FORM No. 55
Registration No. of Company F......................................................................
THE COMPANIES ACT, 1956
Particulars of charge' on property in India created by a foreign company after the 
15th January, 1937
[Pursuant to section 600 read with section 1251
Name of Company....................................................
Presented by..............................................................
Particulars of mortgage or charge created by .......................................a company incorporated in            
 and which has established a principal place of business in India at............................................................. ...................................................................................................................................................................

Date and description of the instrument creating or evidencing the charge	Amount secured by the charge	Short particulars of the charged 	Gist of the terms and conditions and extent and operation of the charge	Names, adresses descriptions of the. persons entitled to the charge	Amount or rate percent of the commission, allowances or discount (if any) paid or made either directly or indirectly by the company to any person in consideration of his subscribing, or agreeing to sub-scribe,whether absolutely or conditionally, or procuring or agreeing to procure sub-scriptions,whether absolute or conditional, for any of the debentures included in this return

1	2	3	4	5	6	

Signature or signatures of one or more persons.............................................................
authorised under section 592@l)(d) of the....................................................................
Companies Act, 1956 or of some other person..............................................................
in India, duly authorised by the company......................................................................
Dated the .............................day of .... ..........   19.......................
1   "Charge" includes "mortgage". [See section 1241
2   Country of origin.
3   A description of the instrument e.g. "Trust Deed", "Mortgage", "Debentures", etc. as the case may be    	should be given.
4   Persons entitled to the charge will include mortgagees.
5   The rate of interest payable under the terms of the debentures should not be entered.