tribunal’s Order is attached.


        To the best of my knowledge and belief, the information given in this form and its attachments is correct and complete. I have been authorised by

        by the board of directors’ resolution dated

        (DD/MM/YYYY)  to sign and submit this form


        *To be digitally signed by


        (Director/Manager/ Company Secretary/CFO/CEO/Authorised Representative/Designated Partner)

        *Director identification number of the director; or DIN /DPIN or PAN of the manager or CEO or CFO or Authorised Representative; or Membership number of the Company Secretary

        Note: Attention is drawn to provisions of Section 448 and 449 of the Companies Act, 2013 which provide for punishment for false statement / certificate and punishment for false evidence respectively.