The prize chits and money circulation schemes (Banning) Delhi rules 1980 SECOND SCHEDULE -FORMS FORMS-1 (See Rule 4(1) (Form for furnishing particulars of the Scheme(s) and winding up plan) From Place....Date..... To Dear Sir, We, the undersigned, Sarvshri_______ and _____President and Secretary respectively of the _______ @ forward herewith a statement of particulars in the prescribed form, together with a winding up plan as required by the first proviso to Section 12(1) of the Prize Chits and Money Circulation Schemes (Banning ) Act,1978 read with Rule 4(1) of the Prize Chits and Money Circulation Schemes (Banning) (Delhi) Rules, 1980. Please acknowledge receipt. Yours faithfully, President Secretary For and on behalf of...@ @ Here enter the name of the applicant Institution. Notes: (i) Necessary changes regarding the designation etc., of the office bearers may be made wherever necessary. Strike out whatever words are not applicable. (ii) This form as well as its enclosures should be forwarded to the authorized officer in duplicate. Two copies each thereof should be forwarded simultaneously to the Deputy Chief Officer, Reserve Bank of India, Department of Non-Banking Companies, New Delhi, Regional Office, 6-Parliament Street, New Delhi-110001. STATEMENT OF PARTICULARS 1. Name and address of the company/association of individuals/cooperative societies/partnership/sole proprietorship (Addresses of the Registered as well as the head Office/Administrative Office if any, should be given. 2, Constitution i.e. whether incorporated as company/co-operative society or registered/unregistered association of individuals/partnership/sold proprietorship (Also specify the provisions of the Act under which incorporated/registered along with the date of incorporation). 3. Name and addresses of the branches/offices , if any. 4. Main objects of the institution (Enclose a copy of the Memorandum and Articles of Association or as the case may be, of the Bye-laws or Rules regulating the activities of the institution). 5. Names , occupations and residential addresses of the directors or as the case may be , of the promoters/members of the Committee of management/partners etc. 6. Names and residential addresses of the Chief Executive Officer and two other officers immediately next to him in the managerial set up. 7. Names of the bankers and their addresses. 8. Names of the auditors and their addresses. 9. Broad nature of the schemes conducted (Enclose printed or type-written copy of the schemes and of the rules governing such schemes). 10. Places where the scheme referred to in item 9 are being conducted. 11. Full particulars of each scheme as in the Annexure to this statement. 12. Names and addresses of the associate/Companies/co-operative societies/association of individuals/partnership/sole proprietorships. 13. Names, occupations and residential addresses of the directors or as the case may be, of promoters/members of the committee of Manangement etc. , of the institution referred to in item 12. 14. Broad nature of the type of business done by them and/or of the schemes conducted by them. 15. Detailed plan for winding up of the existing business of the schemes. I/We solemnly declare that the facts stated herein as also in the Annexure are true to the best of my/our knowledge, information and belief. I/We certify that the particulars/information given herein insofar as they pertain to the books and records of the _________* have been verified from such books and records and found to be correct and complete in al respect. Dated this _______day of __________1980 at_____ Signature of the Chairman/Managing Director Manager/Partner(s)/Authroised Official(s)Name(s) Designation(s) *Enter the name of the applicant institution Notes: (i) if the space against any of the item is inadequate for furnishing full particulars, the required information should be given in separate sheets indicating the cross references against the relative items of this statement. (ii) A copyof each of the latest available auditor Balance Sheet and profit and loss account as also a Finanial statement in the same proforma as on the date of the coming into operation of the Act, duly certified by the auditors, should be attached. (iii) As regards item 15 above, a cash flow statement for every six monthly period commencing from the date of this statement indicating the total amounts expected to be recovered and disbursed to the prize winners and to the subscribers of the schemes by way of advances and /or refunds to the subscribers in the terminated schemes should be furnished. It should be ensured that the cash flow statement are drawn upon the realistic basis having regard to the past experience and indicating the factors which have been taken into account in arriving at the estimated amounts of recoveries and disbursement. The broad criteria/rules, if any, followed in determining the quantum of the loans advanced to be advance to the subscribers, the period generally stipulated for their repayment and the nature of securities obtained at the time of disbursal of the loans should be indicated. ANNEXURE (Amount in lakhs of rupees) Part I - Particulars of the Schemes 123 4 5 S.No. Name of the Date of commence-Date of maturity No. of members Scheme ment contemplated to be enrolled as per the scheme 6 7 8910 No. of sub-Amt. of sub-Amt. of subscrip-Amt.of subscrip-Amt. By way of scribers enrolled criptions tions forfeited tions refunded to prizes in cash or and actually collected the subscribers. kind offered subscribing during the curr ency of the scheme. 11 12 13 14 Amt. actually dis-Amt. of outstanding Are the subscribers Total amt of bursed by way of liabilites on account of who win prizes liability under each prizes prizes bound to pay subs-scheme on maturity criptions till the i.e. amount refundamaturity of the ble to the subscrischeme? bers 15 16 17 Whether any amt. Mode of utilization Remarks have been advanced of excess funds, if any to persons other than subscribers. No. Amount (15A) (15B) Part II-Particulars of the advances 123 4 5 S.No. No. of subscribers No. of subscribers No. and amount of Remarks and the amount who have not availed loan availed of by the disbursed to them of loans Directors/members of as loan the committee of management/partners etc. and the associate companies/ concern in which they are interested No. Amount No. Amount (2A) (2B) (4A) (4B) Notes: ( I ) Particulars to be given in both parts of this statements should relate to the Position as on the 12th day of December,1978 i.e. date of the coming into operation of the Act. (ii) The relative particulars should be given scheme wise in Part I and in the same serial order in Part II (iii) If any item is not applicable , the letter N.A. should be entered thereunder. (iv) In regard to item 4 of part II, further particulars about the advances to directors etc. should be given in a separate sheet in the following Performa: (1) (2) (3) (4) (5) (6) Names of the Date and amt. Amt.of advance Date and amt. Rate of Remarks directors/ of original outstanding of loans advan-interest committee advance ced to associate charged members companies/con partners etc. cerns in which such director/ committee member is interested No. Amount No. Amount (2A) (2B) (4A) (4B)
