FORM No. 34AA
Registration No. of Company__________...  Nominal Capital Rs_______.
THE COMPANIES ACT, 1956 
Form of application 
(Please see section 370)
Instructions
1.	App1ication complete in all respects to be sent to the Secretary, Department of Company Affairs, Government of India, Shastri Bhawan, 5th Floor, "A" Wing, New Delhi- 1 1 0 00 1.
2.	The application form should be accompanied by the requisite amount of fee/evidences of payment of fee paid in terms of the Companies (Fees on Applications) Rules, 1968.  Fee be preferably paid by Bank Draft/Banker's Cheque in favour of the "Pay and Accounts Officer, Department of Company Affairs, New Delhi", payable at Delhi.

1.	Authorised Capital of the Co.	Rs
2.	Amount of fee paid	Rs	Rs
3.	Details of DD/Bankers' Cheque/Challan:
Bank:
Station:
No.:
Date:	(As on____________________..)

Particulars	Lending Company(Applicant Company)	Borrowing Company(to the extent applicable)	
1	2	3	

4.	Name and address			
5.	Existing business			
6.	Profit earned/Losses suffered during last 3 years			
7.	Management Structure and Share holding pattern	(to be attached along with the application)	(to be attached along with the application)	
8.	Among of loan proposed to be given and for what purpose			
9.	Rate of interest proposed to be charged			
10.	Nature and value of Security offered by the borrower			
11.	Whether there has been any default in the repayment of any deposit or part thereof or any interest thereupon in accordance with the terms and conditions of such deposit referred to in section 58A of the Companies Act, 1956.  If yes, the details thereof			
12.	Whether the applicant Company has passed the requisite special resolution; if so, a copy of the resolution is to be attached.			
13.	Availability of funds with the applicant Company:			
As on.............			

Details	Amount	Remarks	
1	2	3	
a	Subscribed capital/paid up capital)
b	(b)	Free reserves (to be listed)
(c)	Total:
(a)	Existing investments
(e) Loans/deposits already lent by the Company
(P  Amount of Loan involved in this proposal
(g)	Total (e +f + g)
(h) Percentage of Column (g) in relation to Column (c)
			
Verification
	It is hereby certified that the information given above and in the attached documents are true to the best of my knowledge and belief

Station:		Signature
Date:		Designation