Annual Return

Form of Annual Return of a Company Having a Share Capital
ANNUAL RETURN
The Companies Act , 1956 ( 1 of 1956)
Schedule V Part II
( See Section 159)
I. REGISTRATION DETAILS
Registration No.
Registration Date
0 2 6 7 3 9
1 3
0 6
2 0
( Refer Code List 1)
2 0 0 2 Whether shares listed on

recognized Stock Exchange(s)
If Yes, Stock exchange Code ( Totals)

( Refer Code List 2)
AGM Held
State Code
Y
Y-Yes
N- No
N A
Date of AGM/
Due Date
2 8
Date
N
Y- Yes N- No
N A
0
9
Month
0 1
Year
II. NAME AND REGISTERED OFFICE ADDRESS OF COMPANY

Company Name
Address
P A R A S
L
M I
G L A S
W A R E
P R I V A T E
E D
N D U S
I A L
T A T
N U N H A I
Town/City
A G R A
Sate
U T
Telephone with STD
Fax Number
E- mail Address
A R
0
5 6 2
Area Code
R A D E S
3 2 5 7 5 6 8
Number
Pin Code 2
8 2
III. CAPITAL STRUCTURE OF THE COMPANY ( Amount in Rs. Thousands)

Authorised Share Capital Break up
Type of Shares
No. of Shares
(I) Equity
Nominal Value ( in Rs.)
2 0 0 0 0 0
(II) Preference
1 0 0
N I L
Total Authorised Capital
N I L
2 0 0 0 0
Issued Share Capital Breakup

Type of Shares
No. of Shares
(I) Equity
7 5 3 5 0
1 0 0
N I L
N I L
(II) Preference
Total Issued Capital
7 5 3 5
Subscribed Share Capital Break up

Type of Shares
No. of Shares
(I) Equity
7 5 3 5 0
1 0 0
N I L
N I L
(II) Preference
Total Subscribed Capital
Paid- up Share Capital Break up
Type of Shares
(I) Equity
(II) Preference
7 5 3 5
No. of Shares
7 5 3 5 0
1 0 0
N I L
N I L
Total Paid- up Capital

Debentures Beak up
Type of Debentures
7 5 3 5
No. of Debentures
(I) Non-Convertible
N I L
N I L
(II) Partly Convertible
N I L
N I L
(III) Fully Convertible
N I L
N I L
Total Amount
2
N I L
IV. DIRECTORS/MANAGER/SECRETARY INFORMATION ( PAST AND PRESENT
[Refer Clause 6 of Part I of Schedule V]

Name
A L
Surname
I I- Indian
F- Foreign
Nationality
Designation
Date of Appointment
2 3
Date
A S H
Middle Name
Date of Birth
1 2
Date
1
0
Month
J A Y
First Name
1 9 7 1
Year
C- Chairman-cum-Managing Director
W- Whole Time Director, S- Secretary, R Manager
D- Director, M Managing Director
0
7
Month
2 0 0 4
Year
Date of Ceasing
Date
Month
A N J
First Name
- - Year
Election Commission
Identity Card No. ( If issued)
Residential Address
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
Name
M I T
Surname
R A D
A R
E S
P R A K
Middle Name
Nationality
I- Indian
F- Foreign
Designation
Date of Appointment
2 3
Date
0
7
Month
Date of Birth
2 0 0 4
Year
Date of Ceasing
Election Commission
Residential Address
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
P
3
R A D
A R
E S
1 9
Date
Date
0
8
Month
1 9 6 8
Year
Month
- - Year
IV. DIRECTORS/MANAGER/SECRETARY INFORMATION ( PAST AND PRESENT
[Refer Clause 6 of Part I of Schedule V]

Name
T A L
Surname
I I- Indian
F- Foreign
Nationality
Designation
Date of Appointment
1 8
Date
I
S
Middle Name
Date of Birth
0 1
Date
0
9
Month
L A
First Name
1 9 4 7
Year
Month
Year
0
6
Month
2 0 0 9
Year
Date of Ceasing
Date
Election Commission
Residential Address
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
R A D
A R
E S
Name
Surname
Nationality
I- Indian
F- Foreign
Designation
Town/ City
District
State
Pin Code
Date of Birth
Date
Month
Year
Date of Ceasing
Date
Residential Address
First Name
Date of Appointment
Election Commission
Middle Name
Month
Year
Date
Month
Year
V. DETAILS OF SHARES/DEBENTURES HELD AT DATE OF AGM*

Ledger Folio of Share/Debenture Holder
Name
Fathers/ Husbands Name
A L
Surname
S H
P
Type of Share/Debenture
N I
S H E I L A
Middle Name
First Name
K A S H
M I T T A L
2 7 4 5 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock
Number of Shares/Debentures Held/Stock, if any

Residential Address
R A D
Amount Per Share( in Rs.)
1 0 0
A R
E S

Name
T
A
T
T
L
P R A K A S H
Surname
Middle Name
S H
P R A K A S H
M
1 1 6 5 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
A
T
J E E
First Name
T A L

Residential Address
P
3
R A D
A R
E S
1 0 0
V. DETAILS OF SHARES/DEBENTURES HELD AT DATE OF AGM* ( Contd.)

Name
L
P R A K A S H
Surname
Middle Name
S H
P R A K A S H
M
1 6 1 5 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
A
T
N J A Y
First Name
T A L

Residential Address
R A D
1 0 0
A R
E S

Name
T A L
Surname
Middle Name
G I N I
First Name

Residential Address
2 8 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
P
3
R A D
A R
E S
1 0 0

Name
H I
D
Surname
L O P E
Middle Name
(P)
L T
First Name


Residential Address
1 4 7 0 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
1 0 0
A R
R A D
E S

Name
D E E
Surname
A S S
Middle Name
(P)
L T
First Name

Residential Address
2 6 0 0
R D
Town/ City
H A K A R P
District
D E
H I
M A
L O O R
1 0 0
U R
State
Pin Code

Name
T A L
Surname
E
Middle Name
K T A
First Name

7
Residential Address
7 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
R A D
1 0 0
A R
E S

Name
T A L
Surname
G A R
First Name
Middle Name


Residential Address
2 1 0 0
Town/ City
R O Z
A B A D
District
R O Z
A B A D
State
U T
A R
Pin Code
(H U F)
Surname
R A D
1 0 0
A R
E S

Name
A K A S
Middle Name
N J E E
First Name

3 5 0
1 0 0
Residential Address
R D
Town/ City
H A K A R P
District
D E
H I
M A
L O O R
U R
State
Pin Code
VI. DETAILS OF SHARES/DEBENTURES TRANSFERS SINCE DATE OF LAST AGM

( or in the case of the first return at any time since the incorporation of the company)
Date of Previous AGM
3 0
Date
0 9
Month
Date
Month
2 0 1 1
Year
Date of Registration of Transfer of shares

Year
Type of Transfer
Number of Shares/Debentures Transferred
Ledger Folio of Transferor

Transferors Name
Surname
Middle Name
First Name
Surname
Middle Name
First Name
Ledger Folio of Transferee

Transferees Name
Date of Registration of Transfer of shares

Date
Type of Transfer
Month
Year
Number of Shares/Debentures Transferred
Ledger Folio of Transferor

Transferors Name
Surname
Middle Name
First Name
Surname
Middle Name
First Name
Ledger Folio of Transferee

Transferees Name
VII. INDEBTEDNESS OF THE COMPANY

( Amount in Rs. Thousands)
( Secured Loans including interest outstanding / accrued but not due for payment)
Amount
10
1 3 7 7 4 6
VIII. EQUITY SHARE CAPITAL BREAKUP

i) Govt. [ Central & State(s)]
N
iii) Public Financial Institutions

N
ix) Director/Relatives of Directors

1
iv) Nationalised /Other Banks
vi) Venture Capital
vii) Foreign Holding/FIIs/FCs/FFIs/NRIs/OBCs

N
v) Mutual Funds
N
(Percentage of Total Equity)

ii) Govt. Companies
viii) Bodies Corporate ( Not Mentioned Above

N
x) Other top 50 Share Holders( Other than those listed above)

N
WE CERTIFY THAT:
(a) the return status the facts as they stood on the date of the annual general meeting aforesaid, correctly, and completely:
(b) since the date of the last annual return the transfer of all shares, debentures, the issue of all further certificates of shares and
debentures has been appropriately recorded in the books maintained for the purpose:
(c) the whole of amount envisaged in clauses (a) to (e) of sub-section (2) of section 205C of the Companies Act, 1956 remaining
unpaid or unclaimed for a period of seven years from the date they become payable by a company have been credited to the
Investor Education and Protection Fund.
(d) the company has not, since the date of the annual general meeting with reference to which the last return was submitted, or in
the case of a first return, since the date of the incorporation of the company, issued any invitation to the public to subscribe
for any shares or debentures of the company:
(e) where the annual return discloses the fact that the number of members of the company exceeds fifty, the excess consists
wholly of persons who under sub-clause (1) of section 3 are not to be included in the reckoning the number of fifty:
(f) since the date of annual general meeting with reference to which the first return was submitted or in the case of a first return
since the date of the incorporation of the private company no public company or deemed public company has or have held
twenty-five per cent, or more of its paid-up share capital:
(g) the company did not have an average turnover of rs. Ten Crores or more during the relevant period:
(h) since the date of the annual general meeting with reference to which the last annual return was submitted or since the date of
incorporation of the company, if it is first, the company did not hold twenty-five per cent or more of the paid-up share capital
of one or more public companies: and
(i) the private company did not accept or renew or invite deposits from the public.
Signed
Director: ----------------------------Director/Managing Director/ Manager/Secretary: -----------------------------Secretary in whole time practice: ------------------------------CP No.: ------------------------------Note :- Certificate to be given by a Director and Manager/Secretary or by two Directors where there is no manager or secretary. In the
case of a company whose shares are listed on a recognized stock exchange, the certificates shall also be signed by a secretary in
whole time practice.
11

Annual Return

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Annual Return

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Form of Annual Return of a Company Having a Share Capital

( Refer Code List 1)

2 0 0 2 Whether shares listed on

If Yes, Stock exchange Code ( Totals)

II. NAME AND REGISTERED OFFICE ADDRESS OF COMPANY

Telephone with STD

III. CAPITAL STRUCTURE OF THE COMPANY ( Amount in Rs. Thousands)

Nominal Value ( in Rs.)

Issued Share Capital Breakup

Nominal Value ( in Rs.)

Subscribed Share Capital Break up

Nominal Value ( in Rs.)

Nominal Value ( in Rs.)

Total Paid- up Capital

Nominal Value ( in Rs.)

(II) Partly Convertible

(III) Fully Convertible

IV. DIRECTORS/MANAGER/SECRETARY INFORMATION ( PAST AND PRESENT

[Refer Clause 6 of Part I of Schedule V]

IV. DIRECTORS/MANAGER/SECRETARY INFORMATION ( PAST AND PRESENT

[Refer Clause 6 of Part I of Schedule V]

V. DETAILS OF SHARES/DEBENTURES HELD AT DATE OF AGM*

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

V. DETAILS OF SHARES/DEBENTURES HELD AT DATE OF AGM* ( Contd.)

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Number of Shares/Debentures Held/Stock, if any

Amount Per Share( in Rs.)

Ledger Folio of Share/Debenture Holder

Fathers/ Husbands Name

Number of Shares/Debentures Held/Stock, if any

1 Equity, 2 Preference Share, 3 Debentures, 4 - Stock

Amount Per Share( in Rs.)