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Form DIR-2

Consent to act as a director of a company

[Pursuant to section 152(5) and rule 8 of Companies (Appointment and Qualification of


Directors) Rules, 2014]

To

EMBEBO HEALTHCARE SERVICES PRIVATE LIMITED


101, S/F MANDAKINI ENCLAVE
ALAKNANDA, KALKAJI,
NEW DELHI -110019

Subject: Consent to act as a director.

I ABHIJIT CHAKRABARTY, hereby give my consent to act as director of


EMBEBOHEALTHCARE
SERVICES
PRIVATELIMITED,pursuant to sub-section (5) of
section 152 of the Companies Act, 2013 and certify that I am not disqualified to become
a director under the Companies Act, 2013.

1. Director Identification Number (DIN): NOT ALLOT ED

2. Name (in full): ABHIJIT CHAKRABARTY


3. Father's Name (in full): ARDHENDU SEKHAR CHAKRABARTY
4. Address: Air Force & Naval Officers Enclave —Unit —573 —Sector - 7—Plot
- 11 - Dwarka - New Delhi - 110075
5. E-mail id: [email protected]
6. Mobile no.: 9971110056
7. Income-tax PAN: ACWPC9090Q
8. Occupation: SELF EMPLOYED
9. Date of birth: 10/12/1971
10. Nationality: INDIAN
11. No. of companies in which I am already a Director and out of such companies the
names of the companies in which I am a ManagingDirector, Chief Executive Officer,
Whole time Director, Secretary, Chief Financial Officer, and Manager: NIL
12, Particulars of membership No. and Certificate of practice NO. if the applicant is a
member of any professional Institute. NIL

DECLARATION

J declare that I have not been convicted of any offence in connection with the promotion.
formation or management of any company or LLP and have not found guilty of any
fraud or misfeasanceor of any breach of duty to any company under this Act or any
previous company law in the last five years. I further declare that if appointed. my total
Directorship in all the companies shall not exceed the prescribed number of companies in
which a person can be appointcd as a Director.

CIIAKRABARTY
Designation:DIRECTOR
Place: NEW
Date: 10/10/2018

Attachrnents:

l. Proofof identity;

2. Proof of residence;

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