| I. Registration Details | 
        
            | Registration No.  | State Code (Refer Code List) | 
        
            | Balance Sheet Date  |   | 
        
            | Date Month Year |   | 
        
            | II. Capital raised during the year (Amount in Rs. Thousands) | 
        
            | Public Issue | Rights Issue | 
        
            |   |   | 
        
            | Bonus Issue | Private Placement | 
        
            |   |   | 
        
            | III. Position of Mobilisation and Deployment of Funds  | 
        
            | (Amount in Rs. Thousands) |   | 
        
            | Total Liabilities | Total Assets | 
        
            |   |   | 
        
            | Source of Funds |   | 
        
            | Paid-up Capital | Reserves & Surplus  | 
        
            |   |   | 
        
            | Secured Loans | Unsecured Loans | 
        
            |   |   | 
        
            | Application of Funds  |   | 
        
            | Net Fixed Assets  | Investments | 
        
            |   |   | 
        
            | Net Current Assets | Misc. Expenditure | 
        
            |   |   | 
        
            | Accumulated Losses |   | 
        
            |   |   | 
        
            | IV. Performance of Company (Amount in Rs. Thousands) | 
        
            | Turnover  | Total Expenditure | 
        
            |   |   | 
        
            | + - Profit/ Loss Before Tax | + - Profit/ Loss After Tax  | 
        
            |   |   | 
        
            | (Please tick appropriate box + for profit, - for loss) |   | 
        
            | Earning Per Share in Rs. | Divided rate % | 
        
            |   |   | 
        
            | V. Generic Names of Three Principal Products/ Services of Company (as per monetary terms) |   | 
        
            | Item Code No.  |   | 
        
            | (ITC Code) |   | 
        
            | Product Description  |   | 
        
            |   |   | 
        
            |   |   | 
        
            | Item Code No. |   | 
        
            | (ITC Code) |   | 
        
            | Product Description |   | 
        
            |   |   | 
        
            |   |   | 
        
            | Item Code No. |   | 
        
            | (ITC Code) |   | 
        
            | Product Description |   | 
        
            |   |   | 
        
            |   |   |