FORM NO.56CA
[See clause (c) of sub-rule (4) of rule 2D]
Statement of assets and liabilities
YEARS
FirstYear SecondYear ThirdYear
(Mention years also )
A. ASSETS
1. Fixed assets
(a) Gross block Rs.....……............... ..………................... ...........……….........
(b) Depreciation Rs.................……... .....………............... .....………...............
(c) Net value (a-b) Rs..........…….......... ....………................ .............……….......
2. Current assets
(a) Investments Rs...........….…........ .............………....... ...............……….....
(b) Cash and bank balances Rs......…….............. .........………........... .......……….............
(c) Others (please specify) Rs.........……........... ..........……….......... .........………...........
(d) Total [(a) + (b) + (c)] Rs.....…................... .....………............... ...……….................
3. Current liabilities and provisions Rs..........….............. ..……….................. .................………...
4. Net worth (1 + 2 - 3) Rs............……........ .....………............... .………...................
B. Liabilities
Rs…........................ ..……….................. ........………............
1. Monies raised /issued and paid-up
capital
Rs..…….................. ..........……….......... ......………..............
2. Free reserves (excluding revaluation
reserves)
3. Total (1 + 2)
Rs...................……. ........………............ .............……….......
Place .......………….......
........................................................................
Date …..........…….........
Signature and designation of the applicant
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