FORM NO.
AOC-4
Form for filing financial statement
and other documents with the
Registrar
[Pursuant to section 137 of the Companies Act, 2013 and
sub-rule (1) of Rule 12 of Companies (Accounts) Rules,
2014]
Form Language
English
Refer the instruction kit for filing the form.
Hindi
Note-All fields marked in * are to be mandatorily filled.
-Figures appearing in the e-Form should be entered in Absolute Rupees only. Figures should not be rounded off in any
other unit like hundreds, thousands, lakhs, millions or crores.
Authorized capital of the company as on the date of filing
Number of members of the company as on the date of filing
SEGMENT- I: INFORMATION AND PARTICULARS IN RESPECT OF BALANCE SHEET
Part A
I. General information of the company
1. (a) *Corporate identity number (CIN) of company
Pre-Fill
(b) Global location number (GLN) of company
2. (a) Name of the company
(b) Address of the registered
office of the company
(c) *e-mail ID of the company
3. * Financial year to which financial statements relates
From
(DD/MM/YYYY)
To
(DD/MM/YYYY)
4. (a)* Date of Board of directors meeting in which financial statements are approved
5. (a)*Date of Board of directors' meeting in which boards' report referred
under section 134 was approved
(DD/MM/YYYY)
(DD/MM/YYYY)
6. * Date of signing of reports on the financial statements by the auditors
7.
(a)* Whether annual general meeting (AGM) held
(b) If yes, date of AGM
Yes
(DD/MM/YYYY)
No
Not applicable
(DD/MM/YYYY)
Page 1 of 9
8.
Yes
(a)* Whether the company is a subsidiary company as defined under clause (87) of section 2
(b) CIN of the holding company, if applicable
No
Pre-Fill
(c) Name of the holding company
(d) Provision pursuant to which the company has become a subsidiary
9. (a)* Whether the company has a subsidiary company as defined under clause (87) of section 2
Yes
No
Pre-fill All
(b) If yes, then indicate number of subsidiary company(ies)
CIN of subsidiary company
Name of the subsidiary company
Provisions pursuant to which the company has become a subsidiary
10. *Number of Auditors
*(a)
Income-tax PAN of auditor or auditor's firm
*(b)
Category of auditor
*(c)
Membership number of auditor or auditor's firm's
registration number
SRN of Form ADT-1
*(d)
Individual
Auditor's firm
Pre-Fill
*(e)
Name of the auditor or auditor's firm
*(f)
Address of the auditor or auditor's firm
Line I
Line II
*City
*State
Country
*Pin code
(g)
Details of the member signing for the above firm
Name of the member
Membership number
11. (a) *Whether Schedule III of the Companies Act, 2013 is applicable
Yes
No
(b) *Type of Industry
Note: In case the type of industry is other than Banking or Power or Insurance or NBFC, then select Commercial and
Industrial (C&I).
12. *Whether consolidated financial statements required or not
Yes
No
Page 2 of 9
III. *Financial parameters - Balance sheet items (Amount in Rupees) as on financial year end date
1
2
Amount of issue allotted for contracts without payment received in
cash during reporting periods
Share application money given
Share application money given during the reporting period
Share application money received during the reporting period
Share application money received and due for refund
Paid up capital held by foreign company
7
8
Paid-up capital held by foreign holding company and/ or through its
subsidiaries
Number of shares bought back during the reporting period
Deposits accepted or renewed during the reporting period
10
11
Deposits matured and claimed but not paid during the reporting
period
Deposits matured and claimed but not paid
12
Deposits matured, but not claimed
13
Unclaimed matured debentures
14
Debentures claimed but not paid
15
Interest on deposits accrued and due but not paid
16
Unpaid dividend
17
Investment in subsidiary companies
18
Investment in government companies
19
Capital Reserves
20
21
Amount due for transfer to Investor Education and Protection Fund
(IEPF)
Inter- corporate deposits
22
Gross value of transaction as per AS18 (If applicable)
23
Capital subsidies/ grants received from government authority(ies)
24
Calls unpaid by directors
25
Calls unpaid by others
26
Forfeited shares (amount originally paid-up)
27
Forfeited shares reissued
28
Borrowing from foreign institutional agencies
29
Borrowing from foreign companies
30
Inter-corporate borrowings - secured
31
Inter-corporate borrowings - unsecured
32
Commercial Paper
33
35
Conversion of warrants into equity shares during the reporting
period
Conversion of warrants into preference shares during the reporting
period
Conversion of warrants into debentures during the reporting period
36
Warrants issued during the reporting period (In foreign currency)
37
Warrants issued during the reporting period (In Rupees)
38
Default in payment of short term borrowings and interest thereon
39
Default in payment of long term borrowings and interest thereon
40
Whether any operating lease has been converted to financial lease
or vice-versa
Provide details of such conversion
34
%
%
Yes
No
Page 3 of 9
41
Net worth of company
42
43
Number of shareholders to whom shares allotted under private
placement during the reporting period
Secured Loan
44
Gross fixed assets (including intangible assets)
45
Depreciation and amortization
46
Miscellaneous expenditure to the extent not written off or adjusted
IV. Share capital raised during the reporting period (Amount in Rupees)
Particulars
(a) Public issue
Equity Shares
Preference Shares
Total
(b) Bonus issue
(c) Right issue
(d) Private placement arising out of conversion of
debentures or preference shares
(e) Other private placement
(f) Preferential allotment arising out of conversion of
debentures or preference shares
(g) Other preferential allotment
(h) Employee Stock Option Plan (ESOP)
(i) Others
(j) Total amount of share capital raised during the
reporting period
Page 4 of 9
SEGMENT II: INFORMATION AND PARTICULARS IN RESPECT OF PROFIT AND LOSS ACCOUNT
I. Statement Of Profit And Loss
Particulars
(I)
Figures for the period (Current
reporting period)
Figures for the period (Previous
reporting period)
From
(DD/MM/YYYY)
From
(DD/MM/YYYY)
To
(DD/MM/YYYY)
To
(DD/MM/YYYY)
Revenue from operations
Domestic Turnover
(i) Sales of goods manufactured
(ii) Sales of goods traded
(iii) Sales or supply of services
Export turnover
(i) Sales of goods manufactured
(ii) Sales of goods traded
(iii) Sales or supply of services
(II)
Other income
(III)
Total Revenue (I+II)
(IV)
Expenses
Cost of material consumed
Purchases of stock in trade
Changes in inventories of
-Finished goods
-Work-in-progress
-Stock in trade
Employee benefit Expense
Managerial remuneration
Payment to Auditors
Insurance expenses
Power and fuel
Finance cost
Depreciation and Amortisation
expense
Other expenses
Total expenses
(V)
(VI)
(VII)
Profit before exceptional and
extraordinary items and tax (III-IV)
Exceptional items
(VIII)
Profit before extraordinary items and
tax (V-VI)
Extraordinary items
(IX)
Profit before tax (VII-VIII)
(X)
Tax Expense
(1) Current tax
(2) Deferred tax
(XI)
(XII)
(XIII)
(XIV)
(XV)
Profit (Loss) for the period from
continuing Operations (IX-X)
Profit/(Loss) from discontinuing
operations
Tax expense of discontinuing
operations
Profit /(Loss) from discontinuing
operations (after tax) (XII-XIII)
Profit/ (Loss) (XI+XIV)
Page 5 of 9
III. *Financial parameters - Profit and loss account items (Amount in Rupees) during the reporting period
1
Proposed Dividend
Earnings per share (in Rupees)
%
Basic
Diluted
Income in foreign currency
Expenditure in foreign currency
5
6
Revenue subsidies or grants received from
government authority(ies)
Rent paid
Consumption of stores and spare parts
Gross value of transaction with related parties as per
AS-18 (If applicable)
Bad debts of related parties as per AS-18 (If applicable)
IV. Details related to principal products or services of the company
Total number of product/ services category(ies)
Product or service category code (ITC/ NPCS 4 digit code)
Description of the product or service category
*Turnover of the product or service category (in Rupees)
*Highest turnover contributing product or service code (ITC/ NPCS 8 digit code)
*Description of the product or service
*Turnover of highest contributing product or service (in Rupees)
Note - Please refer to 'Indian Trade Classification' based on harmonized commodity description and coding system issues by the ministry
of Commerce & Industry for Product Codes and National Product Classification for Services (NPCS) for Services codes issued by Ministry
of Statistics & Program Implementation, Government of India.
Segment III: Reporting of Corporate Social Responsibility (CSR)
1. Average net profit of the company for last three financial years (as defined in explanation to
sub-section (5) section 135 of the Act)
2. Prescribed CSR Expenditure (two per cent. of the amount as in item 1 above)
3. (a) Total amount spent on CSR for the financial year
(b) Amount spent in local area
(c) Manner in which the amount spent during the financial year as detailed below:
(1) (2)
(3)
S. CSR
Sector in which the Project is
No. project covered
or
activity
identified
(4)
(5)
(6)
(7)
(8)
(9)
Projects or
programs
- Specify the
State /Union
Territory where
the Project/
Program was
undertaken
Projects or
programs Specify the
district where
projects or
programs was
undertaken
Amount
outlay
(budget)
project or
programs
wise
Amount
spent on
the
projects or
programs
Expenditu- Mode of
Amount
re on
Administr- spent
ative
overheads
Page 6 of 9
Total
4. Give details (name, address and email address) of implementing agency(ies)
Segment IV: DISCLOSURE ABOUT RELATED PARTY TRANSACTIONS
Disclosure of particulars of contracts/arrangements entered into by the company with related parties referred to in subsection (1) of section 188 of the Companies Act, 2013 including certain arm's length transactions under third proviso thereto
1. Number of contracts or arrangements or transactions not at arms length basis
Name(s) of the related party
Duration of the contracts /
arrangements/ transactions
Nature of relationship
Nature of contracts/ arrangements/ transactions
Date of approval by Amount paid as advances, if
the Board
any
Date on which the special resolution
was passed in general meeting as
required under first proviso to section
188
2. Number of material contracts or arrangement or transactions at arms length basis
Name(s) of the related party
Nature of relationship
Duration of the contracts / arrangements/
transactions
Nature of contracts/ arrangements/ transactions
Date of approval by the Board
Amount paid as advances, if any
Segment V: Auditor's Report
I. (a) In case of a government company, whether Comptroller and Auditor-General of India (CAG of India) has commented
upon or supplemented the audit report under section 143 of the Companies Act, 2013
Yes
No
II. Details of remarks made by auditors and applicability of CARO, 2015
1. *Whether auditors' report has been qualified or has any reservations or contains adverse remarks
3. *Whether Companies (Auditors' Report) Order, 2015 (CARO) applicable
Yes
Yes
No
No
SEGMENT-VI- Miscellaneous
1. *Whether the Secretarial Audit is applicable
Yes
No
2. *Whether detailed disclosures with respect to Directors report under sub-section (3)
of section 134 is attached.
Yes
No
Page 7 of 9
Attachments
1. *Copy of financial statements duly authenticated as
per section 134(including Boards report, auditors
report and other documents)
Attach
7. Company CSR policy as per s sub-section (4) of
section 135
Attach
8. Details of other entity(s)
Attach
13. Optional attachment(s)- if any
Attach
List of attachment
Remove attachment
Declaration
I am authorized by the Board of Directors of the Company vide *resolution number
*dated
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of
the subject matter of this form and matters incidental thereto have been compiled with. I further declare that:
1.
Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information
material to the subject matter of this form has been suppressed or concealed and is as per the original records
maintained by the company.
2.
All the required attachments have been completely and legibly attached to this form.
*To be digitally signed by
*Designation
*Director identification number of the director; or
PAN of the manager or CEO or CFO; or Membership
number of the secretary
Certificate by Practicing professional
I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone
through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters
incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified records
maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete
and no information material to this form has been suppressed. I further certify that:
1. The said records have been properly prepared, signed by the required officers of the Company and maintained
as per the relevant provisions of the Companies Act, 2013 and were found to be in order;
2. All the required attachments have been completely and legibly attached to this form;
3. It is understood that I shall be liable for action under Section 448 of the Companies Act, 2013 for wrong
certification, if any found at any stage.
Page 8 of 9
Chartered Accountant (in whole time practice)
Cost Accountant (in whole time practice)
Company Secretary (in whole time practice)
Whether fellow or associate
Associate
Fellow
Membership number
Note: Attention is drawn to provisions of Section 448 and 449 which provide for punishment for false statement /
certificate and punishment for false evidence respectively.
Modify
Check Form
Prescrutiny
Submit
For office use only:
eForm Service request number (SRN)
eForm filing date
(DD/MM/YYYY)
Digital signature of the authorizing officer
This e-Form is hereby registered
Confirm submission
Date of signing
(DD/MM/YYYY)
OR
This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on
the basis of statement of correctness given by the company
Page 9 of 9
