FORM NO.

AOC-4 Form for filing financial statement

and other documents with the
[Pursuant to section 137 of the Companies Act, 2013 and
sub-rule (1) of Rule 12 of Companies (Accounts) Rules,
Registrar
2014]

Form Language English Hindi

Refer the instruction kit for filing the form.

Note-
-All fields marked in * are to be mandatorily filled.
-Figures appearing in the e-Form should be entered in Absolute Rupees only. Figures should not be rounded off in any
other unit like hundreds, thousands, lakhs, millions or crores.
Authorized capital of the company as on the date of filing 10,000,000
Number of members of the company as on the date of filing 0
SEGMENT- I: INFORMATION AND PARTICULARS IN RESPECT OF BALANCE SHEET
Part A

I. General information of the company

1. (a) *Corporate identity number (CIN) of company U85110RJ1992PLC006992 Pre-Fill

(b) Global location number (GLN) of company

2. (a) Name of the company LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED

(b) Address of the registered BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
office of the company
C
Rajasthan
000000
India
(c) *e-mail ID of the company lbaldwa@[Link]

3. * Financial year to which financial statements relates

From 01/04/2018 (DD/MM/YYYY) To 31/03/2019 (DD/MM/YYYY)

4. (a)* Date of Board of directors’ meeting in which financial statements are approved 03/09/2019 (DD/MM/YYYY)

(b) (i) *Nature of financial statements Adopted Financial statements

(iii) Whether provisional financial statements filed earlier Yes No Not applicable

(iv) Whether adopted in adjourned AGM Yes No Not applicable

(c) Details of director(s), manager, secretary, CEO, CFO of the company who have signed the financial statements

Provide Director Identification number (DIN) in case of director, Managing Director and Income -tax permanent account number
(Income-tax PAN) in case of manager, secretary, CEO, CFO.
Pre-fill All

Page 1 of 13
 Date of signing of
DIN or Income-tax PAN Name Designation
financial statements

00492354 SUDHIR BALDWA Director 03/09/2019

00492363 SUNIL BALDWA Director 03/09/2019

5. (a)*Date of Board of directors' meeting in which boards' report referred (DD/MM/YYYY)

under section 134 was approved 03/09/2019

(b) Details of director(s) who have signed the Boards' report Pre-fill All

Date of signing of Boards'

DIN Name Designation
report

00492354 SUDHIR BALDWA Director 03/09/2019

00492363 SUNIL BALDWA Director 03/09/2019

6. * Date of signing of reports on the financial statements by the auditors 03/09/2019 (DD/MM/YYYY)

7. (a)* Whether annual general meeting (AGM) held Yes No Not applicable
(b) If yes, date of AGM 30/09/2019 (DD/MM/YYYY)

(c) *Due date of AGM 30/09/2019 (DD/MM/YYYY)

(d)* Whether any extension for financial year or AGM granted Yes No

8. (a)* Whether the company is a subsidiary company as defined under clause (87) of section 2 Yes No

(b) CIN of the holding company, if applicable Pre-Fill

(c) Name of the holding company

(d) Provision pursuant to which the company has become a subsidiary

9. (a)* Whether the company has a subsidiary company as defined under clause (87) of section 2 Yes No

(b) If yes, then indicate number of subsidiary company(ies) Pre-fill All

CIN of subsidiary company

Name of the subsidiary company

Provisions pursuant to which the company has become a subsidiary

10. *Number of Auditors 1

Page 2 of 13
 I. *(a) Income-tax PAN of auditor or auditor's firm
AAIFC4801F
*(b) Category of auditor Individual Auditor's firm
*(c) Membership number of auditor or auditor's firm's
registration number 003165C
*(d) SRN of Form ADT-1
S39761937 Pre-Fill

*(e) Name of the auditor or auditor's firm

CHOUDHARY GUPTA & COMPANY
*(f) Address of the auditor or auditor's firm
Line I T-4, 3RD Floor, Jivan Vihar Complex,
Line II
New Colony, M.I. Road,
*City
JAIPUR
*State
Rajasthan-RJ
Country
IN
*Pin code 302001
(g) Details of the member signing for the above firm

Name of the member

RAM BABU GUPTA
Membership number
072138

11. (a) *Whether Schedule III of the Companies Act, 2013 is applicable Yes No

(b) *Type of Industry Commercial & Industrial

Note: In case the type of industry is other than Banking or Power or Insurance or NBFC, then select Commercial and
Industrial (C&I).

12. *Whether consolidated financial statements required or not Yes No

13. (a) *Whether company is maintaining books of account and other relevant books and papers in electronic form Yes No

Page 3 of 13
 I. Balance Sheet Part-B

Figures as at the end of (Current Figures as at the end of

Particulars reporting period) (in Rs.) (Previous reporting period)
(inRs.)
31/03/2019 (DD/MM/YYYY) 31/03/2018 (DD/MM/YYYY)

I. EQUITY AND LIABILITIES

(1) Shareholder's Fund 7,128,820.00 7,128,820.00
(a) Share capital
(b) Reserves and surplus -570,630.15 -638,420.15
(c) Money received against share warrants 0.00 0.00
(2) Share application money pending allotment 0.00 0.00
(3) Non - current liabilities
(a) Long term borrowings 0.00 0.00
(b) Deferred tax liabilities (net) 3,740,740.00 3,740,740.00
(c) Other long term liabilities 0.00 0.00
(d) Long term provisions 0.00 0.00
(4) Current liabilities
(a) Short term borrowings 0.00 0.00
(b) Trade payables 0.00 0.00
(c) Other current liabilities 224,050.00 197,250.00
(d) Short term provisions 23,819.00 5,920.00
Total 10,546,798.85 10,434,309.85
II. ASSETS
(1) Non-current assets
(a) Fixed assets
(i) Tangible assets 8,868,267.00 8,868,267.00
(ii) Intangible assets 0.00 0.00
(iii) Capital work-in-progress 0.00 0.00
(iv) Intangible assets under development 0.00 0.00
(b) Non-current Investments 0.00 0.00
(c) Deferred tax assets (net) 0.00 0.00
(d) Long term loans and advances 0.00 0.00
(e) Other non-current assets 0.00 0.00
(2) Current assets
(a) Current Investment 0.00 0.00
(b) Inventories 0.00 0.00
(c) Trade receivables 0.00 0.00
(d) Cash and cash equivalents 1,666,748.85 1,551,419.85
(e) Short term loans and advances 11,783.00 14,623.00
(f) Other current assets 0.00 0.00
Total 10,546,798.85 10,434,309.85

II. Detailed Balance sheet items (Amount in Rupees)

A. Details of long term borrowings (unsecured)

Particulars Current reporting period Previous reporting period

Bonds/ debentures 0.00 0.00
Term Loans
-From banks 0.00 0.00
-From other parties 0.00 0.00
Deferred payment liabilities 0.00 0.00
Deposits 0.00 0.00
Loans and advances from related parties 3,740,740.00 3,740,740.00
Long term maturities of financial lease Obligations 0.00 0.00
Other loans & advances 0.00 0.00
Total long term borrowings (unsecured) 3,740,740.00 3,740,740.00
Out of above total, aggregate amount guaranteed by
directors 0.00 0.00

Page 4 of 13
B. Details of short term borrowings (unsecured)

Particulars Current reporting period Previous reporting period

Loans repayable on demand
-From banks 0.00 0.00
-From other parties 0.00 0.00
Loans and advances from related parties 0.00 0.00
Deposits 0.00 0.00
Other loans and advances 0.00 0.00
Total short term borrowings (unsecured) 0.00 0.00
Out of above total, aggregate amount guaranteed by
directors 0.00 0.00

C. Details of long term loans and advances (unsecured, considered good)

Particulars Currents reporting period Previous reporting period

Capital advances 0.00 0.00
Security deposits 0.00 0.00
Loans and advances to other related parties 0.00 0.00
Other loans and advances 0.00 0.00
Total long term loan and advances 0.00 0.00
Less: Provision/ allowance for bad and doubtful loans
and advances
-From related parties 0.00 0.00
-From others 0.00 0.00
Net long term loan and advances (unsecured,
considered good) 0.00 0.00
Loans and advances due by directors/ other officers of
the company 0.00 0.00

D. Details of long term loans and advances (doubtful)

Particulars Currents reporting period Previous reporting period

Capital advances 0.00 0.00
Security deposits 0.00 0.00
Loans and advances to other related parties 0.00 0.00
Other loans and advances 0.00 0.00
Total long term loan and advances 0.00 0.00
Less: Provision/ allowance for bad and doubtful loans
and advances
-From related parties 0.00 0.00
-From others 0.00 0.00
Net long term loan and advances (doubtful) 0.00 0.00
Loans and advances due by directors/ other officers of
the company 0.00 0.00

E. Details of trade receivables

Particulars Current reporting period Previous reporting period

Exceeding six Within six months Exceeding six Within six months
months months
Secured, considered good 0.00 0.00 0.00 0.00
Unsecured, considered good 0.00 0.00 0.00 0.00
Doubtful 0.00 0.00 0.00 0.00
Total trade receivables 0.00 0.00 0.00 0.00
Less: Provision/ allowance for
bad and doubtful debts 0.00 0.00 0.00 0.00
Net trade receivables 0.00 0.00 0.00 0.00
Debt due by directors/ others
officers of the company 0.00 0.00 0.00 0.00

Page 5 of 13
III. *Financial parameters - Balance sheet items (Amount in Rupees) as on financial year end date
1 Amount of issue allotted for contracts without payment received in
cash during reporting periods 0.00
2 Share application money given 0.00
3 Share application money given during the reporting period 0.00
4 Share application money received during the reporting period 0.00
5 Share application money received and due for refund 0.00
6 Paid – up capital held by foreign company 0.00 0.00 %
7 Paid-up capital held by foreign holding company and/ or through its
0.00 0.00 %
subsidiaries
8 Number of shares bought back during the reporting period 0.00
9 Deposits accepted or renewed during the reporting period 0.00
10 Deposits matured and claimed but not paid during the reporting
period 0.00
11 Deposits matured and claimed but not paid 0.00
12 Deposits matured, but not claimed 0.00
13 Unclaimed matured debentures 0.00
14 Debentures claimed but not paid 0.00
15 Interest on deposits accrued and due but not paid 0.00
16 Unpaid dividend 0.00
17 Investment in subsidiary companies 0.00
18 Investment in government companies 0.00
19 Capital Reserves 0.00
20 Amount due for transfer to Investor Education and Protection Fund
(IEPF) 0.00
21 Inter- corporate deposits 0.00
22 Gross value of transaction as per AS18 (If applicable) 0.00
23 Capital subsidies/ grants received from government authority(ies) 0.00
24 Calls unpaid by directors 0.00
25 Calls unpaid by others 0.00
26 Forfeited shares (amount originally paid-up) 0.00
27 Forfeited shares reissued 0.00
28 Borrowing from foreign institutional agencies 0.00
29 Borrowing from foreign companies 0.00
30 Inter-corporate borrowings - secured 0.00
31 Inter-corporate borrowings - unsecured 0.00
32 Commercial Paper 0.00
33 Conversion of warrants into equity shares during the reporting
period 0.00
34 Conversion of warrants into preference shares during the reporting
period 0.00
35 Conversion of warrants into debentures during the reporting period 0.00
36 Warrants issued during the reporting period (In foreign currency) 0.00
37 Warrants issued during the reporting period (In Rupees) 0.00
38 Default in payment of short term borrowings and interest thereon 0.00
39 Default in payment of long term borrowings and interest thereon 0.00
40 Whether any operating lease has been converted to financial lease Yes No
or vice-versa
Provide details of such conversion

Page 6 of 13
 41 Net worth of company 6,558,189.85
42 Number of shareholders to whom shares allotted under private
placement during the reporting period 0
43 Secured Loan 0.00
44 Gross fixed assets (including intangible assets) 8,868,267.00
45 Depreciation and amortization 0.00
46 Miscellaneous expenditure to the extent not written off or adjusted 0.00
47 Unhedged Foreign Exchange Exposure 0.00

IV. Share capital raised during the reporting period (Amount in Rupees)

Particulars Equity Shares Preference Shares Total

(a) Public issue 0.00 0.00 0.00
(b) Bonus issue 0.00 0.00 0.00
(c) Right issue 0.00 0.00 0.00
(d) Private placement arising out of conversion of
0.00 0.00 0.00
debentures or preference shares
(e) Other private placement 0.00 0.00 0.00
(f) Preferential allotment arising out of conversion of
0.00 0.00 0.00
debentures or preference shares
(g) Other preferential allotment 0.00 0.00 0.00
(h) Employee Stock Option Plan (ESOP) 0.00 0.00 0.00
(i) Others 0.00 0.00 0.00
(j) Total amount of share capital raised during the
0.00 0.00 0.00
reporting period

VI. Details related to cost records and cost audit

1. *Whether maintenance of cost records by the company has been mandated under Yes No
Companies (Cost Records and Audit) Rules, 2014

Page 7 of 13
SEGMENT II: INFORMATION AND PARTICULARS IN RESPECT OF PROFIT AND LOSS ACCOUNT

I. Statement Of Profit And Loss

Particulars Figures for the period (Current Figures for the period (Previous
reporting period) reporting period)
From 01/04/2018 (DD/MM/YYYY) From 01/04/2017 (DD/MM/YYYY)

To 31/03/2019 (DD/MM/YYYY) To 31/03/2018 (DD/MM/YYYY)

(I) Revenue from operations
Domestic Turnover
(i) Sales of goods manufactured 0.00 0.00
(ii) Sales of goods traded 0.00 0.00
(iii) Sales or supply of services 0.00 0.00
Export turnover
(i) Sales of goods manufactured 0.00 0.00
(ii) Sales of goods traded 0.00 0.00
(iii) Sales or supply of services 0.00 0.00
(II) Other income 118,409.00 110,114.00
(III) Total Revenue (I+II) 118,409.00 110,114.00
(IV) Expenses
Cost of material consumed 0.00 0.00
Purchases of stock in trade 0.00 0.00
Changes in inventories of
0.00 0.00
-Finished goods
-Work-in-progress 0.00 0.00
-Stock in trade 0.00 0.00
Employee benefit Expense 0.00 0.00
Managerial remuneration 0.00 0.00
Payment to Auditors 0.00 0.00
Insurance expenses 0.00 0.00
Power and fuel 0.00 0.00
Finance cost 0.00 0.00
Depreciation and Amortisation
0.00 0.00
expense
Other expenses 26,800.00 79,042.00
Total expenses 26,800.00 79,042.00
(V) Profit before exceptional and
91,609.00 31,072.00
extraordinary items and tax (III-IV)
(VI) Exceptional items 0.00 0.00
(VII) Profit before extraordinary items and
91,609.00 31,072.00
tax (V-VI)
(VIII) Extraordinary items 0.00 0.00
(IX) Profit before tax (VII-VIII) 91,609.00 31,072.00
(X) Tax Expense
(1) Current tax 23,819.00 5,920.00
(2) Deferred tax 0.00 0.00
(XI) Profit (Loss) for the period from
67,790.00 25,152.00
continuing Operations (IX-X)
(XII) Profit/(Loss) from discontinuing
0.00 0.00
operations
(XIII) Tax expense of discontinuing
0.00 0.00
operations
(XIV) Profit /(Loss) from discontinuing
0.00 0.00
operations (after tax) (XII-XIII)
(XV) Profit/ (Loss) (XI+XIV) 67,790.00 25,152.00
Page 8 of 13
(XVI) Earnings per equity share
before extraordinary items
(1) Basic 0.10 0.04
(2) Diluted 0.10 0.04
(XVII) Earnings per equity share
after extraordinary items
(1) Basic 0.10 0.04
(2) Diluted 0.10 0.04

II. Detailed Profit and Loss items (Amount in Rupees)

A. Details of earning in foreign exchange

Particulars Current reporting period Previous reporting period

Export of goods calculated on FOB basis 0.00 0.00
Interest and dividend 0.00 0.00
Royalty 0.00 0.00
Know-how 0.00 0.00
Professional and consultation fees 0.00 0.00
Other income 0.00 0.00
Total Earning in Foreign Exchange 0.00 0.00

B. Details of expenditure in foreign exchange

Particulars Current reporting period Previous reporting period
Import of goods calculated on CIF basis
(i) Raw material 0.00 0.00
(ii) Component and spare parts 0.00 0.00
(iii) Capital goods 0.00 0.00
Expenditure on account of
Royalty 0.00 0.00
Know-how 0.00 0.00
Professional and consultation fees 0.00 0.00
Interest 0.00 0.00
Other matters 0.00 0.00
Dividend paid 0.00 0.00
Total Expenditure in foreign exchange 0.00 0.00

III. *Financial parameters - Profit and loss account items (Amount in Rupees) during the reporting period

1 Proposed Dividend 0.00 0.00 %

2 Earnings per share (in Rupees) Basic 0.10
Diluted 0.10
3 Income in foreign currency 0.00
4 Expenditure in foreign currency 0.00
5 Revenue subsidies or grants received from
0.00
government authority(ies)
6 Rent paid 0.00
7 Consumption of stores and spare parts 0.00
8 Gross value of transaction with related parties as per
0.00
AS-18 (If applicable)
9 Bad debts of related parties as per AS-18 (If applicable) 0.00

IV. Details related to principal products or services of the company

Total number of product/ services category(ies)

Page 9 of 13
 Product or service category code (ITC/ NPCS 4 digit code)

Description of the product or service category

*Turnover of the product or service category (in Rupees)

*Highest turnover contributing product or service code (ITC/ NPCS 8 digit code)
*Description of the product or service

*Turnover of highest contributing product or service (in Rupees)

Note - Please refer to 'Indian Trade Classification' based on harmonized commodity description and coding system issues by the ministry
of Commerce & Industry for Product Codes and National Product Classification for Services (NPCS) for Services codes issued by Ministry
of Statistics & Program Implementation, Government of India.

Segment III: Reporting of Corporate Social Responsibility (CSR)

1. (a) (i) *Whether CSR is applicable as per section 135 Yes No

(ii) Turnover (in Rs.) 0.00

(iii) Net worth (in Rs.) 6,490,399.85
2. Average net profit of the company for last three financial years (as defined in explanation to sub-section (5) section 135 of
the Act) (in Rupees)

3. Prescribed CSR Expenditure (two per cent. of the amount as in item 2 above) (in Rupees)

4. (a) Total amount spent on CSR for the financial year (in Rupees)
0.00

(b) Amount spent in local area (in Rupees)

0.00

(c) Manner in which the amount spent during the financial year as detailed below:

Number of CSR activities

(1) (2) (3) (4) (5) (6) (7) (8) (9)

S. CSR Sector in which the Project is Projects or Projects or Amount Amount Expenditu- Mode of
No. project covered programs programs - outlay spent on re on Amount
or Specify the (budget) the Administr- spent
- Specify the
activity district where project or projects or ative
identified State /Union programs programs
projects or overheads
Territory where wise
programs was (in Rs.)
the Project/ (in Rs.)
undertaken (in Rs.)
Program was
undertaken

Total

5. Give details (name, address and email address) of implementing agency(ies)

[Link] a responsibility statement of the CSR Committee on the implementation and monitoring of CSR Policy is enclosed
to the Board's Report Yes No
Page 10 of 13
 Segment IV: DISCLOSURE ABOUT RELATED PARTY TRANSACTIONS
Disclosure of particulars of contracts/arrangements entered into by the company with related parties referred to in sub-section
(1) of section 188 of the Companies Act, 2013 including certain arm's length transactions under third proviso thereto

1. Number of contracts or arrangements or transactions not at arm’s length basis

Name(s) of the related party Nature of relationship Nature of contracts/ arrangements/ transactions

Duration of the contracts / Date of approval by Amount paid as advances, if Date on which the special resolution
arrangements/ transactions the Board any was passed in general meeting as
required under first proviso to section
188

2. Number of material contracts or arrangement or transactions at arm’s length basis

Name(s) of the related party Nature of relationship Nature of contracts/ arrangements/ transactions

Duration of the contracts / arrangements/

Date of approval by the Board Amount paid as advances, if any
transactions

Segment V: Auditor's Report

I. (a) In case of a government company, whether Comptroller and Auditor-General of India (CAG of India) has commented
upon or supplemented the audit report under section 143 of the Companies Act, 2013 Yes No

III. Details of remarks made by auditors and applicability of CARO

1. *Whether auditors' report has been qualified or has any reservations or contains adverse remarks Yes No

3. *Whether Companies (Auditors' Report) Order (CARO) applicable Yes No

SEGMENT-VI- Miscellaneous

1. *Whether the Secretarial Audit is applicable Yes No

2. *Whether detailed disclosures with respect to Directors’ report under sub-section (3) Yes No
of section 134 is attached.

Page 11 of 13
 Attachments
List of attachment
1. *Copy of financial statements duly authenticated as Attach FINANCIALS [Link]
per section 134(including Board’s report, auditors’
BOARD [Link]
report and other documents)

7. Company CSR policy as per s sub-section (4) of Attach

section 135
8. Details of other entity(s) Attach

11. Secretarial Audit Report Attach

12. Directors’ report as per sub-section (3) of section 134 Attach

13. Details of remaining CSR activities Attach

14. Optional attachment(s)- if any Attach

Remove attachment

Declaration
I am authorized by the Board of Directors of the Company vide *resolution number 03 *dated 03/09/2019
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of
the subject matter of this form and matters incidental thereto have been compiled with. I further declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information
material to the subject matter of this form has been suppressed or concealed and is as per the original records
maintained by the company.
2. All the required attachments have been completely and legibly attached to this form.
SUDHIR Digitally signed

*To be digitally signed by by SUDHIR

BALDW BALDWA
Date: 2019.11.28
A [Link] +05'30'

*Designation Director

*Director identification number of the director; or

PAN of the manager or CEO or CFO; or Membership 00492354
number of the secretary

Certificate by Practicing professional

I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone
through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters
incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified records
maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete
and no information material to this form has been suppressed. I further certify that:
1. The said records have been properly prepared, signed by the required officers of the Company and maintained
as per the relevant provisions of the Companies Act, 2013 and were found to be in order;
2. All the required attachments have been completely and legibly attached to this form;
3. It is understood that I shall be liable for action under Section 448 of the Companies Act, 2013 for wrong
certification, if any found at any stage.

Page 12 of 13
 Chartered Accountant (in whole time practice) Cost Accountant (in whole time practice)

Company Secretary (in whole time practice)

AMRIT Digitally signed

Whether fellow or associate Associate Fellow by

ANSHU AMRITANSHU
BALANI
Date: 2019.11.28
BALANI [Link] +05'30'

Membership number 33746

Certificate of practice number 13773

Note: Attention is drawn to provisions of Section 448 and 449 which provide for punishment for false statement /
certificate and punishment for false evidence respectively.

Modify Check Form Prescrutiny Submit

For office use only:

eForm Service request number (SRN) eForm filing date (DD/MM/YYYY)
Digital signature of the authorizing officer
This e-Form is hereby registered Confirm submission

Date of signing (DD/MM/YYYY)

OR
This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on
the basis of statement of correctness given by the company

Page 13 of 13
FORM NO. AOC-4 Form for filing financial statement
and other documents with the
[Pursuant to section 137 of the Companies Act, 2013 and
sub-rule (1) of Rule 12 of Companies (Accounts) Rules,
Registrar
2014]

Form Language English Hindi

Refer the instruction kit for filing the form.

Note-
-All fields marked in * are to be mandatorily filled.
-Figures appearing in the e-Form should be entered in Absolute Rupees only. Figures should not be rounded off in any
other unit like hundreds, thousands, lakhs, millions or crores.
Authorized capital of the company as on the date of filing 10,000,000
Number of members of the company as on the date of filing 0
SEGMENT- I: INFORMATION AND PARTICULARS IN RESPECT OF BALANCE SHEET
Part A

I. General information of the company

1. (a) *Corporate identity number (CIN) of company U85110RJ1992PTC006992 Pre-Fill

(b) Global location number (GLN) of company

2. (a) Name of the company LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED

(b) Address of the registered BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
office of the company
C
Rajasthan
000000
India
(c) *e-mail ID of the company lbaldwa@[Link]

3. * Financial year to which financial statements relates

From 01/04/2019 (DD/MM/YYYY) To 31/03/2020 (DD/MM/YYYY)

4. (a)* Date of Board of directors’ meeting in which financial statements are approved 16/08/2020 (DD/MM/YYYY)

(b) (i) *Nature of financial statements Adopted Financial statements

(iii) Whether provisional financial statements filed earlier Yes No Not applicable

(iv) Whether adopted in adjourned AGM Yes No Not applicable

(c) Details of director(s), manager, secretary, CEO, CFO of the company who have signed the financial statements

Provide Director Identification number (DIN) in case of director, Managing Director and Income -tax permanent account number
(Income-tax PAN) in case of manager, secretary, CEO, CFO.
Pre-fill All

Page 1 of 13
 Date of signing of
DIN or Income-tax PAN Name Designation
financial statements

00492354 SUDHIR BALDWA Director 16/08/2020

00492388 SHAKUNTALA BALDWA Director 16/08/2020

5. (a)*Date of Board of directors' meeting in which boards' report referred (DD/MM/YYYY)

under section 134 was approved 16/08/2020

(b) Details of director(s) who have signed the Boards' report Pre-fill All

Date of signing of Boards'

DIN Name Designation
report

00492354 SUDHIR BALDWA Director 16/08/2020

00492388 SHAKUNTALA BALDWA Director 16/08/2020

6. * Date of signing of reports on the financial statements by the auditors 16/08/2020 (DD/MM/YYYY)

7. (a)* Whether annual general meeting (AGM) held Yes No Not applicable
(b) If yes, date of AGM 11/09/2020 (DD/MM/YYYY)

(c) *Due date of AGM 30/09/2020 (DD/MM/YYYY)

(d)* Whether any extension for financial year or AGM granted Yes No

8. (a)* Whether the company is a subsidiary company as defined under clause (87) of section 2 Yes No

(b) CIN of the holding company, if applicable Pre-Fill

(c) Name of the holding company

(d) Provision pursuant to which the company has become a subsidiary

9. (a)* Whether the company has a subsidiary company as defined under clause (87) of section 2 Yes No

(b) If yes, then indicate number of subsidiary company(ies) Pre-fill All

CIN of subsidiary company

Name of the subsidiary company

Provisions pursuant to which the company has become a subsidiary

10. *Number of Auditors 1

Page 2 of 13
 I. *(a) Income-tax PAN of auditor or auditor's firm
AAIFC4801F
*(b) Category of auditor Individual Auditor's firm
*(c) Membership number of auditor or auditor's firm's
registration number 003165C
*(d) SRN of Form ADT-1
R04038170 Pre-Fill

*(e) Name of the auditor or auditor's firm

CHOUDHARY GUPTA & COMPANY
*(f) Address of the auditor or auditor's firm
Line I T-4, 3RD Floor, Jivan Vihar Complex,
Line II
New Colony, M.I. Road,
*City
JAIPUR
*State
Rajasthan-RJ
Country
IN
*Pin code 302001
(g) Details of the member signing for the above firm

Name of the member

Ram Babu Gupta
Membership number
072138

11. (a) *Whether Schedule III of the Companies Act, 2013 is applicable Yes No

(b) *Type of Industry Commercial & Industrial

Note: In case the type of industry is other than Banking or Power or Insurance or NBFC, then select Commercial and
Industrial (C&I).

12. *Whether consolidated financial statements required or not Yes No

13. (a) *Whether company is maintaining books of account and other relevant books and papers in electronic form Yes No

Page 3 of 13
 I. Balance Sheet Part-B

Figures as at the end of (Current Figures as at the end of

Particulars reporting period) (in Rs.) (Previous reporting period)
(inRs.)
31/03/2020 (DD/MM/YYYY) 31/03/2019 (DD/MM/YYYY)

I. EQUITY AND LIABILITIES

(1) Shareholder's Fund 7,128,820.00 7,128,820.00
(a) Share capital
(b) Reserves and surplus -569,689.15 -570,630.15
(c) Money received against share warrants 0.00 0.00
(2) Share application money pending allotment 0.00 0.00
(3) Non - current liabilities
(a) Long term borrowings 3,835,892.00 3,740,740.00
(b) Deferred tax liabilities (net) 0.00 0.00
(c) Other long term liabilities 0.00 0.00
(d) Long term provisions 0.00 0.00
(4) Current liabilities
(a) Short term borrowings 0.00 0.00
(b) Trade payables 0.00 0.00
(c) Other current liabilities 253,550.00 224,050.00
(d) Short term provisions 882.00 23,819.00
Total 10,649,454.85 10,546,798.85
II. ASSETS
(1) Non-current assets
(a) Fixed assets
(i) Tangible assets 8,868,267.00 8,868,267.00
(ii) Intangible assets 0.00 0.00
(iii) Capital work-in-progress 0.00 0.00
(iv) Intangible assets under development 0.00 0.00
(b) Non-current Investments 0.00 0.00
(c) Deferred tax assets (net) 0.00 0.00
(d) Long term loans and advances 0.00 0.00
(e) Other non-current assets 0.00 0.00
(2) Current assets
(a) Current Investment 0.00 0.00
(b) Inventories 0.00 0.00
(c) Trade receivables 0.00 0.00
(d) Cash and cash equivalents 1,768,593.85 1,666,748.85
(e) Short term loans and advances 12,594.00 11,783.00
(f) Other current assets 0.00 0.00
Total 10,649,454.85 10,546,798.85

II. Detailed Balance sheet items (Amount in Rupees)

A. Details of long term borrowings (unsecured)

Particulars Current reporting period Previous reporting period

Bonds/ debentures 0.00 0.00
Term Loans
-From banks 0.00 0.00
-From other parties 0.00 0.00
Deferred payment liabilities 0.00 0.00
Deposits 0.00 0.00
Loans and advances from related parties 3,835,892.00 3,740,740.00
Long term maturities of financial lease Obligations 0.00 0.00
Other loans & advances 0.00 0.00
Total long term borrowings (unsecured) 3,835,892.00 3,740,740.00
Out of above total, aggregate amount guaranteed by
directors 0.00 0.00

Page 4 of 13
B. Details of short term borrowings (unsecured)

Particulars Current reporting period Previous reporting period

Loans repayable on demand
-From banks 0.00 0.00
-From other parties 0.00 0.00
Loans and advances from related parties 0.00 0.00
Deposits 0.00 0.00
Other loans and advances 0.00 0.00
Total short term borrowings (unsecured) 0.00 0.00
Out of above total, aggregate amount guaranteed by
directors 0.00 0.00

C. Details of long term loans and advances (unsecured, considered good)

Particulars Currents reporting period Previous reporting period

Capital advances 0.00 0.00
Security deposits 0.00 0.00
Loans and advances to other related parties 0.00 0.00
Other loans and advances 0.00 0.00
Total long term loan and advances 0.00 0.00
Less: Provision/ allowance for bad and doubtful loans
and advances
-From related parties 0.00 0.00
-From others 0.00 0.00
Net long term loan and advances (unsecured,
considered good) 0.00 0.00
Loans and advances due by directors/ other officers of
the company 0.00 0.00

D. Details of long term loans and advances (doubtful)

Particulars Currents reporting period Previous reporting period

Capital advances 0.00 0.00
Security deposits 0.00 0.00
Loans and advances to other related parties 0.00 0.00
Other loans and advances 0.00 0.00
Total long term loan and advances 0.00 0.00
Less: Provision/ allowance for bad and doubtful loans
and advances
-From related parties 0.00 0.00
-From others 0.00 0.00
Net long term loan and advances (doubtful) 0.00 0.00
Loans and advances due by directors/ other officers of
the company 0.00 0.00

E. Details of trade receivables

Particulars Current reporting period Previous reporting period

Exceeding six Within six months Exceeding six Within six months
months months
Secured, considered good 0.00 0.00 0.00 0.00
Unsecured, considered good 0.00 0.00 0.00 0.00
Doubtful 0.00 0.00 0.00 0.00
Total trade receivables 0.00 0.00 0.00 0.00
Less: Provision/ allowance for
bad and doubtful debts 0.00 0.00 0.00 0.00
Net trade receivables 0.00 0.00 0.00 0.00
Debt due by directors/ others
officers of the company 0.00 0.00 0.00 0.00

Page 5 of 13
III. *Financial parameters - Balance sheet items (Amount in Rupees) as on financial year end date
1 Amount of issue allotted for contracts without payment received in
cash during reporting periods 0.00
2 Share application money given 0.00
3 Share application money given during the reporting period 0.00
4 Share application money received during the reporting period 0.00
5 Share application money received and due for refund 0.00
6 Paid – up capital held by foreign company 0.00 0.00 %
7 Paid-up capital held by foreign holding company and/ or through its
0.00 0.00 %
subsidiaries
8 Number of shares bought back during the reporting period 0.00
9 Deposits accepted or renewed during the reporting period 0.00
10 Deposits matured and claimed but not paid during the reporting
period 0.00
11 Deposits matured and claimed but not paid 0.00
12 Deposits matured, but not claimed 0.00
13 Unclaimed matured debentures 0.00
14 Debentures claimed but not paid 0.00
15 Interest on deposits accrued and due but not paid 0.00
16 Unpaid dividend 0.00
17 Investment in subsidiary companies 0.00
18 Investment in government companies 0.00
19 Capital Reserves 0.00
20 Amount due for transfer to Investor Education and Protection Fund
(IEPF) 0.00
21 Inter- corporate deposits 0.00
22 Gross value of transaction as per AS18 (If applicable) 0.00
23 Capital subsidies/ grants received from government authority(ies) 0.00
24 Calls unpaid by directors 0.00
25 Calls unpaid by others 0.00
26 Forfeited shares (amount originally paid-up) 0.00
27 Forfeited shares reissued 0.00
28 Borrowing from foreign institutional agencies 0.00
29 Borrowing from foreign companies 0.00
30 Inter-corporate borrowings - secured 0.00
31 Inter-corporate borrowings - unsecured 0.00
32 Commercial Paper 0.00
33 Conversion of warrants into equity shares during the reporting
period 0.00
34 Conversion of warrants into preference shares during the reporting
period 0.00
35 Conversion of warrants into debentures during the reporting period 0.00
36 Warrants issued during the reporting period (In foreign currency) 0.00
37 Warrants issued during the reporting period (In Rupees) 0.00
38 Default in payment of short term borrowings and interest thereon 0.00
39 Default in payment of long term borrowings and interest thereon 0.00
40 Whether any operating lease has been converted to financial lease Yes No
or vice-versa
Provide details of such conversion

Page 6 of 13
 41 Net worth of company 6,559,130.85
42 Number of shareholders to whom shares allotted under private
placement during the reporting period 0
43 Secured Loan 0.00
44 Gross fixed assets (including intangible assets) 0.00
45 Depreciation and amortization 0.00
46 Miscellaneous expenditure to the extent not written off or adjusted 0.00
47 Unhedged Foreign Exchange Exposure 0.00

IV. Share capital raised during the reporting period (Amount in Rupees)

Particulars Equity Shares Preference Shares Total

(a) Public issue 0.00 0.00 0.00
(b) Bonus issue 0.00 0.00 0.00
(c) Right issue 0.00 0.00 0.00
(d) Private placement arising out of conversion of
0.00 0.00 0.00
debentures or preference shares
(e) Other private placement 0.00 0.00 0.00
(f) Preferential allotment arising out of conversion of
0.00 0.00 0.00
debentures or preference shares
(g) Other preferential allotment 0.00 0.00 0.00
(h) Employee Stock Option Plan (ESOP) 0.00 0.00 0.00
(i) Others 0.00 0.00 0.00
(j) Total amount of share capital raised during the
0.00 0.00 0.00
reporting period

VI. Details related to cost records and cost audit

1. *Whether maintenance of cost records by the company has been mandated under Yes No
Companies (Cost Records and Audit) Rules, 2014

Page 7 of 13
SEGMENT II: INFORMATION AND PARTICULARS IN RESPECT OF PROFIT AND LOSS ACCOUNT

I. Statement Of Profit And Loss

Particulars Figures for the period (Current Figures for the period (Previous
reporting period) reporting period)
From 01/04/2019 (DD/MM/YYYY) From 01/04/2018 (DD/MM/YYYY)

To 31/03/2020 (DD/MM/YYYY) To 31/03/2019 (DD/MM/YYYY)

(I) Revenue from operations
Domestic Turnover
(i) Sales of goods manufactured 0.00 0.00
(ii) Sales of goods traded 0.00 0.00
(iii) Sales or supply of services 0.00 0.00
Export turnover
(i) Sales of goods manufactured 0.00 0.00
(ii) Sales of goods traded 0.00 0.00
(iii) Sales or supply of services 0.00 0.00
(II) Other income 125,939.00 118,409.00
(III) Total Revenue (I+II) 125,939.00 118,409.00
(IV) Expenses
Cost of material consumed 0.00 0.00
Purchases of stock in trade 0.00 0.00
Changes in inventories of
0.00 0.00
-Finished goods
-Work-in-progress 0.00 0.00
-Stock in trade 0.00 0.00
Employee benefit Expense 20,000.00 0.00
Managerial remuneration 0.00 0.00
Payment to Auditors 25,000.00 15,000.00
Insurance expenses 0.00 0.00
Power and fuel 0.00 0.00
Finance cost 0.00 0.00
Depreciation and Amortisation
0.00 0.00
expense
Other expenses 77,550.00 11,800.00
Total expenses 122,550.00 26,800.00
(V) Profit before exceptional and
3,389.00 91,609.00
extraordinary items and tax (III-IV)
(VI) Exceptional items 0.00 0.00
(VII) Profit before extraordinary items and
3,389.00 91,609.00
tax (V-VI)
(VIII) Extraordinary items 0.00 0.00
(IX) Profit before tax (VII-VIII) 3,389.00 91,609.00
(X) Tax Expense
(1) Current tax 882.00 23,819.00
(2) Deferred tax 0.00 0.00
(XI) Profit (Loss) for the period from
2,507.00 67,790.00
continuing Operations (IX-X)
(XII) Profit/(Loss) from discontinuing
0.00 0.00
operations
(XIII) Tax expense of discontinuing
0.00 0.00
operations
(XIV) Profit /(Loss) from discontinuing
0.00 0.00
operations (after tax) (XII-XIII)
(XV) Profit/ (Loss) (XI+XIV) 2,507.00 67,790.00
Page 8 of 13
(XVI) Earnings per equity share
before extraordinary items
(1) Basic 0.00 0.10
(2) Diluted 0.00 0.10
(XVII) Earnings per equity share
after extraordinary items
(1) Basic 0.00 0.10
(2) Diluted 0.00 0.10

II. Detailed Profit and Loss items (Amount in Rupees)

A. Details of earning in foreign exchange

Particulars Current reporting period Previous reporting period

Export of goods calculated on FOB basis 0.00 0.00
Interest and dividend 0.00 0.00
Royalty 0.00 0.00
Know-how 0.00 0.00
Professional and consultation fees 0.00 0.00
Other income 0.00 0.00
Total Earning in Foreign Exchange 0.00 0.00

B. Details of expenditure in foreign exchange

Particulars Current reporting period Previous reporting period
Import of goods calculated on CIF basis
(i) Raw material 0.00 0.00
(ii) Component and spare parts 0.00 0.00
(iii) Capital goods 0.00 0.00
Expenditure on account of
Royalty 0.00 0.00
Know-how 0.00 0.00
Professional and consultation fees 0.00 0.00
Interest 0.00 0.00
Other matters 0.00 0.00
Dividend paid 0.00 0.00
Total Expenditure in foreign exchange 0.00 0.00

III. *Financial parameters - Profit and loss account items (Amount in Rupees) during the reporting period

1 Proposed Dividend 0.00 0.00 %

2 Earnings per share (in Rupees) Basic 0.00
Diluted 0.00
3 Income in foreign currency 0.00
4 Expenditure in foreign currency 0.00
5 Revenue subsidies or grants received from
0.00
government authority(ies)
6 Rent paid 0.00
7 Consumption of stores and spare parts 0.00
8 Gross value of transaction with related parties as per
0.00
AS-18 (If applicable)
9 Bad debts of related parties as per AS-18 (If applicable) 0.00

IV. Details related to principal products or services of the company

Total number of product/ services category(ies) 0

Page 9 of 13
 Product or service category code (ITC/ NPCS 4 digit code)

Description of the product or service category

*Turnover of the product or service category (in Rupees)

*Highest turnover contributing product or service code (ITC/ NPCS 8 digit code)
*Description of the product or service

*Turnover of highest contributing product or service (in Rupees)

Note - Please refer to 'Indian Trade Classification' based on harmonized commodity description and coding system issues by the ministry
of Commerce & Industry for Product Codes and National Product Classification for Services (NPCS) for Services codes issued by Ministry
of Statistics & Program Implementation, Government of India.

Segment III: Reporting of Corporate Social Responsibility (CSR)

1. (a) (i) *Whether CSR is applicable as per section 135 Yes No

(ii) Turnover (in Rs.) 0.00

(iii) Net worth (in Rs.) 6,558,189.85
2. Average net profit of the company for last three financial years (as defined in explanation to sub-section (5) section 135 of
the Act) (in Rupees)

3. Prescribed CSR Expenditure (two per cent. of the amount as in item 2 above) (in Rupees)
0.00
4. (a) Total amount spent on CSR for the financial year (in Rupees)
0.00

(b) Amount spent in local area (in Rupees)

0.00

(c) Manner in which the amount spent during the financial year as detailed below:

Number of CSR activities

(1) (2) (3) (4) (5) (6) (7) (8) (9)

S. CSR Sector in which the Project is Projects or Projects or Amount Amount Expenditu- Mode of
No. project covered programs programs - outlay spent on re on Amount
or Specify the (budget) the Administr- spent
- Specify the
activity district where project or projects or ative
identified State /Union programs programs
projects or overheads
Territory where wise
programs was (in Rs.)
the Project/ (in Rs.)
undertaken (in Rs.)
Program was
undertaken

Total

5. Give details (name, address and email address) of implementing agency(ies)

[Link] a responsibility statement of the CSR Committee on the implementation and monitoring of CSR Policy is enclosed
to the Board's Report Yes No
Page 10 of 13
 Segment IV: DISCLOSURE ABOUT RELATED PARTY TRANSACTIONS
Disclosure of particulars of contracts/arrangements entered into by the company with related parties referred to in sub-section
(1) of section 188 of the Companies Act, 2013 including certain arm's length transactions under third proviso thereto

1. Number of contracts or arrangements or transactions not at arm’s length basis

Name(s) of the related party Nature of relationship Nature of contracts/ arrangements/ transactions

Duration of the contracts / Date of approval by Amount paid as advances, if Date on which the special resolution
arrangements/ transactions the Board any was passed in general meeting as
required under first proviso to section
188

2. Number of material contracts or arrangement or transactions at arm’s length basis

Name(s) of the related party Nature of relationship Nature of contracts/ arrangements/ transactions

Duration of the contracts / arrangements/

Date of approval by the Board Amount paid as advances, if any
transactions

Segment V: Auditor's Report

I. (a) In case of a government company, whether Comptroller and Auditor-General of India (CAG of India) has commented
upon or supplemented the audit report under section 143 of the Companies Act, 2013 Yes No

III. Details of remarks made by auditors and applicability of CARO

1. *Whether auditors' report has been qualified or has any reservations or contains adverse remarks Yes No

3. *Whether Companies (Auditors' Report) Order (CARO) applicable Yes No

4. Auditors' comment on the items specified under Companies (Auditors' Report) Order (CARO)

Page 11 of 13
 Particulars Auditors' comments on the report

Fixed assets
Favourable Remark
Inventories
Clause not applicable
Loans given by the company
Clause not applicable
Acceptance of Public Deposits
Clause not applicable
Maintenance of Cost records
Clause not applicable
Statutory dues
Favourable Remark
Term loans
Favourable Remark
Fraud noticed
Favourable Remark
Others
Favourable Remark

SEGMENT-VI- Miscellaneous

1. *Whether the Secretarial Audit is applicable Yes No

2. *Whether detailed disclosures with respect to Directors’ report under sub-section (3) Yes No
of section 134 is attached.

Attachments
List of attachment
1. *Copy of financial statements duly authenticated as Attach [Link]
per section 134(including Board’s report, auditors’
BOARD [Link]
report and other documents)

7. Company CSR policy as per s sub-section (4) of Attach

section 135
8. Details of other entity(s) Attach

12. Directors’ report as per sub-section (3) of section 134 Attach

13. Details of remaining CSR activities Attach

14. Optional attachment(s)- if any Attach

Remove attachment

Page 12 of 13
 Declaration
I am authorized by the Board of Directors of the Company vide *resolution number 03 *dated 16/08/2020
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of
the subject matter of this form and matters incidental thereto have been compiled with. I further declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information
material to the subject matter of this form has been suppressed or concealed and is as per the original records
maintained by the company.
2. All the required attachments have been completely and legibly attached to this form.
Digitally signed by SUDHIR

SUDHIR BALDWA
DN: c=IN, o=Personal,

*To be digitally signed by

postalCode=302001,
st=Rajasthan,

BALDW [Link]=0e31a7a2f0b1ef756b191
970f8d52d8372addf0edcf0ecb9ac
5d02e6f0aecd06,
serialNumber=08f51c00c25684f44

A ec63056fe16306743c1095b54789
f17b06fb451dfba11ec,
cn=SUDHIR BALDWA
Date: 2020.12.09 [Link] +05'30'

*Designation Director

*Director identification number of the director; or

PAN of the manager or CEO or CFO; or Membership 00492354
number of the secretary

Certificate by Practicing professional

I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone
through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters
incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified records
maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete
and no information material to this form has been suppressed. I further certify that:
1. The said records have been properly prepared, signed by the required officers of the Company and maintained
as per the relevant provisions of the Companies Act, 2013 and were found to be in order;
2. All the required attachments have been completely and legibly attached to this form;
3. It is understood that I shall be liable for action under Section 448 of the Companies Act, 2013 for wrong
certification, if any found at any stage.

Chartered Accountant (in whole time practice) Cost Accountant (in whole time practice)

Company Secretary (in whole time practice)

AMRIT
Whether fellow or associate Associate Fellow ANSHU
Digitally signed by AMRITANSHU BALANI
DN: c=IN, st=Rajasthan,
[Link]=440fae0e21872054bda9cc58a6f9f9
c4dc8b5068ac72950d3228f317472c2394,
postalCode=302020, street=JAIPUR,
serialNumber=4e7019d80eb0f79d9209b176
a910390d65dfe770b5d453d1e9f374d95ba55
005, o=Personal, cn=AMRITANSHU BALANI

BALANI
Date: 2020.12.09 [Link] +05'30'

Membership number 33746

Certificate of practice number 13773

Note: Attention is drawn to provisions of Section 448 and 449 which provide for punishment for false statement /
certificate and punishment for false evidence respectively.

Modify Check Form Prescrutiny Submit

For office use only:

eForm Service request number (SRN) eForm filing date (DD/MM/YYYY)
Digital signature of the authorizing officer
This e-Form is hereby registered Confirm submission

Date of signing (DD/MM/YYYY)

OR
This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on
the basis of statement of correctness given by the company

Page 13 of 13
FORM NO. AOC-4 Form for filing financial statement
and other documents with the
[Pursuant to section 137 of the Companies Act, 2013 and
sub-rule (1) of Rule 12 of Companies (Accounts) Rules,
Registrar
2014]

Form Language English Hindi

Refer the instruction kit for filing the form.

Note-
-All fields marked in * are to be mandatorily filled.
-Figures appearing in the e-Form should be entered in Absolute Rupees only. Figures should not be rounded off in any
other unit like hundreds, thousands, lakhs, millions or crores.
Authorized capital of the company as on the date of filing 10,000,000
Number of members of the company as on the date of filing 0
SEGMENT- I: INFORMATION AND PARTICULARS IN RESPECT OF BALANCE SHEET
Part A

I. General information of the company

1. (a) *Corporate identity number (CIN) of company U85110RJ1992PTC006992 Pre-Fill

(b) Global location number (GLN) of company

2. (a) Name of the company LIFECARE AND HEALTH RESEARCHERS(INDIA) PRIVATE LIMITED

(b) Address of the registered BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
office of the company
C
Rajasthan
000000
India
(c) *e-mail ID of the company lbaldwa@[Link]

3. * Financial year to which financial statements relates

From 01/04/2020 (DD/MM/YYYY) To 31/03/2021 (DD/MM/YYYY)

4. (a)* Date of Board of directors’ meeting in which financial statements are approved 15/07/2021 (DD/MM/YYYY)

(b) (i) *Nature of financial statements Adopted Financial statements

(iii) Whether provisional financial statements filed earlier Yes No Not applicable

(iv) Whether adopted in adjourned AGM Yes No Not applicable

(c) Details of director(s), manager, secretary, CEO, CFO of the company who have signed the financial statements

Provide Director Identification number (DIN) in case of director, Managing Director and Income -tax permanent account number
(Income-tax PAN) in case of manager, secretary, CEO, CFO.
Pre-fill All

Page 1 of 13
 Date of signing of
DIN or Income-tax PAN Name Designation
financial statements

00492388 SHAKUNTALA BALDWA Director 15/07/2021

09204963 LEENA BALDWA Director 15/07/2021

5. (a)*Date of Board of directors' meeting in which boards' report referred (DD/MM/YYYY)

under section 134 was approved 15/07/2021

(b) Details of director(s) who have signed the Boards' report Pre-fill All

Date of signing of Boards'

DIN Name Designation
report

00492388 SHAKUNTALA BALDWA Director 15/07/2021

09204963 LEENA BALDWA Director 15/07/2021

6. * Date of signing of reports on the financial statements by the auditors 15/07/2021 (DD/MM/YYYY)

7. (a)* Whether annual general meeting (AGM) held Yes No Not applicable
(b) If yes, date of AGM 17/08/2021 (DD/MM/YYYY)

(c) *Due date of AGM 30/09/2021 (DD/MM/YYYY)

(d)* Whether any extension for financial year or AGM granted Yes No

8. (a)* Whether the company is a subsidiary company as defined under clause (87) of section 2 Yes No

(b) CIN of the holding company, if applicable Pre-Fill

(c) Name of the holding company

(d) Provision pursuant to which the company has become a subsidiary

9. (a)* Whether the company has a subsidiary company as defined under clause (87) of section 2 Yes No

(b) If yes, then indicate number of subsidiary company(ies) Pre-fill All

CIN of subsidiary company

Name of the subsidiary company

Provisions pursuant to which the company has become a subsidiary

10. *Number of Auditors 1

Page 2 of 13
 I. *(a) Income-tax PAN of auditor or auditor's firm
AAIFC4801F
*(b) Category of auditor Individual Auditor's firm
*(c) Membership number of auditor or auditor's firm's
registration number 003165C
*(d) SRN of Form ADT-1
R04038170 Pre-Fill

*(e) Name of the auditor or auditor's firm

CHOUDHARY GUPTA & COMPANY
*(f) Address of the auditor or auditor's firm
Line I T-4, 3RD Floor, Jivan Vihar Complex,
Line II
New Colony, M.I. Road,
*City
JAIPUR
*State
Rajasthan-RJ
Country
IN
*Pin code 302001
(g) Details of the member signing for the above firm

Name of the member

Ram Babu Gupta
Membership number
072138

11. (a) *Whether Schedule III of the Companies Act, 2013 is applicable Yes No

(b) *Type of Industry Commercial & Industrial

Note: In case the type of industry is other than Banking or Power or Insurance or NBFC, then select Commercial and
Industrial (C&I).

12. *Whether consolidated financial statements required or not Yes No

13. (a) *Whether company is maintaining books of account and other relevant books and papers in electronic form Yes No

Page 3 of 13
 I. Balance Sheet Part-B

Figures as at the end of (Current Figures as at the end of

Particulars reporting period) (in Rs.) (Previous reporting period)
(inRs.)
31/03/2021 (DD/MM/YYYY) 31/03/2020 (DD/MM/YYYY)

I. EQUITY AND LIABILITIES

(1) Shareholder's Fund 7,128,820.00 7,128,820.00
(a) Share capital
(b) Reserves and surplus -566,733.65 -569,689.15
(c) Money received against share warrants 0.00 0.00
(2) Share application money pending allotment 0.00 0.00
(3) Non - current liabilities
(a) Long term borrowings 3,835,892.00 3,835,892.00
(b) Deferred tax liabilities (net) 0.00 0.00
(c) Other long term liabilities 0.00 0.00
(d) Long term provisions 0.00 0.00
(4) Current liabilities
(a) Short term borrowings 0.00 0.00
(b) Trade payables 0.00 0.00
(c) Other current liabilities 384,550.00 253,550.00
(d) Short term provisions 1,040.00 882.00
Total 10,783,568.35 10,649,454.85
II. ASSETS
(1) Non-current assets
(a) Fixed assets
(i) Tangible assets 8,868,267.00 8,868,267.00
(ii) Intangible assets 0.00 0.00
(iii) Capital work-in-progress 0.00 0.00
(iv) Intangible assets under development 0.00 0.00
(b) Non-current Investments 0.00 0.00
(c) Deferred tax assets (net) 0.00 0.00
(d) Long term loans and advances 0.00 0.00
(e) Other non-current assets 0.00 0.00
(2) Current assets
(a) Current Investment 0.00 0.00
(b) Inventories 0.00 0.00
(c) Trade receivables 0.00 0.00
(d) Cash and cash equivalents 1,905,199.35 1,768,593.85
(e) Short term loans and advances 10,102.00 12,594.00
(f) Other current assets 0.00 0.00
Total 10,783,568.35 10,649,454.85

II. Detailed Balance sheet items (Amount in Rupees)

A. Details of long term borrowings (unsecured)

Particulars Current reporting period Previous reporting period

Bonds/ debentures 0.00 0.00
Term Loans
-From banks 0.00 0.00
-From other parties 0.00 0.00
Deferred payment liabilities 0.00 0.00
Deposits 0.00 0.00
Loans and advances from related parties 3,835,892.00 3,835,892.00
Long term maturities of financial lease Obligations 0.00 0.00
Other loans & advances 0.00 0.00
Total long term borrowings (unsecured) 3,835,892.00 3,835,892.00
Out of above total, aggregate amount guaranteed by
directors 0.00 0.00

Page 4 of 13
B. Details of short term borrowings (unsecured)

Particulars Current reporting period Previous reporting period

Loans repayable on demand
-From banks 0.00 0.00
-From other parties 0.00 0.00
Loans and advances from related parties 0.00 0.00
Deposits 0.00 0.00
Other loans and advances 0.00 0.00
Total short term borrowings (unsecured) 0.00 0.00
Out of above total, aggregate amount guaranteed by
directors 0.00 0.00

C. Details of long term loans and advances (unsecured, considered good)

Particulars Currents reporting period Previous reporting period

Capital advances 0.00 0.00
Security deposits 0.00 0.00
Loans and advances to other related parties 0.00 0.00
Other loans and advances 0.00 0.00
Total long term loan and advances 0.00 0.00
Less: Provision/ allowance for bad and doubtful loans
and advances
-From related parties 0.00 0.00
-From others 0.00 0.00
Net long term loan and advances (unsecured,
considered good) 0.00 0.00
Loans and advances due by directors/ other officers of
the company 0.00 0.00

D. Details of long term loans and advances (doubtful)

Particulars Currents reporting period Previous reporting period

Capital advances 0.00 0.00
Security deposits 0.00 0.00
Loans and advances to other related parties 0.00 0.00
Other loans and advances 0.00 0.00
Total long term loan and advances 0.00 0.00
Less: Provision/ allowance for bad and doubtful loans
and advances
-From related parties 0.00 0.00
-From others 0.00 0.00
Net long term loan and advances (doubtful) 0.00 0.00
Loans and advances due by directors/ other officers of
the company 0.00 0.00

E. Details of trade receivables

Particulars Current reporting period Previous reporting period

Exceeding six Within six months Exceeding six Within six months
months months
Secured, considered good 0.00 0.00 0.00 0.00
Unsecured, considered good 0.00 0.00 0.00 0.00
Doubtful 0.00 0.00 0.00 0.00
Total trade receivables 0.00 0.00 0.00 0.00
Less: Provision/ allowance for
bad and doubtful debts 0.00 0.00 0.00 0.00
Net trade receivables 0.00 0.00 0.00 0.00
Debt due by directors/ others
officers of the company 0.00 0.00 0.00 0.00

Page 5 of 13
III. *Financial parameters - Balance sheet items (Amount in Rupees) as on financial year end date
1 Amount of issue allotted for contracts without payment received in
cash during reporting periods 0.00
2 Share application money given 0.00
3 Share application money given during the reporting period 0.00
4 Share application money received during the reporting period 0.00
5 Share application money received and due for refund 0.00
6 Paid – up capital held by foreign company 0.00 0.00 %
7 Paid-up capital held by foreign holding company and/ or through its
0.00 0.00 %
subsidiaries
8 Number of shares bought back during the reporting period 0.00
9 Deposits accepted or renewed during the reporting period 0.00
10 Deposits matured and claimed but not paid during the reporting
period 0.00
11 Deposits matured and claimed but not paid 0.00
12 Deposits matured, but not claimed 0.00
13 Unclaimed matured debentures 0.00
14 Debentures claimed but not paid 0.00
15 Interest on deposits accrued and due but not paid 0.00
16 Unpaid dividend 0.00
17 Investment in subsidiary companies 0.00
18 Investment in government companies 0.00
19 Capital Reserves 0.00
20 Amount due for transfer to Investor Education and Protection Fund
(IEPF) 0.00
21 Inter- corporate deposits 0.00
22 Gross value of transaction as per AS18 (If applicable) 0.00
23 Capital subsidies/ grants received from government authority(ies) 0.00
24 Calls unpaid by directors 0.00
25 Calls unpaid by others 0.00
26 Forfeited shares (amount originally paid-up) 0.00
27 Forfeited shares reissued 0.00
28 Borrowing from foreign institutional agencies 0.00
29 Borrowing from foreign companies 0.00
30 Inter-corporate borrowings - secured 0.00
31 Inter-corporate borrowings - unsecured 0.00
32 Commercial Paper 0.00
33 Conversion of warrants into equity shares during the reporting
period 0.00
34 Conversion of warrants into preference shares during the reporting
period 0.00
35 Conversion of warrants into debentures during the reporting period 0.00
36 Warrants issued during the reporting period (In foreign currency) 0.00
37 Warrants issued during the reporting period (In Rupees) 0.00
38 Default in payment of short term borrowings and interest thereon 0.00
39 Default in payment of long term borrowings and interest thereon 0.00
40 Whether any operating lease has been converted to financial lease Yes No
or vice-versa
Provide details of such conversion

Page 6 of 13
 41 Net worth of company 6,562,086.35
42 Number of shareholders to whom shares allotted under private
placement during the reporting period 0
43 Secured Loan 0.00
44 Gross fixed assets (including intangible assets) 0.00
45 Depreciation and amortization 0.00
46 Miscellaneous expenditure to the extent not written off or adjusted 0.00
47 Unhedged Foreign Exchange Exposure 0.00

IV. Share capital raised during the reporting period (Amount in Rupees)

Particulars Equity Shares Preference Shares Total

(a) Public issue 0.00 0.00 0.00
(b) Bonus issue 0.00 0.00 0.00
(c) Right issue 0.00 0.00 0.00
(d) Private placement arising out of conversion of
0.00 0.00 0.00
debentures or preference shares
(e) Other private placement 0.00 0.00 0.00
(f) Preferential allotment arising out of conversion of
0.00 0.00 0.00
debentures or preference shares
(g) Other preferential allotment 0.00 0.00 0.00
(h) Employee Stock Option Plan (ESOP) 0.00 0.00 0.00
(i) Others 0.00 0.00 0.00
(j) Total amount of share capital raised during the
0.00 0.00 0.00
reporting period

VI. Details related to cost records and cost audit

1. *Whether maintenance of cost records by the company has been mandated under Yes No
Companies (Cost Records and Audit) Rules, 2014

Page 7 of 13
SEGMENT II: INFORMATION AND PARTICULARS IN RESPECT OF PROFIT AND LOSS ACCOUNT

I. Statement Of Profit And Loss

Particulars Figures for the period (Current Figures for the period (Previous
reporting period) reporting period)
From 01/04/2020 (DD/MM/YYYY) From 01/04/2019 (DD/MM/YYYY)

To 31/03/2021 (DD/MM/YYYY) To 31/03/2020 (DD/MM/YYYY)

(I) Revenue from operations
Domestic Turnover
(i) Sales of goods manufactured 0.00 0.00
(ii) Sales of goods traded 0.00 0.00
(iii) Sales or supply of services 0.00 0.00
Export turnover
(i) Sales of goods manufactured 0.00 0.00
(ii) Sales of goods traded 0.00 0.00
(iii) Sales or supply of services 0.00 0.00
(II) Other income 135,379.00 125,939.00
(III) Total Revenue (I+II) 135,379.00 125,939.00
(IV) Expenses
Cost of material consumed 0.00 0.00
Purchases of stock in trade 0.00 0.00
Changes in inventories of
0.00 0.00
-Finished goods
-Work-in-progress 0.00 0.00
-Stock in trade 0.00 0.00
Employee benefit Expense 60,000.00 20,000.00
Managerial remuneration 0.00 0.00
Payment to Auditors 25,000.00 25,000.00
Insurance expenses 0.00 0.00
Power and fuel 0.00 0.00
Finance cost 0.00 0.00
Depreciation and Amortisation
0.00 0.00
expense
Other expenses 46,383.50 77,550.00
Total expenses 131,383.50 122,550.00
(V) Profit before exceptional and
3,995.50 3,389.00
extraordinary items and tax (III-IV)
(VI) Exceptional items 0.00 0.00
(VII) Profit before extraordinary items and
3,995.50 3,389.00
tax (V-VI)
(VIII) Extraordinary items 0.00 0.00
(IX) Profit before tax (VII-VIII) 3,995.50 3,389.00
(X) Tax Expense
(1) Current tax 1,040.00 882.00
(2) Deferred tax 0.00 0.00
(XI) Profit (Loss) for the period from
2,955.50 2,507.00
continuing Operations (IX-X)
(XII) Profit/(Loss) from discontinuing
0.00 0.00
operations
(XIII) Tax expense of discontinuing
0.00 0.00
operations
(XIV) Profit /(Loss) from discontinuing
0.00 0.00
operations (after tax) (XII-XIII)
(XV) Profit/ (Loss) (XI+XIV) 2,955.50 2,507.00
Page 8 of 13
(XVI) Earnings per equity share
before extraordinary items
(1) Basic 0.00 0.00
(2) Diluted 0.00 0.00
(XVII) Earnings per equity share
after extraordinary items
(1) Basic 0.00 0.00
(2) Diluted 0.00 0.00

II. Detailed Profit and Loss items (Amount in Rupees)

A. Details of earning in foreign exchange

Particulars Current reporting period Previous reporting period

Export of goods calculated on FOB basis 0.00 0.00
Interest and dividend 0.00 0.00
Royalty 0.00 0.00
Know-how 0.00 0.00
Professional and consultation fees 0.00 0.00
Other income 0.00 0.00
Total Earning in Foreign Exchange 0.00 0.00

B. Details of expenditure in foreign exchange

Particulars Current reporting period Previous reporting period
Import of goods calculated on CIF basis
(i) Raw material 0.00 0.00
(ii) Component and spare parts 0.00 0.00
(iii) Capital goods 0.00 0.00
Expenditure on account of
Royalty 0.00 0.00
Know-how 0.00 0.00
Professional and consultation fees 0.00 0.00
Interest 0.00 0.00
Other matters 0.00 0.00
Dividend paid 0.00 0.00
Total Expenditure in foreign exchange 0.00 0.00

III. *Financial parameters - Profit and loss account items (Amount in Rupees) during the reporting period

1 Proposed Dividend 0.00 0.00 %

2 Earnings per share (in Rupees) Basic 0.00
Diluted 0.00
3 Income in foreign currency 0.00
4 Expenditure in foreign currency 0.00
5 Revenue subsidies or grants received from
0.00
government authority(ies)
6 Rent paid 0.00
7 Consumption of stores and spare parts 0.00
8 Gross value of transaction with related parties as per
0.00
AS-18 (If applicable)
9 Bad debts of related parties as per AS-18 (If applicable) 0.00

IV. Details related to principal products or services of the company

Total number of product/ services category(ies) 0

Page 9 of 13
 Product or service category code (ITC/ NPCS 4 digit code)

Description of the product or service category

*Turnover of the product or service category (in Rupees)

*Highest turnover contributing product or service code (ITC/ NPCS 8 digit code)
*Description of the product or service

*Turnover of highest contributing product or service (in Rupees)

Note - Please refer to 'Indian Trade Classification' based on harmonized commodity description and coding system issues by the ministry
of Commerce & Industry for Product Codes and National Product Classification for Services (NPCS) for Services codes issued by Ministry
of Statistics & Program Implementation, Government of India.

Segment III: Reporting of Corporate Social Responsibility (CSR)

1. (a) (i) *Whether CSR is applicable as per section 135 Yes No

(ii) Turnover (in Rs.)

(iii) Net worth (in Rs.) 6,559,130.85

2. Average net profit of the company for last three financial years (as defined in explanation to sub-section (5) section 135 of
the Act) (in Rupees)

3. Prescribed CSR Expenditure (two per cent. of the amount as in item 2 above) (in Rupees)

4. (a) Total amount spent on CSR for the financial year (in Rupees)
0.00

(b) Amount spent in local area (in Rupees)

0.00

(c) Manner in which the amount spent during the financial year as detailed below:

Number of CSR activities

(1) (2) (3) (4) (5) (6) (7) (8) (9)

S. CSR Sector in which the Project is Projects or Projects or Amount Amount Expenditu- Mode of
No. project covered programs programs - outlay spent on re on Amount
or Specify the (budget) the Administr- spent
- Specify the
activity district where project or projects or ative
identified State /Union programs programs
projects or overheads
Territory where wise
programs was (in Rs.)
the Project/ (in Rs.)
undertaken (in Rs.)
Program was
undertaken

Total

5. Give details (name, address and email address) of implementing agency(ies)

[Link] a responsibility statement of the CSR Committee on the implementation and monitoring of CSR Policy is enclosed
to the Board's Report Yes No
Page 10 of 13
 Segment IV: DISCLOSURE ABOUT RELATED PARTY TRANSACTIONS
Disclosure of particulars of contracts/arrangements entered into by the company with related parties referred to in sub-section
(1) of section 188 of the Companies Act, 2013 including certain arm's length transactions under third proviso thereto

1. Number of contracts or arrangements or transactions not at arm’s length basis

Name(s) of the related party Nature of relationship Nature of contracts/ arrangements/ transactions

Duration of the contracts / Date of approval by Amount paid as advances, if Date on which the special resolution
arrangements/ transactions the Board any was passed in general meeting as
required under first proviso to section
188

2. Number of material contracts or arrangement or transactions at arm’s length basis

Name(s) of the related party Nature of relationship Nature of contracts/ arrangements/ transactions

Duration of the contracts / arrangements/

Date of approval by the Board Amount paid as advances, if any
transactions

Segment V: Auditor's Report

I. (a) In case of a government company, whether Comptroller and Auditor-General of India (CAG of India) has commented
upon or supplemented the audit report under section 143 of the Companies Act, 2013 Yes No

III. Details of remarks made by auditors and applicability of CARO

1. *Whether auditors' report has been qualified or has any reservations or contains adverse remarks Yes No

3. *Whether Companies (Auditors' Report) Order (CARO) applicable Yes No

SEGMENT-VI- Miscellaneous

1. *Whether the Secretarial Audit is applicable Yes No

2. *Whether detailed disclosures with respect to Directors’ report under sub-section (3) Yes No
of section 134 is attached.

Page 11 of 13
 Attachments
List of attachment
1. *Copy of financial statements duly authenticated as Attach [Link]
per section 134(including Board’s report, auditors’
BOARD [Link]
report and other documents)

7. Company CSR policy as per s sub-section (4) of Attach

section 135
8. Details of other entity(s) Attach

12. Directors’ report as per sub-section (3) of section 134 Attach

13. Details of remaining CSR activities Attach

14. Optional attachment(s)- if any Attach

Remove attachment

Declaration
I am authorized by the Board of Directors of the Company vide *resolution number 02 *dated 15/07/2021
to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of
the subject matter of this form and matters incidental thereto have been compiled with. I further declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information
material to the subject matter of this form has been suppressed or concealed and is as per the original records
maintained by the company.
2. All the required attachments have been completely and legibly attached to this form.
Digitally signed
SHAKUN by
*To be digitally signed by TALA SHAKUNTALA
BALDWA
BALDWA [Link]
Date: 2021.09.10
+05'30'

*Designation Director

*Director identification number of the director; or

PAN of the manager or CEO or CFO; or Membership 00492388
number of the secretary

Certificate by Practicing professional

I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone
through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters
incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified records
maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete
and no information material to this form has been suppressed. I further certify that:
1. The said records have been properly prepared, signed by the required officers of the Company and maintained
as per the relevant provisions of the Companies Act, 2013 and were found to be in order;
2. All the required attachments have been completely and legibly attached to this form;
3. It is understood that I shall be liable for action under Section 448 of the Companies Act, 2013 for wrong
certification, if any found at any stage.

Page 12 of 13
 Chartered Accountant (in whole time practice) Cost Accountant (in whole time practice)

Company Secretary (in whole time practice)

Whether fellow or associate Associate Fellow

Membership number

Note: Attention is drawn to provisions of Section 448 and 449 which provide for punishment for false statement /
certificate and punishment for false evidence respectively.

Modify Check Form Prescrutiny Submit

For office use only:

eForm Service request number (SRN) eForm filing date (DD/MM/YYYY)
Digital signature of the authorizing officer
This e-Form is hereby registered Confirm submission

Date of signing (DD/MM/YYYY)

OR
This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on
the basis of statement of correctness given by the company

Page 13 of 13
FORM NO. DIR-12 Particulars of appointment of directors and
the key managerial personnel
changes among them
and the
[Pursuant to sections 7(1) (c), 168 & 170 (2) of The
Companies Act, 2013 and rule 17 of the Companies
(Incorporation) Rules 2014 and 8, 15 & 18 of the
Companies (Appointment and Qualification of
Directors) Rules, 2014]
Form Language English Hindi
Refer the instruction kit for filing the form.
1. *This form is for New company existing company
2. (a) * Corporate Identity Number (CIN) of company U85110RJ1992PTC006992

(b)Global location number (GLN) of company Pre-fill

3. (a) Name of the company LIFECARE AND HEALTH RESEARCHERS(INDIA) PRIVATE LIMITED

(b) Address of the BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
registered office
C
of the company
Rajasthan
000000
India

(c) E-mail ID of the company lbaldwa@[Link]

4. Number of Managing director or director(s) for which the form is being filed 1
5. Details of the Managing Director, directors of the company

Page 1 of 5
 1 Details of the Managing Director or Director of the company

i Director Identification Number (DIN) 09204963 Pre-fill

ii Name LEENA BALDWA

iii Father's name BHAGWAN DAS SONI

iv Present residential address Opp. Ganesh Mandir, Moti Dungri Road,

Jawahar Nagar,
Jaipur
Rajasthan
India
302004

v Nationality IN vi Date of birth 18/01/1972 vii Gender Female

viii Appointment Cessation Change in designation
x Date of Appointment or 16/06/2021
ix Designation Director change in designation
(DD/MM/YYYY)
xi Category Promoter

xii Whether Chairman, Executive Director, Non-Executive Director

Chairman Executive director Non Executive Director

xiii DIN of such director to whom appointee is alternate Pre-fill

xiv Name of the director to whom such

appointee is alternate

xv Name of the company or institution whose nominee the

appointee is

xvi E-mail ID of director lbaldwa@[Link]

xvii In case of cessation

Hereby confirmed that the above mentioned Director Managing director xviii is not associated with the company
with effect from (DD/MM/YYYY) xix due to

xx Interest in other entities

xxi Number of such entities 0

xxii * CIN/LLPIN/FCRN/Registration number Pre-fill

xxiii * Name

xxiv * Address

xxv Nature of interest

xxvi * Designation

xxvii Percentage of Shareholding xxviii Amount

xxix Others (specify)

Page 2 of 5
 6. Number of manager(s), secretary(s), Chief Financial Officer or Chief Executive Officer for which the form is
being filed

7. Details of manager(s), secretary(s), Chief Financial Officer or Chief Executive Officer of the company

1 i Director Identification Number (DIN), if any Pre-fill

ii Income Tax permanent account number (PAN) Verify Details
iii Appointment Cessation

iv Membership number of the secretary

v First Name
vi Middle Name

vii Last Name

viii Father's name

ix First Name

x Middle Name

xi Last Name

xii Present residential address xiii Line I

xiv Line II

xv City

xvi State xvii Pin Code

xviii ISO Country Code

xix Country

xx Phone xxi Fax

xxii Date of birth (DD/MM/YYYY)

xxiii Designation

xxiv Date of Appointment or cessation (DD/MM/YYYY)

xxv E-mail ID

Attachments
List of attachments

Page 3 of 5
 Attach APPOINTMENT [Link]
(1) Declaration by first director [Link]
EOGM [Link]
(2) Declaration of the appointee director Attach
in Form No. DIR-2;
(3) Notice of resignation; Attach

(4) Evidence of cessation; Attach

(6) Optional attachment(s) - if any. Attach

Remove attachment

Declaration

I * Shakuntala Baldwa

A person named in the articles as a of the company

(in case if a new company) or
authorized by the Board of Directors of the Company vide 02
number dated 16/06/2021

to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in
respect of the subject matter of this form and matters incidental thereto have been complied with. I also declare
that all the information given herein above is true, correct and complete including the attachments to this form and
nothing material has been suppressed.
Digitally signed by
SHAKUNTA SHAKUNTALA
* To be digitally signed by BALDWA
LA BALDWA Date: 2021.06.18
[Link] +05'30'

* Designation Director

* Director identification number of the director; or DIN or PAN of the 00492388

manager or CEO or CFO; or Membership number of the secretary

Certificate by practicing professional

I declare that I have been duly engaged for the purpose of certification of this form. It is hereby certified that I have gone
through the provisions of the Companies Act, 2013 and Rules thereunder for the subject matter of this form and matters
incidental thereto and I have verified the above particulars (including attachment(s)) from the original/certified records
maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and
complete and no information material to this form has been suppressed. I further certify that:

The said records have been properly prepared, signed by the required officers of the Company and maintained as
per the relevant provisions of the Companies Act, 2013 and were found to be in order ;
All the required attachments have been completely and legibly attached to this form;
It is understood that I shall be liable for action under Section 448 of The Companies Act, 2013 for wrong
certification, if any found at any stage.

* To be digitally signed by

Chartered accountant (in whole-time practice) or Cost accountant (in whole-time practice) or
Company secretary (in whole-time practice)
* Whether Associate or fellow Associate Fellow

Membership number

Certificate of Practice Number

Modify Check Form Prescrutiny Submit

This eForm has been taken on file maintained by the Registrar of companies through electronic mode and on the
basis of statement of correctness given by the filing company.

Page 4 of 5
Page 5 of 5
 FORM NO. MGT-7
[Pursuant to sub-Section(1) of section 92 of
Annual Return
the Companies Act, 2013 and sub-rule (1) of
rule 11of the Companies (Management and
Administration) Rules, 2014]

Form language English Hindi

Refer the instruction kit for filing the form.

I. REGISTRATION AND OTHER DETAILS

(i) * Corporate Identification Number (CIN) of the company U85110RJ1992PLC006992 Pre-fill

Global Location Number (GLN) of the company

* Permanent Account Number (PAN) of the company AAACL3157A

(ii) (a) Name of the company LIFECARE AND HEALTH RESEAR

(b) Registered office address

BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
C
Rajasthan
000000
India
(c) *e-mail ID of the company lbaldwa@[Link]

(d) *Telephone number with STD code 01412623445

(e) Website

(iii) Date of Incorporation 16/10/1992

(iv) Type of the Company Category of the Company Sub-category of the Company

Public Company Company limited by shares Indian Non-Government company

(v) Whether company is having share capital Yes No

(vi) *Whether shares listed on recognized Stock Exchange(s) Yes No

(b) CIN of the Registrar and Transfer Agent Pre-fill

Name of the Registrar and Transfer Agent

Page 1 of 14
 Registered office address of the Registrar and Transfer Agents

(vii) *Financial year From date 01/04/2018 (DD/MM/YYYY) To date 31/03/2019 (DD/MM/YYYY)

(viii) *Whether Annual general meeting (AGM) held Yes No

(a) If yes, date of AGM 30/09/2019

(b) Due date of AGM 30/09/2019

(c) Whether any extension for AGM granted Yes No
II. PRINCIPAL BUSINESS ACTIVITIES OF THE COMPANY

*Number of business activities 0

[Link] Main Description of Main Activity group Business Description of Business Activity % of turnover
Activity Activity of the
group code Code company

III. PARTICULARS OF HOLDING, SUBSIDIARY AND ASSOCIATE COMPANIES

(INCLUDING JOINT VENTURES)

*No. of Companies for which information is to be given 0 Pre-fill All

[Link] Name of the company CIN / FCRN Holding/ Subsidiary/Associate/ % of shares held
Joint Venture

IV. SHARE CAPITAL, DEBENTURES AND OTHER SECURITIES OF THE COMPANY

(i) *SHARE CAPITAL

(a) Equity share capital

Particulars Authorised Issued Subscribed

capital capital Paid up capital
capital
Total number of equity shares
712,882 712,882 712,882 712,882

Total amount of equity shares (in

7,128,820 7,128,820 7,128,820 7,128,820
Rupees)

Number of classes 1

Page 2 of 14
 Class of Shares Issued
Authorised capital Subscribed
Paid up capital
capital capital
Number of equity shares
712,882 712,882 712,882 712,882
Nominal value per share (in rupees)
10 10 10 10
Total amount of equity shares (in rupees)
7,128,820 7,128,820 7,128,820 7,128,820

(b) Preference share capital

Particulars Authorised Issued Subscribed
capital capital Paid-up capital
capital
Total number of preference shares
0 0 0 0

Total amount of preference shares

0 0 0 0
(in rupees)

Number of classes 0

Class of shares Issued

Authorised capital Subscribed
Paid up capital
capital capital
Number of preference shares

Nominal value per share (in rupees)

Total amount of preference shares (in rupees)

(c) Unclassified share capital

Particulars Authorised Capital
Total amount of unclassified shares
0

(d) Break-up of paid-up share capital

Number of Total nominal Total Paid-up Total premium
Class of shares amount
shares amount
Equity shares
At the beginning of the year
712,882 7,128,820 7,128,820

Increase during the year

0 0 0 0

i. Pubic Issues
0 0 0 0

ii. Rights issue

0 0 0 0

iii. Bonus issue

0 0 0 0

iv. Private Placement/ Preferential allotment

0 0 0 0

v. ESOPs
0 0 0 0

Page 3 of 14
vi. Sweat equity shares allotted
0 0 0 0

vii. Conversion of Preference share

0 0 0 0

viii. Conversion of Debentures

0 0 0 0

ix. GDRs/ADRs
0 0 0 0

x. Others, specify

Decrease during the year

0 0 0 0
i. Buy-back of shares
0 0 0 0

ii. Shares forfeited

0 0 0 0

iii. Reduction of share capital

0 0 0 0

iv. Others, specify

At the end of the year

712,882 7,128,820 7,128,820

Preference shares
At the beginning of the year
0 0 0

Increase during the year

0 0 0 0

i. Issues of shares
0 0 0 0

ii. Re-issue of forfeited shares

0 0 0 0

iii. Others, specify

Decrease during the year

0 0 0 0
i. Redemption of shares
0 0 0 0

ii. Shares forfeited

0 0 0 0
iii. Reduction of share capital
0 0 0 0

iv. Others, specify

At the end of the year

0 0 0

(ii) Details of stock split/consolidation during the year (for each class of shares) 0

Page 4 of 14
 Class of shares (i) (ii) (iii)

Number of shares
Before split /
Consolidation Face value per share

Number of shares
After split /
Consolidation Face value per share

(iii) Details of shares/Debentures Transfers since closure date of last financial year (or in the case
of the first return at any time since the incorporation of the company) *
Nil
[Details being provided in a CD/Digital Media] Yes No Not Applicable

Separate sheet attached for details of transfers Yes No

Note: In case list of transfer exceeds 10, option for submission as a separate sheet attachment or submission in a CD/Digital
Media may be shown.

Date of the previous annual general meeting

Date of registration of transfer (Date Month Year)

Type of transfer 1 - Equity, 2- Preference Shares,3 - Debentures, 4 - Stock

Number of Shares/ Debentures/ Amount per Share/

Units Transferred Debenture/Unit (in Rs.)

Ledger Folio of Transferor

Transferor's Name

Surname middle name first name

Ledger Folio of Transferee

Transferee's Name

Surname middle name first name

Page 5 of 14
Date of registration of transfer (Date Month Year)

Type of transfer 1 - Equity, 2- Preference Shares,3 - Debentures, 4 - Stock

Number of Shares/ Debentures/ Amount per Share/

Units Transferred Debenture/Unit (in Rs.)

Ledger Folio of Transferor

Transferor's Name

Surname middle name first name

Ledger Folio of Transferee

Transferee's Name

Surname middle name first name

Page 6 of 14
(iv) *Indebtedness including debentures (Outstanding as at the end of financial year)
Particulars Number of units Nominal value per Total value
unit
Non-convertible debentures
0 0 0

Partly convertible debentures

0 0 0

Fully convertible debentures

0 0 0

Secured Loans (including interest

outstanding/accrued but not due for 0
payment) excluding deposits
Unsecured Loans (including interest
outstanding/accrued but not due for 3,740,740
payment) excluding deposits
Deposit
0

Total
3,740,740

Details of debentures
Class of debentures Outstanding as at Increase during the Decrease during the Outstanding as at
the beginning of the year year the end of the year
year
Non-convertible debentures
0 0 0 0
Partly convertible debentures
0 0 0 0

Fully convertible debentures

0 0 0 0

(v) Securities (other than shares and debentures) 0

Type of Number of Nominal Value of Total Nominal Paid up Value of Total Paid up Value
Securities Securities each Unit Value each Unit

Total

V. *Turnover and net worth of the company (as defined in the Companies Act, 2013)

(i) Turnover 0

(ii) Net worth of the Company 6,558,189.85

VI. (a) *SHARE HOLDING PATTERN - Promoters

S. No. Category Equity Preference

Page 7 of 14
 Number of shares Percentage Number of shares Percentage

1. Individual/Hindu Undivided Family

(i) Indian 712,878 100 0

(ii) Non-resident Indian (NRI)
0 0 0

(iii) Foreign national (other than NRI) 0 0 0

Government
2.

(i) Central Government

0 0 0

(ii) State Government

0 0 0

(iii) Government companies

0 0 0

Insurance companies
3. 0 0 0

Banks
4. 0 0 0

Financial institutions
5. 0 0 0

Foreign institutional investors

6. 0 0 0

Mutual funds
7. 0 0 0

Venture capital
8. 0 0 0

Body corporate
9. (not mentioned above) 0 0 0

10. Others 0 0 0

Total
712,878 100 0 0

Total number of shareholders (promoters) 7

(b) *SHARE HOLDING PATTERN - Public/Other than promoters

S. No. Category Equity Preference

Number of shares Percentage Number of shares Percentage

1. Individual/Hindu Undivided Family

(i) Indian
4 0 0
(ii) Non-resident Indian (NRI)
0 0 0

(iii) Foreign national (other than NRI)

0 0 0

Page 8 of 14
 Government
2.

(i) Central Government

0 0 0

(ii) State Government

0 0 0

(iii) Government companies

0 0 0

Insurance companies
3. 0 0 0

Banks
4. 0 0 0

Financial institutions
5. 0 0 0

Foreign institutional investors

6. 0 0 0

Mutual funds
7. 0 0 0

Venture capital
8. 0 0 0

Body corporate
9. (not mentioned above) 0 0 0

10. Others 0 0 0

Total
4 0 0 0

Total number of shareholders (other than promoters)

4

Total number of shareholders (Promoters+Public/

Other than promoters) 11

VII. *NUMBER OF PROMOTERS, MEMBERS, DEBENTURE HOLDERS

(Details, Promoters, Members (other than promoters), Debenture holders)
Details
At the beginning of the year At the end of the year

Promoters
8 7

Members
4 4
(other than promoters)
Debenture holders
0 0

VIII. DETAILS OF DIRECTORS AND KEY MANAGERIAL PERSONNEL

(A) *Composition of Board of Directors

Category Number of directors at the Number of directors at the end Percentage of shares held by
beginning of the year of the year directors as at the end of year

Executive Non-executive Executive Non-executive Executive Non-executive

Page 9 of 14
 A. Promoter
4 0 3 0 42.89 0
B. Non-Promoter
0 0 0 0 0 0
(i) Non-Independent
0 0 0 0 0 0
(ii) Independent
0 0 0 0 0 0
C. Nominee Directors
representing 0 0 0 0 0 0
(i) Banks & FIs
0 0 0 0 0 0
(ii) Investing institutions
0 0 0 0 0 0
(iii) Government
0 0 0 0 0 0
(iv) Small share holders
0 0 0 0 0 0
(v) Others
0 0 0 0 0 0
Total
4 0 3 0 42.89 0

Number of Directors and Key managerial personnel (who is not director) as on the financial year end date 3

(B) (i) *Details of directors and Key managerial personnel as on the closure of financial year

Name DIN/PAN Designation Number of equity Date of cessation (after closure of

share(s) held financial year : If any)

SUDHIR BALDWA 00492354 Director 82,264

SUNIL BALDWA 00492363 Director 56,234

SHAKUNTALA BALDWA 00492388 Director 167,300

(ii) Particulars of change in director(s) and Key managerial personnel during the year 1
Name DIN/PAN Designation at the Date of appointment/
Nature of change (Appointment/
beginning / during change in designation/
Change in designation/ Cessation)
the financial year cessation

VISHNU SWAROOP BA 01613570 Director 28/08/2018 DEATH

IX. MEETINGS OF MEMBERS/CLASS OF MEMBERS/BOARD/COMMITTEES OF THE BOARD OF

DIRECTORS

A. MEMBERS/CLASS /REQUISITIONED/NCLT/COURT CONVENED MEETINGS

Number of meetings held 1

Page 10 of 14
 Total Number of Attendance
Type of meeting Date of meeting Members entitled to
attend meeting
Number of members % of total
attended shareholding

AGM 14/09/2018 11 11 100

B. BOARD MEETINGS

*Number of meetings held 7

Total Number of directors Attendance

S. No. Date of meeting associated as on the date
of meeting
Number of directors
attended % of attendance

1 12/04/2018 4 4 100

2 20/06/2018 4 4 100

3 18/08/2018 4 4 100

4 30/08/2018 3 3 100

5 17/09/2018 3 3 100

6 31/12/2018 3 3 100

7 30/03/2019 3 3 100

C. COMMITTEE MEETINGS

Number of meetings held 0

Attendance
Type of Total Number
S. No.
meeting of Members as
Date of meeting
on the date of Number of members
the meeting attended % of attendance

1
D. *ATTENDANCE OF DIRECTORS

Board Meetings Committee Meetings Whether

attended AGM
Number of Number of held on
S. Name
No. of the director Meetings which Number of % of
Meetings which Number of
% of
director was Meetings director was Meetings
attendance attendance
entitled to attended entitled to attended
30/09/2019
attend attend
(Y/N/NA)

1 SUDHIR BALD 7 7 100 0 0 0 Yes

2 SUNIL BALDW 7 7 100 0 0 0 Yes

Page 11 of 14
 3 SHAKUNTALA 7 7 100 0 0 0 Yes

X. *REMUNERATION OF DIRECTORS AND KEY MANAGERIAL PERSONNEL

Nil

Number of Managing Director, Whole-time Directors and/or Manager whose remuneration details to be entered

S. No. Name Designation Gross Salary Commission Stock Option/ Others Total
Sweat equity Amount

1 0

Total

Number of CEO, CFO and Company secretary whose remuneration details to be entered

S. No. Name Designation Gross Salary Commission Stock Option/ Others Total
Sweat equity Amount

1 0

Total

Number of other directors whose remuneration details to be entered

S. No. Name Designation Gross Salary Commission Stock Option/ Others Total
Sweat equity Amount

1 0

Total

XI. MATTERS RELATED TO CERTIFICATION OF COMPLIANCES AND DISCLOSURES

* A. Whether the company has made compliances and disclosures in respect of applicable Yes No
provisions of the Companies Act, 2013 during the year

B. If No, give reasons/observations

Form MGT-14 was not filed for approval of accounts.

XII. PENALTY AND PUNISHMENT - DETAILS THEREOF

(A) DETAILS OF PENALTIES / PUNISHMENT IMPOSED ON COMPANY/DIRECTORS /OFFICERS Nil

Name of the court/ Name of the Act and

Details of penalty/ Details of appeal (if any)
Name of the concerned Date of Order section under which
punishment including present status
company/ directors/ Authority penalised / punished
officers

(B) DETAILS OF COMPOUNDING OF OFFENCES Nil

Page 12 of 14
 Name of the court/
Name of the concerned Date of Order Name of the Act and
Particulars of Amount of compounding (in
company/ directors/ Authority section under which
offence Rupees)
officers offence committed

XIII. Whether complete list of shareholders, debenture holders has been enclosed as an attachment

Yes No

XIV. COMPLIANCE OF SUB-SECTION (2) OF SECTION 92, IN CASE OF LISTED COMPANIES

In case of a listed company or a company having paid up share capital of Ten Crore rupees or more or turnover of Fifty Crore rupees or
more, details of company secretary in whole time practice certifying the annual return in Form MGT-8.

Name

Whether associate or fellow Associate Fellow

Certificate of practice number

I/We certify that:

(a) The return states the facts, as they stood on the date of the closure of the financial year aforesaid correctly and adequately.
(b) Unless otherwise expressly stated to the contrary elsewhere in this Return, the Company has complied with all the provisions of the
Act during the financial year.

Declaration

I am Authorised by the Board of Directors of the company vide resolution no. .. 03 dated 03/09/2019
(DD/MM/YYYY) to sign this form and declare that all the requirements of the Companies Act, 2013 and the rules made thereunder
in respect of the subject matter of this form and matters incidental thereto have been compiled with. I further declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information material to
the subject matter of this form has been suppressed or concealed and is as per the original records maintained by the company.
2. All the required attachments have been completely and legibly attached to this form.

Note: Attention is also drawn to the provisions of Section 447, section 448 and 449 of the Companies Act, 2013 which provide for
punishment for fraud, punishment for false statement and punishment for false evidence respectively.

To be digitally signed by

Digitally signed by SUDHIR BALDWA

Director SUDHIR DN: c=IN, o=Personal,

postalCode=302001, st=Rajasthan,
[Link]=0e31a7a2f0b1ef756b191970f8d5
2d8372addf0edcf0ecb9ac5d02e6f0aecd06,

BALDWA
serialNumber=08f51c00c25684f44ec63056
fe16306743c1095b54789f17b06fb451dfba
11ec, cn=SUDHIR BALDWA
Date: 2019.12.24 [Link] +05'30'

DIN of the director 00492354

Digitally signed by AMRITANSHU BALANI
DN: c=IN, st=Rajasthan,

To be digitally signed by AMRITANS [Link]=440fae0e21872054bda9cc58a6f

9f9c4dc8b5068ac72950d3228f317472c23
94, postalCode=302020, street=JAIPUR,
serialNumber=4e7019d80eb0f79d9209b1

HU BALANI 76a910390d65dfe770b5d453d1e9f374d9
5ba55005, o=Personal,
cn=AMRITANSHU BALANI
Date: 2019.12.24 [Link] +05'30'

Page 13 of 14
 Company Secretary
Company secretary in practice

Membership number 33746 Certificate of practice number 13773

Attachments List of attachments

1. List of share holders, debenture holders Attach LIST OF [Link]

2. Approval letter for extension of AGM; Attach

3. Copy of MGT-8; Attach

4. Optional Attachement(s), if any Attach

Remove attachment

Modify Check Form Prescrutiny Submit

This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on
the basis of statement of correctness given by the company

Page 14 of 14
 FORM NO. MGT-7
[Pursuant to sub-Section(1) of section 92 of
Annual Return
the Companies Act, 2013 and sub-rule (1) of
rule 11of the Companies (Management and
Administration) Rules, 2014]

Form language English Hindi

Refer the instruction kit for filing the form.

I. REGISTRATION AND OTHER DETAILS

(i) * Corporate Identification Number (CIN) of the company U85110RJ1992PTC006992 Pre-fill

Global Location Number (GLN) of the company

* Permanent Account Number (PAN) of the company AAACL3157A

(ii) (a) Name of the company LIFECARE AND HEALTH RESEAR

(b) Registered office address

BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
C
Rajasthan
000000
India
(c) *e-mail ID of the company lbaldwa@[Link]

(d) *Telephone number with STD code 01412623445

(e) Website

(iii) Date of Incorporation 16/10/1992

(iv) Type of the Company Category of the Company Sub-category of the Company

Private Company Company limited by shares Indian Non-Government company

(v) Whether company is having share capital Yes No

(vi) *Whether shares listed on recognized Stock Exchange(s) Yes No

Page 1 of 14
 (vii) *Financial year From date 01/04/2019 (DD/MM/YYYY) To date 31/03/2020 (DD/MM/YYYY)

(viii) *Whether Annual general meeting (AGM) held Yes No

(a) If yes, date of AGM 11/09/2020

(b) Due date of AGM 30/09/2020

(c) Whether any extension for AGM granted Yes No
II. PRINCIPAL BUSINESS ACTIVITIES OF THE COMPANY

*Number of business activities 0

[Link] Main Description of Main Activity group Business Description of Business Activity % of turnover
Activity Activity of the
group code Code company

III. PARTICULARS OF HOLDING, SUBSIDIARY AND ASSOCIATE COMPANIES

(INCLUDING JOINT VENTURES)

*No. of Companies for which information is to be given 0 Pre-fill All

[Link] Name of the company CIN / FCRN Holding/ Subsidiary/Associate/ % of shares held
Joint Venture

IV. SHARE CAPITAL, DEBENTURES AND OTHER SECURITIES OF THE COMPANY

(i) *SHARE CAPITAL

(a) Equity share capital

Particulars Authorised Issued Subscribed

capital capital Paid up capital
capital
Total number of equity shares
1,000,000 712,882 712,882 712,882

Total amount of equity shares (in

10,000,000 7,128,820 7,128,820 7,128,820
Rupees)

Number of classes 1

Class of Shares Issued

Authorised capital Subscribed
Paid up capital
capital capital
Number of equity shares
1,000,000 712,882 712,882 712,882

Page 2 of 14
Nominal value per share (in rupees)
10 10 10 10
Total amount of equity shares (in rupees)
10,000,000 7,128,820 7,128,820 7,128,820

(b) Preference share capital

Particulars Authorised Issued Subscribed
capital capital Paid-up capital
capital
Total number of preference shares
0 0 0 0

Total amount of preference shares

0 0 0 0
(in rupees)

Number of classes 0

Class of shares Issued

Authorised capital Subscribed
Paid up capital
capital capital
Number of preference shares

Nominal value per share (in rupees)

Total amount of preference shares (in rupees)

(c) Unclassified share capital

Particulars Authorised Capital
Total amount of unclassified shares
0

(d) Break-up of paid-up share capital

Number of Total nominal Total Paid-up Total premium
Class of shares amount
shares amount
Equity shares
At the beginning of the year
712,882 7,128,820 7,128,820

Increase during the year

0 0 0 0

i. Pubic Issues
0 0 0 0

ii. Rights issue

0 0 0 0

iii. Bonus issue

0 0 0 0

iv. Private Placement/ Preferential allotment

0 0 0 0

v. ESOPs
0 0 0 0

vi. Sweat equity shares allotted

0 0 0 0

vii. Conversion of Preference share

0 0 0 0

Page 3 of 14
viii. Conversion of Debentures
0 0 0 0

ix. GDRs/ADRs
0 0 0 0

x. Others, specify

Decrease during the year

0 0 0 0
i. Buy-back of shares
0 0 0 0

ii. Shares forfeited

0 0 0 0

iii. Reduction of share capital

0 0 0 0

iv. Others, specify

At the end of the year

712,882 7,128,820 7,128,820

Preference shares
At the beginning of the year
0 0 0

Increase during the year

0 0 0 0

i. Issues of shares
0 0 0 0

ii. Re-issue of forfeited shares

0 0 0 0

iii. Others, specify

Decrease during the year

0 0 0 0
i. Redemption of shares
0 0 0 0

ii. Shares forfeited

0 0 0 0
iii. Reduction of share capital
0 0 0 0

iv. Others, specify

At the end of the year

0 0 0

(ii) Details of stock split/consolidation during the year (for each class of shares) 0

Page 4 of 14
 Class of shares (i) (ii) (iii)

Number of shares
Before split /
Consolidation Face value per share

Number of shares
After split /
Consolidation Face value per share

(iii) Details of shares/Debentures Transfers since closure date of last financial year (or in the case
of the first return at any time since the incorporation of the company) *
Nil
[Details being provided in a CD/Digital Media] Yes No Not Applicable

Separate sheet attached for details of transfers Yes No

Note: In case list of transfer exceeds 10, option for submission as a separate sheet attachment or submission in a CD/Digital
Media may be shown.

Date of the previous annual general meeting

Date of registration of transfer (Date Month Year)

Type of transfer 1 - Equity, 2- Preference Shares,3 - Debentures, 4 - Stock

Number of Shares/ Debentures/ Amount per Share/

Units Transferred Debenture/Unit (in Rs.)

Ledger Folio of Transferor

Transferor's Name

Surname middle name first name

Ledger Folio of Transferee

Transferee's Name

Surname middle name first name

Page 5 of 14
Date of registration of transfer (Date Month Year)

Type of transfer 1 - Equity, 2- Preference Shares,3 - Debentures, 4 - Stock

Number of Shares/ Debentures/ Amount per Share/

Units Transferred Debenture/Unit (in Rs.)

Ledger Folio of Transferor

Transferor's Name

Surname middle name first name

Ledger Folio of Transferee

Transferee's Name

Surname middle name first name

Page 6 of 14
(iv) *Indebtedness including debentures (Outstanding as at the end of financial year)
Particulars Number of units Nominal value per Total value
unit
Non-convertible debentures
0 0 0

Partly convertible debentures

0 0 0

Fully convertible debentures

0 0 0

Secured Loans (including interest

outstanding/accrued but not due for 0
payment) excluding deposits
Unsecured Loans (including interest
outstanding/accrued but not due for 3,835,892
payment) excluding deposits
Deposit
0

Total
3,835,892

Details of debentures
Class of debentures Outstanding as at Increase during the Decrease during the Outstanding as at
the beginning of the year year the end of the year
year
Non-convertible debentures
0 0 0 0
Partly convertible debentures
0 0 0 0

Fully convertible debentures

0 0 0 0

(v) Securities (other than shares and debentures) 0

Type of Number of Nominal Value of Total Nominal Paid up Value of Total Paid up Value
Securities Securities each Unit Value each Unit

Total

V. *Turnover and net worth of the company (as defined in the Companies Act, 2013)

(i) Turnover 0

(ii) Net worth of the Company 6,559,130.85

VI. (a) *SHARE HOLDING PATTERN - Promoters

S. No. Category Equity Preference

Page 7 of 14
 Number of shares Percentage Number of shares Percentage

1. Individual/Hindu Undivided Family

(i) Indian 712,878 100 0

(ii) Non-resident Indian (NRI)
0 0 0

(iii) Foreign national (other than NRI) 0 0 0

Government
2.

(i) Central Government

0 0 0

(ii) State Government

0 0 0

(iii) Government companies

0 0 0

Insurance companies
3. 0 0 0

Banks
4. 0 0 0

Financial institutions
5. 0 0 0

Foreign institutional investors

6. 0 0 0

Mutual funds
7. 0 0 0

Venture capital
8. 0 0 0

Body corporate
9. (not mentioned above) 0 0 0

10. Others 0 0 0

Total
712,878 100 0 0

Total number of shareholders (promoters) 7

(b) *SHARE HOLDING PATTERN - Public/Other than promoters

S. No. Category Equity Preference

Number of shares Percentage Number of shares Percentage

1. Individual/Hindu Undivided Family

(i) Indian
4 0 0
(ii) Non-resident Indian (NRI)
0 0 0

(iii) Foreign national (other than NRI)

0 0 0

Page 8 of 14
 Government
2.

(i) Central Government

0 0 0

(ii) State Government

0 0 0

(iii) Government companies

0 0 0

Insurance companies
3. 0 0 0

Banks
4. 0 0 0

Financial institutions
5. 0 0 0

Foreign institutional investors

6. 0 0 0

Mutual funds
7. 0 0 0

Venture capital
8. 0 0 0

Body corporate
9. (not mentioned above) 0 0 0

10. Others 0 0 0

Total
4 0 0 0

Total number of shareholders (other than promoters)

4

Total number of shareholders (Promoters+Public/

Other than promoters) 11

VII. *NUMBER OF PROMOTERS, MEMBERS, DEBENTURE HOLDERS

(Details, Promoters, Members (other than promoters), Debenture holders)
Details
At the beginning of the year At the end of the year

Promoters
7 7

Members
4 4
(other than promoters)
Debenture holders
0 0

VIII. DETAILS OF DIRECTORS AND KEY MANAGERIAL PERSONNEL

(A) *Composition of Board of Directors

Category Number of directors at the Number of directors at the end Percentage of shares held by
beginning of the year of the year directors as at the end of year

Executive Non-executive Executive Non-executive Executive Non-executive

Page 9 of 14
 A. Promoter
3 0 3 0 42.89 0
B. Non-Promoter
0 0 0 0 0 0
(i) Non-Independent
0 0 0 0 0 0
(ii) Independent
0 0 0 0 0 0
C. Nominee Directors
representing 0 0 0 0 0 0
(i) Banks & FIs
0 0 0 0 0 0
(ii) Investing institutions
0 0 0 0 0 0
(iii) Government
0 0 0 0 0 0
(iv) Small share holders
0 0 0 0 0 0
(v) Others
0 0 0 0 0 0
Total
3 0 3 0 42.89 0

Number of Directors and Key managerial personnel (who is not director) as on the financial year end date 3

(B) (i) *Details of directors and Key managerial personnel as on the closure of financial year

Name DIN/PAN Designation Number of equity Date of cessation (after closure of

share(s) held financial year : If any)

SUDHIR BALDWA 00492354 Director 82,264

SUNIL BALDWA 00492363 Director 56,234

SHAKUNTALA BALDWA 00492388 Director 167,300

(ii) Particulars of change in director(s) and Key managerial personnel during the year 0
Name DIN/PAN Designation at the Date of appointment/
Nature of change (Appointment/
beginning / during change in designation/
Change in designation/ Cessation)
the financial year cessation

IX. MEETINGS OF MEMBERS/CLASS OF MEMBERS/BOARD/COMMITTEES OF THE BOARD OF

DIRECTORS

A. MEMBERS/CLASS /REQUISITIONED/NCLT/COURT CONVENED MEETINGS

Number of meetings held 4

Page 10 of 14
 Total Number of Attendance
Type of meeting Date of meeting Members entitled to
attend meeting
Number of members % of total
attended shareholding

EGM 12/08/2019 11 11 100

AGM 30/09/2019 11 11 100

EGM 27/01/2020 11 11 100

EGM 17/02/2020 11 7 99.99

B. BOARD MEETINGS

*Number of meetings held 7

Total Number of directors Attendance

S. No. Date of meeting associated as on the date
of meeting
Number of directors
attended % of attendance

1 21/06/2019 3 3 100

2 16/07/2019 3 3 100

3 03/09/2019 3 3 100

4 28/12/2019 3 3 100

5 13/02/2020 3 3 100

6 05/03/2020 3 3 100

7 15/03/2020 3 3 100

C. COMMITTEE MEETINGS

Number of meetings held 0

Attendance
Type of Total Number
S. No.
meeting of Members as
Date of meeting
on the date of Number of members
the meeting attended % of attendance

1
D. *ATTENDANCE OF DIRECTORS

Page 11 of 14
 Board Meetings Committee Meetings Whether
attended AGM
Number of Number of held on
S. Name
No. of the director Meetings which Number of % of
Meetings which Number of
% of
director was Meetings director was Meetings
attendance attendance
entitled to attended entitled to attended
11/09/2020
attend attend
(Y/N/NA)

1 SUDHIR BALD 7 7 100 0 0 0 Yes

2 SUNIL BALDW 7 7 100 0 0 0 Yes

3 SHAKUNTALA 7 7 100 0 0 0 Yes

X. *REMUNERATION OF DIRECTORS AND KEY MANAGERIAL PERSONNEL

Nil

Number of Managing Director, Whole-time Directors and/or Manager whose remuneration details to be entered
1

S. No. Name Designation Gross Salary Commission Stock Option/ Others Total
Sweat equity Amount

1 SHAKUNTALA BAL Director 20,000 0 0 0 20,000

Total 20,000 0 0 0 20,000

Number of CEO, CFO and Company secretary whose remuneration details to be entered 0

S. No. Name Designation Gross Salary Commission Stock Option/ Others Total
Sweat equity Amount

1 0

Total

Number of other directors whose remuneration details to be entered 0

S. No. Name Designation Gross Salary Commission Stock Option/ Others Total
Sweat equity Amount

1 0

Total

XI. MATTERS RELATED TO CERTIFICATION OF COMPLIANCES AND DISCLOSURES

* A. Whether the company has made compliances and disclosures in respect of applicable Yes No
provisions of the Companies Act, 2013 during the year

B. If No, give reasons/observations

Page 12 of 14
XII. PENALTY AND PUNISHMENT - DETAILS THEREOF

(A) DETAILS OF PENALTIES / PUNISHMENT IMPOSED ON COMPANY/DIRECTORS /OFFICERS Nil

Name of the court/ Name of the Act and

Details of penalty/ Details of appeal (if any)
Name of the concerned Date of Order section under which
punishment including present status
company/ directors/ Authority penalised / punished
officers

(B) DETAILS OF COMPOUNDING OF OFFENCES Nil

Name of the court/

Name of the concerned Date of Order Name of the Act and
Particulars of Amount of compounding (in
company/ directors/ Authority section under which
offence Rupees)
officers offence committed

XIII. Whether complete list of shareholders, debenture holders has been enclosed as an attachment

Yes No

XIV. COMPLIANCE OF SUB-SECTION (2) OF SECTION 92, IN CASE OF LISTED COMPANIES

In case of a listed company or a company having paid up share capital of Ten Crore rupees or more or turnover of Fifty Crore rupees or
more, details of company secretary in whole time practice certifying the annual return in Form MGT-8.

Name

Whether associate or fellow Associate Fellow

Certificate of practice number

I/We certify that:

(a) The return states the facts, as they stood on the date of the closure of the financial year aforesaid correctly and adequately.
(b) Unless otherwise expressly stated to the contrary elsewhere in this Return, the Company has complied with all the provisions of the
Act during the financial year.
(c) The company has not, since the date of the closure of the last financial year with reference to which the last return was submitted or in
the case of a first return since the date of the incorporation of the company, issued any invitation to the public to subscribe for any
securities of the company.
(d) Where the annual return discloses the fact that the number of members, (except in case of a one person company), of the company
exceeds two hundred, the excess consists wholly of persons who under second proviso to clause (ii) of sub-section (68) of section 2 of
the Act are not to be included in reckoning the number of two hundred.

Declaration

I am Authorised by the Board of Directors of the company vide resolution no. .. 03 dated 16/08/2020
(DD/MM/YYYY) to sign this form and declare that all the requirements of the Companies Act, 2013 and the rules made thereunder
in respect of the subject matter of this form and matters incidental thereto have been compiled with. I further declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information material to
the subject matter of this form has been suppressed or concealed and is as per the original records maintained by the company.
2. All the required attachments have been completely and legibly attached to this form.

Page 13 of 14
Note: Attention is also drawn to the provisions of Section 447, section 448 and 449 of the Companies Act, 2013 which provide for
punishment for fraud, punishment for false statement and punishment for false evidence respectively.

To be digitally signed by

Digitally signed by SUDHIR BALDWA

Director SUDHIR DN: c=IN, o=Personal,

postalCode=302001, st=Rajasthan,
[Link]=0e31a7a2f0b1ef756b191970f8d5
2d8372addf0edcf0ecb9ac5d02e6f0aecd06,

BALDWA
serialNumber=08f51c00c25684f44ec63056
fe16306743c1095b54789f17b06fb451dfba
11ec, cn=SUDHIR BALDWA
Date: 2020.12.09 [Link] +05'30'

DIN of the director 00492354

Digitally signed by AMRITANSHU BALANI
DN: c=IN, st=Rajasthan,

To be digitally signed by AMRITANS [Link]=440fae0e21872054bda9cc58a6f

9f9c4dc8b5068ac72950d3228f317472c23
94, postalCode=302020, street=JAIPUR,
serialNumber=4e7019d80eb0f79d9209b1

HU BALANI 76a910390d65dfe770b5d453d1e9f374d9
5ba55005, o=Personal,
cn=AMRITANSHU BALANI
Date: 2020.12.09 [Link] +05'30'

Company Secretary
Company secretary in practice

Membership number 33746 Certificate of practice number 13773

Attachments List of attachments

1. List of share holders, debenture holders Attach LIST OF [Link]

2. Approval letter for extension of AGM; Attach

3. Copy of MGT-8; Attach

4. Optional Attachement(s), if any Attach

Remove attachment

Modify Check Form Prescrutiny Submit

This eForm has been taken on file maintained by the Registrar of Companies through electronic mode and on
the basis of statement of correctness given by the company

Page 14 of 14
 FORM NO. MGT-14
[Pursuant to section 94(1), 117(1) of The Companies Act,
Filing of Resolutions and
agreements to the Registrar
2013 and section 192 of The Companies Act, 1956 and rules
made thereunder]

Form Language English Hindi

Refer the instruction kit for filing the form.

1.(a)*Corporate Identity Number (CIN) of the company U85110RJ1992PTC006992 Pre-fill

(b) Global Location Number (GLN) of the company

2.(a) Name of Company LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED

(b) Address of the BALDWA PARISAR [Link], MOTI DOONGRI

registered office of JAIPUR 302004
the company C
Rajasthan
000000
India

(c) *e-mail id of the company lbaldwa@[Link]

3.* Registration of Resolution(s) Agreement Postal ballot resolution(s) under Section 110
Proposed resolution under section 94(1)

4. Date of dispatch of notice for passing of

(a) Resolution(s) 01/08/2020 (DD/MM/YYYY)

(b) Postal ballot resolution(s) (DD/MM/YYYY)

5. Date of passing of
(a) Resolution(s) 16/08/2020 (DD/MM/YYYY)

(b) Postal ballot resolution(s) (DD/MM/YYYY)

6. Number of resolution(s) for which the form is being filed 2

Details of the resolution

I (a) (i) Section of the Companies Act, 2013 under which passed 179(3)

(ii) Section of the Companies Act, 1956 under which passed

(b) Purpose of passing the resolution

Resolutions passed ¡n pursuance of exercise of powers of Board of Directors

(c) Subject matter of the resolution

Approval of Audited Financial Statement for the financial year 2019-20.

(d) Mention whether resolution passed by postal ballot Yes No

(e) Indicate the authority passing or agreeing to the resolution
Board of directors Shareholders Class of shareholders Creditors
(f) Whether ordinary or special resolution or with requisite majority
Ordinary resolution Special resolution Requisite majority
Page 1 of 3
II (a) (i) Section of the Companies Act, 2013 under which passed 179(3)

(ii) Section of the Companies Act, 1956 under which passed

(b) Purpose of passing the resolution

Resolutions passed ¡n pursuance of exercise of powers of Board of Directors

(c) Subject matter of the resolution

Approval of Director's Report for the financial year 2019-20.

(d) Mention whether resolution passed by postal ballot Yes No

(e) Indicate the authority passing or agreeing to the resolution
Board of directors Shareholders Class of shareholders Creditors
(f) Whether ordinary or special resolution or with requisite majority
Ordinary resolution Special resolution Requisite majority

10. Service request number(SRN) of Form INC-28

Attachments
List of attachments
[Link](s) of resolution(s) along with copy of BOARD [Link]
Attach
explanatory statement under section 102
[Link] memorandum of association Attach

[Link] articles of association Attach

[Link] attachment(s) - if any Attach

Remove Attachment

Page 2 of 3
 Declaration

I am authorized by the Board of Directors of the Company vide resolution no 03 Dated 16/08/2020
(DD/MM/YYYY) to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made
thereunder in respect of the subject matter of this form and matters incidental thereto have been complied with. I further
declare that :
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no
information material to the subject matter of this form has been suppressed or concealed and is as per the
original records maintained by the company.
2. All the required attachments have been completely and legibly attached to this form. It is also certified that
copy of the resolution(s) or agreement(s) filed herewith is or are a true copy(s) of the original.
3. Any application, writ petition or suit had not been filed regarding the matter in respect of which this
petition/application has been made, before any court of law or any other authority or any other Bench or the
Board and not any such application, writ petition or suit is pending before any of them.

* To be digitally signed by
Digitally signed by SUDHIR BALDWA
DN: c=IN, o=Personal,

SUDHIR postalCode=302001, st=Rajasthan,

[Link]=0e31a7a2f0b1ef756b19197
0f8d52d8372addf0edcf0ecb9ac5d02
e6f0aecd06,

BALDWA serialNumber=08f51c00c25684f44ec
63056fe16306743c1095b54789f17b
06fb451dfba11ec, cn=SUDHIR
BALDWA
Date: 2020.10.28 [Link] +05'30'

* Designation Director
Name of liquidator

* Director identification number of the director; or Income-tax

PAN of the liquidator; DIN or Income-tax PAN of manager or 00492354
CEO or CFO; or membership number of Company secretary;

Certificate by practicing professional

I declare that I have been duly engaged for the purpose of certification of this form, it is here by certified that I have gone through
the provisions of the Companies Act, 2013 and rules thereunder for the subject matter of this form and matters incidental thereto
and I have verified the above particulars (including attachment(s)) from the original/certified records maintained by the Company/
applicant which is subject matter of this form and found then to be true, correct and complete and no information material to this
form has been supressed. I further verify that:
i. The said records have been properly prepared, signed by the required officers of the Company and maintained as per the
relevant provisions of the Companies Act, 2013 and were found to be in order;
[Link] the required attachments have been completely and legibly attached to this form.

To be digitally signed by
Digitally signed by AMRITANSHU

AMRITA BALANI
DN: c=IN, st=Rajasthan,
[Link]=440fae0e21872054bda9cc5
8a6f9f9c4dc8b5068ac72950d3228f3

NSHU 17472c2394, postalCode=302020,

street=JAIPUR,
serialNumber=4e7019d80eb0f79d9
209b176a910390d65dfe770b5d453

BALANI d1e9f374d95ba55005, o=Personal,

cn=AMRITANSHU BALANI
Date: 2020.10.28 [Link] +05'30'

Chartered Accountant (in whole-time practice) or Cost Accountant (in whole-time practice) or
Company Secretary (in whole-time practice)

whether Associate or Fellow Associate Fellow

Membership No.
33746
Certificate of practice number
13773

Note: Attention is also drawn to provisions of Section 448 and 449 which provide for punishment for false
statement and punishment for false evidence respectively.

Modify Check Form Prescrutiny Submit

Page 3 of 3
 FORM NO. MGT-7A Abridged Annual
[Pursuant to sub-section(1) of section 92 of
the Companies Act, 2013 and sub-rule (1) of Return for OPCs and
rule 11 of the Companies (Management and Small Companies
Administration) Rules, 2014]

Form language English Hindi

Refer the instruction kit for filing the form.

I. REGISTRATION AND OTHER DETAILS

(i) * Corporate Identification Number (CIN) of the company U85110RJ1992PTC006992 Pre-fill

Global Location Number (GLN) of the company

* Permanent Account Number (PAN) of the company AAACL3157A

(ii) (a) Name of the company LIFECARE AND HEALTH RESEAR

(b) Registered office address

BALDWA PARISAR [Link], MOTI DOONGRI

JAIPUR 302004
C
Rajasthan
000000
India
(c) *email-ID of the company lbaldwa@[Link]

(d) *Telephone number with STD code 01412623445

(e) Website

(iii) Date of Incorporation 16/10/1992

(iv) Type of the Company Category of the Company Sub-category of the Company

Private Company Company limited by shares Indian Non-Government company

(v) Whether company is having share capital Yes No

(vi) Whether the form is filed for OPC Small Company

Page 1 of 13
 (vii) *Financial year From 01/04/2020 (DD/MM/YYYY) To 31/03/2021 (DD/MM/YYYY)

(viii) *Whether Annual General Meeting (AGM) held (not applicable in case of OPC)
Yes No

(a) If yes, date of AGM 17/08/2021

(b) Due date of AGM 30/09/2021

(c) Whether any extension for AGM granted Yes No
II. PRINCIPAL BUSINESS ACTIVITIES OF THE COMPANY

*Number of business activities 0

[Link] Main Description of Main Activity group Business Description of Business Activity % of turnover
Activity Activity of the
group code Code company

III. PARTICULARS OF ASSOCIATE COMPANIES

(INCLUDING JOINT VENTURES) (not applicable for OPC)

*No. of Companies for which information is to be given 0 Pre-fill All

[Link] Name of the company CIN / FCRN Associate/ Joint venture % of shares held

IV. SHARE CAPITAL, DEBENTURES AND OTHER SECURITIES OF THE COMPANY

(i) *SHARE CAPITAL

(a) Equity share capital

Particulars Authorised Issued Subscribed

capital capital Paid Up capital
capital
Total number of equity shares
1,000,000 712,882 712,882 712,882

Total amount of equity shares (in

10,000,000 7,128,820 7,128,820 7,128,820
rupees)

Number of classes 1

Class of Shares Issued

Authorised capital Subscribed
Paid Up capital
capital capital
Number of equity shares
1,000,000 712,882 712,882 712,882

Page 2 of 13
Nominal value per share (in rupees)
10 10 10 10
Total amount of equity shares (in rupees)
10,000,000 7,128,820 7,128,820 7,128,820

(b) Preference share capital

Particulars Authorised Issued Subscribed
capital capital Paid Up capital
capital
Total number of preference shares 0 0 0 0
Total amount of preference shares
0 0 0 0
(in rupees)

Number of classes 0

Class of Shares Issued

Authorised capital Subscribed
Paid up capital
capital capital
Number of preference shares

Nominal value per share (in rupees)

Total amount of preference shares (in rupees)

0 0

(c) Unclassified share capital (not applicable for OPC)

Particulars Authorised Capital
Total amount of unclassified shares
0

(d) Break-up of paid-up share capital (not applicable for OPC)

Number of Total nominal Total Paid-up Total premium
Class of shares amount
shares Amount
Equity shares
At the beginning of the year
712,882 7,128,820 7,128,820

Increase during the year

0 0 0 0

i. Pubic Issues
0 0 0 0

ii. Rights issue

0 0 0 0

iii. Bonus issue

0 0 0 0

iv. Private Placement/ Preferential allotment

0 0 0 0

v. ESOPs
0 0 0 0

vi. Sweat equity shares allotted

0 0 0 0

vii. Conversion of Preference share

0 0 0 0

Page 3 of 13
viii. Conversion of Debentures
0 0 0 0

ix. GDRs/ADRs
0 0 0 0

x. Others, specify

Decrease during the year

0 0 0 0
i. Buy-back of shares
0 0 0 0

ii. Shares forfeited

0 0 0 0

iii. Reduction of share capital

0 0 0 0

iv. Others, specify

At the end of the year

712,882 7,128,820 7,128,820

Preference shares
At the beginning of the year
0 0 0

Increase during the year

0 0 0 0

i. Issues of shares
0 0 0 0

ii. Re-issue of forfeited shares

0 0 0 0

iii. Others, specify

Decrease during the year

0 0 0 0
i. Redemption of shares
0 0 0 0

ii. Shares forfeited

0 0 0 0
iii. Reduction of share capital
0 0 0 0

iv. Others, specify

At the end of the year

0 0 0

Page 4 of 13
(ii) Details of shares/Debentures Transfers since closure date of last financial year (or in the case of the
first return at any time since the incorporation of the company) * (not applicable for OPC)
Nil
[Details being provided in a CD/Digital Media] Yes No Not applicable

Separate sheet attached for details of transfers Yes No

Note: In case list of transfer exceeds 10, option for submission as a separate sheet attachment or submission in a CD/Digital
Media may be shown.

Date of Previous AGM

Date of Registration of Transfer

Type of Transfer 1 - Equity, 2- Preference Shares,3 - Debentures, 4 - Stock

Number of Shares/ Debentures/ Amount per Share/

Units Transferred debenture/unit (in Rs.)

Ledger Folio of Transferor

Transferor's Name

Surname Middle name First name

Ledger Folio of Transferee

Transferee's Name

Surname middle name first name

Page 5 of 13
Date of Registration of Transfer

Type of Transfer 1 - Equity, 2- Preference Shares,3 - Debentures, 4 - Stock

Number of Shares/ Debentures/ Amount per Share/

Units Transferred debenture/unit (in Rs.)

Ledger Folio of Transferor

Transferor's Name

Surname Middle name First name

Ledger Folio of Transferee

Transferee's Name

Surname middle name first name

Page 6 of 13
(iii) *Debentures (Outstanding as at the end of financial year)
Particulars Number of units Nominal value per Total value
unit
Non-convertible debentures
0 0 0

Partly convertible debentures

0 0 0

Fully convertible debentures

0 0 0

Total
0

Details of debentures

Class of Debentures Outstanding as at Increase during the Decrease during the Outstanding as at
the beginning of the year year the end of the year
year
Non-convertible debentures
0 0 0 0
Partly convertible debentures
0 0 0 0

Fully convertible debentures

0 0 0 0

(iv) Securities (other than shares and debentures) (not applicable for OPC) 0
Type of Number of Nominal Value of Total Nominal Paid up Value of Total Paid up Value
Securities Securities each Unit Value each Unit

Total

V. *Turnover and net worth of the company (as defined in the Companies Act, 2013)

(i) Turnover 0

(ii) Net worth of the Company 6,562,086.35

VI. (a) *SHARE HOLDING PATTERN - Promoters (not applicable for OPC)

S. No. Category Equity Preference

Page 7 of 13
 Number of shares Percentage Number of shares Percentage

1. Individual/Hindu Undivided Family

(i) Indian 712,878 100 0

(ii) Non-resident Indian (NRI)
0 0 0

(iii) Foreign national (other than NRI) 0 0 0

Government
2.

(i) Central Government

0 0 0

(ii) State Government

0 0 0

(iii) Government companies

0 0 0

Insurance companies
3. 0 0 0

Banks
4. 0 0 0

Financial institutions
5. 0 0 0

Foreign institutional investors

6. 0 0 0

Mutual funds
7. 0 0 0

Venture capital
8. 0 0 0

Body corporate
9. (not mentioned above) 0 0 0

10. Others 0 0 0

Total
712,878 100 0

Total number of shareholders (promoters) 7

(b) *SHARE HOLDING PATTERN - Public/Other than promoters

S. No. Category Equity Preference

Number of shares Percentage Number of shares Percentage

1. Individual/Hindu Undivided Family

(i) Indian
4 0 0
(ii) Non-resident Indian (NRI)
0 0 0

(iii) Foreign national (other than NRI)

0 0 0

Page 8 of 13
 Government
2.

(i) Central Government

0 0 0

(ii) State Government

0 0 0

(iii) Government companies

0 0 0

Insurance companies
3. 0 0 0

Banks
4. 0 0 0

Financial institutions
5. 0 0 0

Foreign institutional investors

6. 0 0 0

Mutual funds
7. 0 0 0

Venture capital
8. 0 0 0

Body corporate
9. (not mentioned above) 0 0 0

10. Others 0 0 0

Total
4 0 0 0

Total number of shareholders (other than promoters)

4

Total number of shareholders (Promoters+Public/

Other than promoters) 11

VII. *NUMBER OF PROMOTERS, MEMBERS, DEBENTURE HOLDERS

Details
At the beginning of the year At the end of the year

Promoters
7 7

Members
4 4
(other than promoters)
Debenture holders
0 0

VIII. *MEETINGS OF MEMBERS/CLASS OF MEMBERS/BOARD/COMMITTEES OF THE BOARD OF

DIRECTORS

A. MEMBERS/CLASS /REQUISITIONED/CLB/NCLT/COURT CONVENED MEETINGS (not applicable for OPC)

Number of meetings held 1

Page 9 of 13
 Total Number of Attendance
Type of meeting Date of meeting Members entitled to
attend meeting
Number of members % of total
attended shareholding

AGM 11/09/2020 11 7 99.99

B. BOARD MEETINGS (not applicable for OPC)

*Number of meetings held 6

Attendance
Total Number of directors
S. No. Date of meeting
as on the date of meeting
Number of directors
attended % of attendance

1 15/06/2020 3 3 100

2 24/06/2020 3 3 100

3 16/08/2020 3 3 100

4 11/09/2020 3 3 100

5 02/11/2020 3 3 100

6 25/02/2021 3 3 100

C. *ATTENDANCE OF DIRECTORS (not applicable for OPC)

Board Meetings Committee Meetings Whether

attended AGM
Number Number held on
Name of Number of Number
S. of the Director Meetings of Meetings of
DIN which Meetings % of which
No. Meetings % of
director attended attendance director attended attendance 17/08/2021
was was
entitled to entitled to (Y/N/NA)
attend attend

1 00492388 SHAKUNTALA BALDW 6 6 100 0 0 0 Yes

2 00492363 SUNIL BALDWA 6 6 100 0 0 0 Yes

Page 10 of 13
9

10

11

12

13

14

15

IX. *REMUNERATION OF DIRECTORS

Nil

A. Number of Managing Director, Whole-time Directors and/or Manager whose remuneration details to be entered
1

S. No. Name Designation Gross salary Commission Stock Option/ Others Total
Sweat equity Amount

1 SHAKUNTALA BAL Director 60,000 0 0 0 60,000

Total 60,000 0 0 0 60,000

B. Number of other directors whose remuneration details to be entered

S. No. Name Designation Gross salary Commission Stock Option/ Others Total
Sweat equity Amount

1 0

Total

X. MATTERS RELATED TO CERTIFICATION OF COMPLIANCES AND DISCLOSURES

A. *Whether the company has made compliances and disclosures in respect of applicable Yes No
provisions of the Companies Act, 2013 during the year

B. If No, give the reasons/observations

XI. PENALTY AND PUNISHMENT - DETAILS THEREOF

(A) DETAILS OF PENALTIES / PUNISHMENT IMPOSED ON COMPANY/DIRECTORS /OFFICERS Nil

Name of the court/ Name of the Act and

Details of penalty/ Details of appeal (if any)
Name of the concerned Date of Order section under which
punishment including present status
company/ directors/ Authority penalised / punished
officers

Page 11 of 13
 (B) DETAILS OF COMPOUNDING OF OFFENCES Nil

Name of the court/

Name of the concerned Date of Order Name of the Act and
Particulars of Amount of compounding (in
company/ directors/ Authority section under which
offence rupees)
officers offence committed

I/We certify that:

(a) The return states the facts, as they stood on the date of the closure of the financial year aforesaid correctly and adequately.
(b) Unless otherwise expressly stated to the contrary elsewhere in this return, the Company has complied with applicable provisions of the
Act during the financial year.
(c) The company has not, since the date of the closure of the last financial year with reference to which the last return was submitted or in
the case of a first return since the date of the incorporation of the company, issued any invitation to the public to subscribe for any
securities of the company.
(d) Where the annual return discloses the fact that the number of members, (except in case of a one person company), of the company
exceeds two hundred, the excess consists wholly of persons who under second proviso to clause (ii) of sub-section (68) of section 2 of
the Act are not to be included in reckoning the number of two hundred.

Declaration

I am authorised by the Board of Directors of the company vide resolution no. .. 02 dated 15/07/2021
(DD/MM/YYYY) to sign this form and declare that all the requirements of the Companies Act, 2013 and the rules made thereunder
in respect of the subject matter of this form and matters incidental thereto have been complied with. I further declare that:
1. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information material to
the subject matter of this form has been suppressed or concealed and is as per the original records maintained by the company.
2. All the required attachments have been completely and legibly attached to this form.

Note: Attention is also drawn to the provisions of Section 447, section 448 and 449 of the Companies Act, 2013 which provide for
punishment for fraud, punishment for false statement and punishment for false evidence respectively.

To be digitally signed by

Director SHAKUNTAL
A BALDWA
Digitally signed by SHAKUNTALA BALDWA
Date: 2021.09.11 [Link] +05'30'

DIN of the director 00492388

Page 12 of 13
 Attachments List of attachments

1. List of share holders, debenture holders; Attach LIST OF [Link]

LIST OF [Link]
2. Approval letter for extension of AGM; Attach

3. List of Directors; Attach

4. Optional Attachment(s), if any; Attach

Remove Attachment

Modify Check Form Prescrutiny Submit

This eForm has been taken on file maintained by the registrar of companies through electronic mode and on the
basis of statement of correctness given by the company

Auto-approved By

Page 13 of 13
 INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT
[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, ITR-4(SUGAM), ITR-5, ITR-6, ITR-7
Assessment Year
filed and verified] 2021-22
(Please see Rule 12 of the Income-tax Rules, 1962)

PAN AAACL3157A

Name LIFE CARE AND HEALTH RESEARCHERS INDIA LTD

Address 01 , BALDAWA PARISAR, OPP. GANESH TEMPLE , MOTI DOONGARI , JAIPUR , 27-Rajasthan , 91-India , 302004

Status Public Company Form Number ITR-6

Filed u/s 139(1) Return filed on or before due date e-Filing Acknowledgement Number 721832820231021

Current Year business loss, if any 1 0

Total Income 4,000

Book Profit under MAT, where applicable 2 3,996

Adjusted Total Income under AMT, where applicable 3 0

Net tax payable 4 1,040

Interest and Fee Payable 5 0

Total tax, interest and Fee payable 6 1,040

Taxes Paid 7 10,102

(+)Tax Payable /(-)Refundable (6-7) 8 (-) 9,060

Dividend Tax Payable 9 0

Interest Payable 10 0

Total Dividend tax and interest payable 11 0

Taxes Paid 12 0

(+)Tax Payable /(-)Refundable (11-12) 13 0

Accreted Income as per section 115TD 14 0

Additional Tax payable u/s 115TD 15 0

Interest payable u/s 115TE 16 0

Additional Tax and interest payable 17 0

Tax and interest paid 18 0

(+)Tax Payable /(-)Refundable (17-18) 19 0

Income Tax Return submitted electronically on 23-10-2021 [Link] from IP address [Link] and verified by SHAKUNTALA BALDWA
having PAN ABOPB1766B on 23-10-2021 [Link] using paper ITR-Verification Form /Electronic Verification Code generated through
Digital mode

System Generated

Barcode/QR Code
AAACL3157A06721832820231021DC87B66B8F2F54BFC65C75DF6ED3EBCAFEC7F554

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

Name of Assessee LIFE CARE AND HEALTH RESEARCHERS INDIA LTD
Address 01,BALDAWA PARISAR, OPP. GANESH TEMPLE,MOTI
DOONGARI,JAIPUR,RAJASTHAN,302004
Status Company(Domestic) Assessment Year 2021-2022
Ward ITO WD 5(2), JPR Year Ended 31.3.2021
PAN AAACL3157A Incorporation Date 16/10/1992
Residential Status Resident
Nature of Business HEALTH CARE SERVICES-Medical suppliers, agencies and stores(18009)
Method of Accounting Mercantile
A.O. Code RJN-W-105-02
Filing Status Original
Last Year Return Filed On 14/10/2020 Serial No.: 647977801141020
Last Year Return Filed u/s Normal
Bank Name ICICI Bank Ltd, SHRI DADU ACHARYA SANSKRIT COLLEGE MOTI
DOONGRI ROAD JAIPUR 302004 ,MICR:302229059, A/C NO:675005015751
,Type: Current ,IFSC: ICIC0006782
Tele: Mob:9314503200

Computation of Total Income [As per Normal Provisions]

Caution
1. TIS summary not imported
2. AIS report not imported

Income from Business or Profession (Chapter IV D) -131383

Profit as per Profit and Loss a/c 3996

Total 3996
Less:
Interest Income 135379
135379
-131383

Income from Other Sources (Chapter IV F) 135379

Interest on F.D.R. 134681

Interest From IT Refund 698
135379

Gross Total Income 3996

Total Income 3996

Round off u/s 288 A 4000

Calculation for Mat 3996

Profit as per part II of Schedule III 2956
Add:
Income Tax u/s 40(a)(ii) 1040
Total 3996
Tax calculated @ 15.0% on Book Profit is Rs. 599
NAME OF ASSESSEE : LIFE CARE AND HEALTH RESEARCHERS INDIA LTD A.Y. 2021-2022 PAN :
AAACL3157A Code :LC-INDIA

Tax Due @ 25% (Turnover for Fin. Year 2018-19 1000

is less than 400 Crore)
Health & Education Cess (HEC) @ 4.00% 40
1040
T.D.S./T.C.S 10102
-9062
Refundable (Round off u/s 288B) 9060

T.D.S./ T.C.S. From

Non-Salary(as per Annexure) 10102
Due Date for filing of Return October 31, 2021
Due date extended to 15/03/2022 Circular No. 01/2022 in [Link]/49/2021/ITA-II Dt 11-Jan-2022

Comparision of Income if Company Opts for Section 115BAA (Tax @22%)

[Link] income as per Normal provisions 3996
2. Adjustments according to section 115BAA/115BAB
(i) Deduction under Ch VIA & Section 10AA as per Normal
Provisions
0
Gross Total Income as per Normal provisions 3996
(ii) Disallowed Deductions under secton 115BAA / 115BAB
No Deduction exists
(iii) Disallowed Brought Forward Loss related to Above Deductions
NA 0 0
3. Gross Total Income (1+2) 3996
Deduction under Chapter VIA under heading C other than 80JJAA 0
Total Income after Adjustments under section 115BAA/115BAB 3996

Statement of Current Year Loss Adjustment

Head/Source of Income Current Year House Property Business Loss of Other Sources Current Year Income
Income Loss of the the Current Year Loss of the Remaining after Set
Current Year Set Set off Current Year Set off
off off
Loss to be adjusted 131383
House Property NIL NIL NIL NIL
Business NIL NIL NIL NIL
Speculation Business NIL NIL NIL NIL NIL
Short term Capital Gain NIL NIL NIL NIL NIL
Long term Capital Gain NIL NIL NIL NIL NIL
Other Sources 135379 NIL 131383 3996
Total Loss Set off NIL 131383 NIL
Loss Remaining after NIL NIL NIL
set off

Bank Account Detail

S. No. Bank Address Account No MICR NO IFSC Code Type
1 ICICI Bank Ltd SHRI DADU ACHARYA 675005015751 302229059 ICIC0006782 Current(Primary)
SANSKRIT COLLEGE MOTI
DOONGRI ROAD JAIPUR
302004

Details of T.D.S. on Non-Salary(26 AS Import Date:20 Aug 2021)

Page 2
NAME OF ASSESSEE : LIFE CARE AND HEALTH RESEARCHERS INDIA LTD A.Y. 2021-2022 PAN :
AAACL3157A Code :LC-INDIA

[Link] Head Name of the Deductor Tax deduction A/C No. Total Tax deducted Amount out of (5) Section
of the deductor claimed for this year
1 OS ICICI BANK LIMITED JPRI01256D 10102 10102 194A
Sub Total 10102 10102
Total 10102 10102

Head wise Summary on Income and TDS thereon

Head Section Amount As per Location of Income for TDS
Paid/Credited As Computation Comparison
per 26AS
Other Sources 194A 134681 135379 Interest Income:135379 10102
Total 134681 135379 10102

Signature
(SHAKUNTALA BALDWA)
For LIFE CARE AND HEALTH
RESEARCHERS INDIA LTD
Date-24.01.2022
CompuTax : LC-INDIA [LIFE CARE AND HEALTH RESEARCHERS INDIA LTD]

Page 3
 INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year
[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3,
ITR-4(SUGAM), ITR-5, ITR-6, ITR-7 filed and verified]
2020-21
(Please see Rule 12 of the Income-tax Rules, 1962)

PAN AAACL3157A

Name LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED

01, BALDAWA PARISAR, OPP. GANESH TEMPLE, , MOTI DOONGARI, JAIPUR, RAJASTHAN, 302004
Address

Status Plc Company Form Number ITR-6

Filed u/s 139(1)-On or before due date e-Filing Acknowledgement Number 647977801141020

Current Year business loss, if any 1 0

Taxable Income and Tax details

Total Income 3390

Book Profit under MAT, where applicable 2 0
Adjusted Total Income under AMT, where applicable 3 3389
Net tax payable 4 882
Interest and Fee Payable 5 0
Total tax, interest and Fee payable 6 882
Taxes Paid 7 12594
(+)Tax Payable /(-)Refundable (6-7) 8 -11710
Dividend Tax Payable 9 0
Distribution Tax

Interest Payable 10 0
Dividend

details

Total Dividend tax and interest payable 11 0

Taxes Paid 12 0
(+)Tax Payable /(-)Refundable (11-12) 13 0
Accreted Income & Tax

Accreted Income as per section 115TD 14 0

Additional Tax payable u/s 115TD 15 0
16 0
Detail

Interest payable u/s 115TE

Additional Tax and interest payable 17 0

Tax and interest paid 18 0
(+)Tax Payable /(-)Refundable (17-18) 19 0
Income Tax Return submitted electronically on 14-10-2020 [Link] from IP address [Link] and verified by

SHAKUNTALA BALDWA

having PAN ABOPB1766B on 14-10-2020 [Link] from IP address [Link] using

Digital Signature Certificate (DSC).

66635740214845CN=Verasys CA
DSC details: 2014,[Link]=#13294f6666696365204e6f2e2032312c20326e6420466c6f6f722c20426861766e61204275696c64696e67,STREET=V.S.
Marg,ST=Maharashtra,[Link]=#1306343030303235,OU=Certifying Authority,O=Verasys Technologies Pvt Ltd.,C=IN

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

Name of Assessee LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED
Address 01,BALDAWA PARISAR, OPP. GANESH TEMPLE,MOTI
DOONGARI,JAIPUR,RAJASTHAN,302004
Status Company(Domestic) Assessment Year 2020-2021
Ward ITO WD 5(2), JPR Year Ended 31.3.2020
PAN AAACL3157A Incorporation Date 16/10/1992
Residential Status Resident
Nature of Business HEALTH CARE SERVICES-Medical suppliers, agencies and stores(18009)
Method of Accounting Mercantile
A.O. Code RJN-W-105-02
Filing Status Original
Last Year Return Filed On 23/10/2019 Serial No.: 214621141231019
Bank Name ICICI Bank Ltd, SHRI DADU ACHARYA SANSKRIT COLLEGE MOTI
DOONGRI ROAD JAIPUR 302004 ,MICR:302229059, A/C NO:675005015751
,Type: Current ,IFSC: ICIC0006782
Tele: Mob:9314503200

Computation of Total Income [As per Normal Provisions]

Income from Business or Profession (Chapter IV D) -122550

Profit as per Profit and Loss a/c 3389

Total 3389
Less:
Interest Income 125939
125939
-122550

Income from Other Sources (Chapter IV F) 125939

Interest on F.D.R. 125939

Gross Total Income 3389

Total Income 3389

Round off u/s 288 A 3390

Calculation for Mat 3389

Profit as per part II of Schedule III 3389
Tax calculated @ 15.0% on Book Profit is Rs. 508

Tax Due @ 25% (Turnover for Fin. Year 2017-18 848

is less than 400 Crore)
Health & Education Cess (HEC) @ 4.00% 34
882
T.D.S./T.C.S 12594
-11712
Refundable (Round off u/s 288B) 11710

T.D.S./ T.C.S. From

Non-Salary(as per Annexure) 12594
NAME OF ASSESSEE : LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED A.Y. 2020-2021 PAN :
AAACL3157A Code :LC-INDIA

Due Date for filing of Return October 31, 2020

Due date extended to 15/02/2021

Comparision of Income if Company Opts for Section 115BAA (Tax @22%)

[Link] income as per Normal provisions 3389
2. Adjustments according to section 115BAA/115BAB
(i) Deduction under Ch VIA & Section 10AA as per Normal
Provisions
0
Gross Total Income as per Normal provisions 3389
(ii) Disallowed Deductions under secton 115BAA / 115BAB
No Deduction exists
(iii) Disallowed Brought Forward Loss related to Above Deductions
NA 0 0
3. Gross Total Income (1+2) 3389
Deduction under Chapter VIA under heading C other than 80JJAA 0
Total Income after Adjustments under section 115BAA/115BAB 3389

Statement of Current Year Loss Adjustment

Head/Source of Income Current Year House Property Business Loss of Other Sources Current Year Income
Income Loss of the the Current Year Loss of the Remaining after Set
Current Year Set Set off Current Year Set off
off off
Loss to be adjusted 122550
House Property NIL NIL NIL NIL
Business NIL NIL NIL NIL
Speculation Business NIL NIL NIL NIL NIL
Short term Capital Gain NIL NIL NIL NIL NIL
Long term Capital Gain NIL NIL NIL NIL NIL
Other Sources 125939 NIL 122550 3389
Total Loss Set off NIL 122550 NIL
Loss Remaining after NIL NIL NIL
set off

Bank Account Detail

S. No. Bank Address Account No MICR NO IFSC Code Type
1 ICICI Bank Ltd SHRI DADU ACHARYA 675005015751 302229059 ICIC0006782 Current(Primary)
SANSKRIT COLLEGE MOTI
DOONGRI ROAD JAIPUR
302004

Details of T.D.S. on Non-Salary(26 AS Import Date:08 Jun 2020)

[Link] Head Name of the Deductor Tax deduction A/C No. Total Tax deducted Amount out of (5) Section
of the deductor claimed for this year
1 OS ICICI BANK LIMITED JPRI01256D 12594 12594 194A
Sub Total 12594 12594
Total 12594 12594

Head wise Summary on Income and TDS thereon

Head Section Amount As per Location of Income for TDS
Paid/Credited As Computation Comparison
per 26AS
Other Sources 194A 125939 125939 Interest Income:125939 12594
Total 125939 125939 12594

Page 2
NAME OF ASSESSEE : LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED A.Y. 2020-2021 PAN :
AAACL3157A Code :LC-INDIA

Signature
(SHAKUNTALA BALDWA)
For LIFECARE AND HEALTH
RESEARCHERS(INDIA)LIMITED
Date-24.01.2022
CompuTax : LC-INDIA [LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED]

Page 3
 INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year
[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, 2019-20
ITR-4 , ITR-5, ITR-6,ITR-7 filed and verified electronically]

Name PAN
LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED AAACL3157A
PERSONAL INFORMATION AND THE

Flat/Door/Block No Name Of Premises/Building/Village

01 BALDAWA PARISAR, OPP. GANESH TEMPLE
ACKNOWLEDGEMENT

Form Number. ITR-6

Road/Street/Post Office Area/Locality
NUMBER

MOTI DOONGARI
Status Plc Company

Town/City/District State Pin/ZipCode Filed u/s

JAIPUR RAJASTHAN
302004 139(1)-On or before due date

Assessing Officer Details (Ward/Circle) ITO WD 5(2), JPR

e-filing Acknowledgement Number 214621141231019

1 Gross total income 1 91609
2 Total Deductions under Chapter-VI-A 2 0
3 Total Income 3 91610
COMPUTATION OF INCOME

3a Deemed Total Income under AMT/MAT 3a 91609

3b 0
AND TAX THEREON

3b Current Year loss, if any

4 Net tax payable 4 23819

5 Interest and Fee Payable 5 1566

6 Total tax, interest and Fee payable 6 25385
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 11783
c TCS 7c 0
d Self Assessment Tax 7d 13602
e Total Taxes Paid (7a+7b+7c +7d) 7e 25385
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
Agriculture
10 Exempt Income 10
Others

Income Tax Return submitted electronically on 23-10-2019 [Link] from IP address [Link] and verified by

SHAKUNTALA BALDWA having PAN ABOPB1766B on 23-10-2019 [Link] from IP address

[Link] using Digital Signature Certificate (DSC)
2466220313583722097CN=SafeScrypt sub-CA for RCAI Class 2 2014,OU=Sub-CA,O=Sify Technologies Limited,C=IN
DSC details:

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

Name of Assessee LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED
Address 01,BALDAWA PARISAR, OPP. GANESH TEMPLE,MOTI
DOONGARI,JAIPUR,RAJASTHAN,302004
Status Company(Domestic) Assessment Year 2019-2020
Ward ITO WD 5(2), JPR Year Ended 31.3.2019
PAN AAACL3157A Incorporation Date 16/10/1992
Residential Status Resident
Nature of Business HEALTH CARE SERVICES-Medical suppliers, agencies and stores(18009)
Method of Accounting Mercantile
A.O. Code RJN-W-105-02
Filing Status Original
Bank Name ICICI Bank Ltd, SHRI DADU ACHARYA SANSKRIT COLLEGE MOTI
DOONGRI ROAD JAIPUR 302004 ,MICR:302229059, A/C NO:675005015751
,Type: Current ,IFSC: ICIC0006782
Tele: Mob:9314503200

Computation of Total Income

Income from Business or Profession (Chapter IV D) -26800

Profit as per Profit and Loss a/c 91609

Total 91609
Less:
Interest Income 118409
118409
-26800

Income from Other Sources (Chapter IV F) 118409

Interest on F.D.R. 117822

Interest From IT Refund 587
118409

Gross Total Income 91609

Total Income 91609

Round off u/s 288 A 91610

Calculation for Mat 91609

Profit as per part II and III of Schedule VI 67790
Add:
Income Tax u/s 40(a)(ii) 23819
Total 91609
Tax calculated @ 18.5% on Book Profit is Rs. 16948

Tax Due @ 25% (Turnover for Fin. Year 2016-17 22903

is less than 250 Crore)
Health & Education Cess (HEC) @ 4.00% 916
23819
T.D.S./T.C.S 11783
12036
NAME OF ASSESSEE : LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED A.Y. 2019-2020 PAN :
AAACL3157A Code :LC-INDIA

Interest u/s 234 A/B/C 1566

13602
Round off u/s 288B 13602
Deposit u/s 140A 13602
Tax Payable 0

Interest Charged (Rs.) T.D.S./ T.C.S. From (Rs.)

u/s 234A (1 Month) 120 Non-Salary(as per Annexure) 11783
u/s 234B (7 Month) 840
u/s 234C 606
(54+162+270+120)
Interest calculated upto October,2019, Due Date for filing of Return September 30, 2019
Due date extended to 31/10/2019 [Link].225/157/2019/[Link] DT. 27.09.2019
As per notification, due date for the purpose of interest u/s 234A, has not been extended.

Prepaid taxes (Advance tax and Self assessment tax)26 AS Import Date:13 Sep 2019
[Link]. BSR Code Date Challan No Bank Name & Branch Amount
1 6390340 23/10/2019 07292 ICICI BANK LIMITED Uttam Nagar 13602
Total 13602
Statement of Current Year Loss Adjustment
Head/Source of Income Current Year House Property Business Loss of Other Sources Current Year Income
Income Loss of the the Current Year Loss of the Remaining after Set
Current Year Set Set off Current Year Set off
off off
Loss to be adjusted 26800
House Property NIL NIL NIL NIL
Business NIL NIL NIL NIL
Speculation Business NIL NIL NIL NIL NIL
Short term Capital Gain NIL NIL NIL NIL NIL
Long term Capital Gain NIL NIL NIL NIL NIL
Other Sources 118409 NIL 26800 91609
Total Loss Set off NIL 26800 NIL
Loss Remaining after NIL NIL NIL
set off

Interest Calculation u/s 234C

S. No. Installment Period Total Tax Due To Be To Be Deposit Remaining Tax Int Rate Interest
Deposited Deposited Amount Due(Round off in (In %)
(In %) (In Amount) 100 Rs.)
1. First (Up to June) 12036 15.00 1805 0 1800 3 54
2. Second (Up to Sep) 12036 45.00 5416 0 5400 3 162
3. Third (Up to Dec) 12036 75.00 9027 0 9000 3 270
4. Fourth (Up to March) 12036 100.00 12036 0 12000 1 120
Total 606

Interest Calculation u/s 234B

Interest u/s 234C : 606
S. No. Month Principal Int. 234B Int. 234A/F Deposit Int Adjusted Int Remain Principal Adj
1 April-2019 12036 120 0 0 0 726 0
2 May-2019 12036 120 0 0 0 846 0
3 June-2019 12036 120 0 0 0 966 0
4 July-2019 12036 120 0 0 0 1086 0
5 August-2019 12036 120 0 0 0 1206 0

Page 2
NAME OF ASSESSEE : LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED A.Y. 2019-2020 PAN :
AAACL3157A Code :LC-INDIA

6 September-2019 12036 120 0 0 0 1326 0

7 October-2019 12036 120 120 13602 1566 0 12036
Total 840 120

Bank Account Detail

S. No. Bank Address Account No MICR NO IFSC Code Type
1 ICICI Bank Ltd SHRI DADU ACHARYA 675005015751 302229059 ICIC0006782 Current(Primary)
SANSKRIT COLLEGE MOTI
DOONGRI ROAD JAIPUR
302004

Details of T.D.S. on Non-Salary(26 AS Import Date:13 Sep 2019)

[Link] Head Name of the Deductor Tax deduction A/C No. Total Tax deducted Amount out of (5) Section
of the deductor claimed for this year
1 OS ICICI BANK LIMITED JPRI01256D 2019 2019 194A
2 OS ICICI BANK LIMITED JPRI01256D 9764 9764 194A
Sub Total 11783 11783
Total 11783 11783

Head wise Summary on Income and TDS thereon

Head Section Amount As per Location of Income for TDS
Paid/Credited As Computation Comparison
per 26AS
Other Sources 194A 117822 118409 Interest Income:118409 11783
Total 117822 118409 11783

Signature
(SHAKUNTALA BALDWA)
For LIFECARE AND HEALTH
RESEARCHERS(INDIA)LIMITED
Date-24.01.2022
CompuTax : LC-INDIA [LIFECARE AND HEALTH RESEARCHERS(INDIA)LIMITED]

Page 3
 INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year
[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3,
ITR-4(SUGAM), ITR-5, ITR-6, ITR-7 filed and verified]
2020-21
(Please see Rule 12 of the Income-tax Rules, 1962)

PAN AAATB4644B

Name BALDWA CHARITABLE TRUST

1, BALDWA PARISAR, GANESH COLONY, MOTI DOONGRI ROAD, JAIPUR,JAIPUR, RAJASTHAN, 302004
Address

Status AOP/BOI Form Number ITR-7

Filed u/s 139(1)-On or before due date e-Filing Acknowledgement Number 205494161130121

Current Year business loss, if any 1 0

Taxable Income and Tax details

Total Income 0
Book Profit under MAT, where applicable 2 0
Adjusted Total Income under AMT, where applicable 3 0
Net tax payable 4 0
Interest and Fee Payable 5 0
Total tax, interest and Fee payable 6 0
Taxes Paid 7 102776
(+)Tax Payable /(-)Refundable (6-7) 8 -102776
Dividend Tax Payable 9 0
Distribution Tax

Interest Payable 10 0
Dividend

details

Total Dividend tax and interest payable 11 0

Taxes Paid 12 0
(+)Tax Payable /(-)Refundable (11-12) 13 0
Accreted Income & Tax

Accreted Income as per section 115TD 14 0

Additional Tax payable u/s 115TD 15 0
16 0
Detail

Interest payable u/s 115TE

Additional Tax and interest payable 17 0

Tax and interest paid 18 0
(+)Tax Payable /(-)Refundable (17-18) 19 0
Income Tax Return submitted electronically on 13-01-2021 [Link] from IP address [Link] and verified by

SUDHIR BALDWA

having PAN ABOPB1765C on 13-01-2021 [Link] from IP address [Link] using

Digital Signature Certificate (DSC).

2614292291837369467CN=SafeScrypt sub-CA for RCAI Class 2 2014,OU=Sub-CA,O=Sify Technologies Limited,C=IN
DSC details:

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU