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