FORM NO. 56CA [See clause (b) of sub-rule (3) of rule 2DA] Statement of assets and liabilities
YEARS
First Year
Second Year
Third Year
(Mention years also)
A.
ASSETS
1.
Fixed Assets
(a) Gross block
Rs.
(b) Depreciation
Rs.
(c) Net value (a – b)
Rs.
2.
Current assets
(a) Investments
Rs.
(b) Cash and bank balances
Rs.
(c) Others (please specify balances)
Rs.
(d) Total [(a) + (b) + (c)]
Rs.
3.
Current liabilities and provisions
Rs.
4.
Net worth (1+2-3)
Rs.
B.
LIABILITIES
1.
Monies raised/issued and paid-up capital
Rs.
2.
Free reserves (excluding revaluation reserves)
Rs.
3.
Total (1+2)
Rs.
Place
Date
Signature and designation of the applicant
Note : Please give full particulars of investments and also state whether you satisfy the conditions mentioned in sub-rule (5) of rule 2DA, if not, indicate reasons with details.
