Form-I

[See sub-rule(1) of rule 3] Report of financial establishment on commencement/conduct of Business in the State of Uttarakhand. To The District Collector/ Magistrate,...............(District) And Superintendent of Police ..............................(Distict) 1. Name of the Financial Establishment: 2. Name and address of Registering Authority: 3. Registration/Incorporation Number with date: 4. Name & address of the Regulator: 5. Provide in detail about the authority to carry on such business: 6. Type of activities authorised by the registering authority 7. Any restrictions imposed by the registering authority on such activities 8. Name of the State in which the Financial Establishment is registered: 9. Full address: (i) Registered Office, Pin No. Phone No. (ii)Main Branch Office (If any): 10. Name, address (present & permanent) and PAN number of every Person* responsible for management of affairs of the financial Establishment: (1) Sri/Smt............................... (2) Sri/Smt............................... 11. **Number of Branches/Offices: 12. Name(s) of the financial Establishment's Auditor and address: 13. Name(s) of the Financial Establishment's Banker(s) Name and address: 14. Name, address (present & permanent) and designation of the person conducting business of the Financial Establishment: Certified that the particulars/information furnished in the report have been verified and found to be correct and complete in all respects. Date: Place: Signature of Manager/Managing Director/authorised official Name: Designation: *If more than two persons are responsible for the management affairs of the financial Establishment they may give a list showing name and address appending to this Form. **A list showing the names and address of the place(s) where the Branch Office(s) of the Financial Establishment is/are situated should be enclosed.