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Form No. 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
Name of the Company
Address:


Subject: Consent to act as a director
I (Name of Director), hereby give my consent to act as a director of (Name of the Company) 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.
Director identification Number (DIN):

Name (in full):

Father’s Name (in full):

Address:

E-mail id:

Mobile No.:

Income Tax PAN:

Occupation:

Date of birth:

Nationality:

No. of companies in which I am already a Director and out of such companies the Names of companies in which I am a Managing Director, Chief Executive Officer, Whole time director, Secretary, Chief Financial Officer, Manager:

Particulars of membership No. and Certificate of Practice No. if the applicant is a member of any professional Institute. Specifically state NIL if none.


Declaration
I 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 misfeasance or 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 appointed as Director.

Signature:………………………..
Date: __/__/____
Place: _________

Attachments:
1. Proof of Identity:
2. Proof of residence: 

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