FORM – I
[See sub-rule (1) of rule 3]
Application for registration of a Multi-State Cooperative Society under the Multi-State Cooperative Societies Act, 2002
To,
The Central Registrar of Cooperative Societies,
New Delhi.
Sir,
We submit herewith a proposal for registration of the following Multi-State Cooperative Society along with enclosures as
indicated below :
2. We also declare that the information given herewith including that in the enclosures is correct to the best of our knowledge.
(a) Name of the proposed Multi-State Co-operative Society;
(b) Headquarters and address to be registered;
(c) Area of operations;
(d) Main objectives;
(e) Why is it absolutely necessary for the society to be registered under the Multi-State Cooperative Societies
Act,2002;
(f) A certificate in respect of provisions of clause (b) or sub-section(1) of section 7;
(g) A certificate in respect of provisions clause (c) of sub-section (1) of section 7;
(h) A certificate in respect of provisions of clause (d) of sub-section (1) of section 7;
(i) If all the members are individuals, indicate the number of persons from each State who have signed the application
:
Name of the State Number of persons who have
Signed the application
(j) Name and address of the applicant for the purpose of further correspondence.
3. Following documents are enclosed :
(a) A certificate from the _______________ Bank stating credit balance there in favour of the proposed multi-state
cooperative society.
(b) A scheme explaining how the proposed multi-state cooperative society has reasonable prospects of becoming a
viable unit. We are sending herewith four copies of the bye-laws duly signed.
4. Following persons are authorised to sign the bye-laws and also to make necessary alteration therein.
5. The particulars of the applicants are given here under :
| S. No. |
Name |
If representing a corporate body,
name of the institution* |
If the applicant is an
individual |
Age |
Nationality |
| (1) |
(2) |
(3) |
(4) |
(4A) |
(4B) |
| |
|
|
|
|
|
| Profession |
Name of the State |
Address |
Amount subscribed
to share capital |
In the case of representative of society or
a multi-state cooperative society, whether
he is Chairpersons/ President or
Chief Executive of that society |
Signature |
| (4C) |
(5) |
(6) |
(7) |
(8) |
(9) |
| |
|
|
|
|
|
For Official Use
Received by registered post on+ _________________ by
+ ____________ in the office of the Central Registrar, or by hand
from Shri
+ _______________ entered in the register of application at S.No. _______________ .
Signature of officer receiving
Received registration proposal No. ______________ on ___________ for registration of _______________ Society Ltd., (Proposed)
alongwith the enclosures referred to above from ______________ by post/hand deliver.
Place _____________
Date _______________
Central Registrar
Signature and Stamp
* If representing a co-operative or any other co-operative body enclose a copy of the Resolution or authorization
of the competent authority, authorizing the person to sign the application for registration.
+ blanks to be filled in.
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