Form 12 - Form for intimating other address for service of documents

All fields marked in * are mandatory

LLP Information

1 *Limited Liability Partnership Identification number (LLPIN)

Enter LLP Name To find LLPIN

LLP Name	LLPIN Number

Hidden CIN

1 *Limited Liability Partnership Identification Number (LLPIN)

2 *Name of the Limited Liability Partnership (LLP)

3(a) *Address of the registered office of the LLP

(b) *Email ID

Other Address

4. Other address details

(a) *Pursuant to section 13(2) of the Limited Liability Partnership Act, 2008 the above-named LLP declares the following address, other than the address of its registered office, for serving a document on it or its partner or designated partner:

(b) *Other Address

* Line I

Line II

*Country

*Pin Code/Zip Code

*Area/Locality

*City

*District

*State/ UT

*Latitude

*Longitude

Phone

Fax

*Jurisdiction of Police Station

Consent

5. Consent of Partners

*Whether change in address is:

Based on the procedure laid down in the LLP agreement

With consent of all partners

Clause reference number of the LLP agreement

Relevant extract of the LLP agreement

*Date on which consent of all the partners was taken under sub-rule (2) of Rule 16

Hidden Event Date

Date of Incorporation (Hidden Field)

Attachments

(a) Copy of the minutes of decision/resolution/consent of requisite partners

(b) *Copy of the minutes of consent of all partners

(c) *Proof of office address along with NOC, if applicable (Conveyance/Lease deed/ Rent Agreement etc. along with the rent receipts)

(d) Optional attachment(s) - if any

You have reached your max attachment limit.

Verification

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

I, being a designated partner of the LLP, am authorized to sign and submit this form.

*To be digitally signed by a designated partner

*DPIN of the designated partner

Certification by practicing professional

*It is hereby certified that I have verified the above particulars [including attachment(s)] from the record of

and found them to be true and correct. I further certify that all the required attachment(s) have been completely attached to this form.

* To be digitally signed by

*Category

Chartered accountant (in whole-time practice) or

Cost accountant (in whole-time practice) or

Company secretary (in whole-time practice)

* Whether associate or fellow:

Associate

Fellow

*Membership number or certificate of practice number

MemberFinal

*Membership number or certificate of practice number

This eForm has been taken on file maintained by the registrar through electronic mode and on the basis of statement of correctness given by the filing LLP.

Back Office

For office use only:

*e-Form Service request number (SRN)

*e-Form filing date