FORM NO. 56C
[See clause (c) of sub-rule (4) of rule 2D]
Statement of assets and liabilities
YEARS
First Year Second Year Third Year
(Mention years also)
A. ASSSETS
1. Fixed assets
Rs. …………….. ……………………. ……………………
(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. LIAIBTLITIES
1. Monies raised/issued and paid-up capital Rs. …………….. ……………………. ……………………
2. Free reserves (excluding revaluation
reserves)
Rs. …………….. ……………………. ……………………
3. Total (1 + 2)
Rs. …………….. ……………………. ……………………
Place :…………………….
………………………………………………………………………….
Date ……………………..
Signature and designation of the applicant
Note: Please give full particulars of investments and also state whether you satisfy the conditions mentioned in
sub-rule (5) of rule 2D, if not, indicate reasons with details.