AB2381155_SRN_FORM_1736408054026
Form No. DIR-12 Form language
English Hindi
Particulars of appointment of directors and
the key managerial personnel and the changes among them
[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 1736408054026
(Appointment and Qualification of Directors) Rules, 2014]
Refer instruction kit for filing the form
All fields marked in * are mandatory
Company details
1 (a) *Corporate Identity Number (CIN) of company U70100UP2016PTC087350
(b) *Name of the company ALFINA PROPZONE
PRIVATE LIMITED
(c) *Address of the registered office of the company H NO. 58 MIRCHITOLA,
BULANDSHAHR,
Bulandshahr, Uttar
Pradesh, India203001
(d) *E-mail ID of the company *****[email protected]
Particulars of Director/KMP
2 *Number of Managing director or director(s) for which the form is being filed 2
3 Details of the Managing Director or Director of the company
(a) Purpose of filing the form
Appointment Cessation Change in designation
Appointment due to disqualification of all Appointment by liquidator / IRP / RP
the existing directors
(b) Director Identification Number (DIN) ******96
(c) Name NADEEM MALIK
(d) Father’s name *****UDDIN *****
(e) Present residential address ***** ,NA,Noida,Uttar
Pradesh,India,201301
(f) Nationality India
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(g) Date of birth (DD/MM/YYYY) 14/11/1990
(h) Gender Male
m
(j) Designation
Additional Director
(Director/Managing director/Alternate director/Additional director/Director appointed in casual vacancy/
Nominee director/Whole-time director)
(k) Date of Appointment or change in designation (DD/MM/YYYY) 23/12/2024
(l) Category Promoter
(Promoter/Professional/Independent/Small shareholder's director)
(m) Whether Chairman, Executive Director, Non-Executive Director Chairman
Executive Director
Non-Executive Director
(n) DIN of such director to whom appointee is alternate
(o) Name of the director to whom such appointee is alternate
(p) Name of the company or institution whose authorized representative or nominee
the appointee is
(q) In case of cessation, hereby confirmed that the above-mentioned Director Managing Director is not associated
with the company with effect from (DD/MM/YYYY) due to
Interest in other entities
(r) Number of such entities 1
CIN/ LLPIN/ FCRN/ Percentage of Others
S. No. Name Address Designation Amount
Registration number Shareholding (specify)
A-3/4,
KINGER
GALI NO-3,
PLAST
U74899DL1993PT BHAJANPURA
1 (INDIA) Director 0 0 0
C054189 SHAHDARA
PRIVATE
DELHI
LIMITED
Delhi
3 Details of the Managing Director or Director of the company
(a) Purpose of filing the form
Appointment Cessation Change in designation
Appointment due to disqualification of all Appointment by liquidator / IRP / RP
the existing directors
(b) Director Identification Number (DIN) ******50
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(c) Name SAJID MALIK
(d) Father’s name *****UDDIN *
(e) Present residential address ***** SECTOR-22
,Noida,Noida,Gautam
Buddha Nagar,Uttar
Pradesh,India,201301
(f) Nationality India
(g) Date of birth (DD/MM/YYYY) 06/06/1980
(h) Gender Male
(i) E-mail ID of director *****maliks1980@gmail.
com
(j) Designation
Additional Director
(Director/Managing director/Alternate director/Additional director/Director appointed in casual vacancy/
Nominee director/Whole-time director)
(k) Date of Appointment or change in designation (DD/MM/YYYY) 23/12/2024
(l) Category Promoter
(Promoter/Professional/Independent/Small shareholder's director)
(m) Whether Chairman, Executive Director, Non-Executive Director Chairman
Executive Director
Non-Executive Director
(n) DIN of such director to whom appointee is alternate
(o) Name of the director to whom such appointee is alternate
(p) Name of the company or institution whose authorized representative or nominee
the appointee is
(q) In case of cessation, hereby confirmed that the above-mentioned Director Managing Director is not associated
with the company with effect from (DD/MM/YYYY) due to
Interest in other entities
(r) Number of such entities 0
CIN/ LLPIN/ FCRN/ Percentage of Others
S. No. Name Address Designation Amount
Registration number Shareholding (specify)
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4 *Number of manager(s), secretary(s), Chief financial Officer or Chief Executive Officer for 0
which the form is being filed
5 Details of manager(s), secretary(s), Chief financial Officer or Chief Executive Officer of the company
(a) Purpose of filing the form Appointment
Cessation
(b) Director Identification Number (DIN), if any
(c) Income Tax permanent account number (PAN)
(d) Membership number of the company secretary
(e) (i) First Name (Either of applicant’s First name or Surname shall be mandatory to enter)
(ii) Middle Name
(iii) Last Name (Either of applicant’s First name or Surname shall be mandatory to enter)
(f) Father’s name
(i) First Name (Either of applicant’s father's first name or Surname shall be mandatory to enter)
(ii) Middle Name
(iii) Last Name (Either of applicant’s father's first name or Surname shall be mandatory to enter)
(g) Present residential address
Address Line 1
Address Line 2
Country
Pin Code/Zip Code
Area/Locality
City
District
State/UT
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(h) Date of birth (DD/MM/YYYY)
(i) Designation (Manager/Company Secretary/CEO/CFO)
(j) Date of appointment or cessation (DD/MM/YYYY)
(k) Mobile Number (with Country code)
(l) E-mail ID
6 SRN of form INC-28
Attachments
7 (a) Order from court/NCLT
(b) Notice of resignation
(c) Evidence of cessation
(d) Optional attachments – if any Docs_Director_Appointm
ent.pdf
Director's Consent and Declaration
ALFINA PROPZONE
I, NADEEM MALIK hereby give my consent to act as a director of
PRIVATE LIMITED
(name of the company), pursuant to sub-section (5) of section 152 of the companies Act, 2013 and Certify that I am not disqualified
to become a director under the companies Act, 2013.
I declare that I have not been convicted of any offense in connection with the promotion, formation or management of any
company or LLP and have not been found guilty of any fraud or misfeasance or of any breach of duty to any company under this
Act or any previous company law in the last five year.
I further declare that if appointed my total Directorship in all the companies shall not exceed the prescribed number of companies
in which a person can be appointed as a Director.
I further declare that I have not incurred disqualification under the Companies Act, 2013 in any of the above companies and that I,
at present, stand free from any disqualification from being a director.
I also declare that:
I am not required to obtain the security clearance from the Ministry of Home Affairs, Government of India under
sub-rule (1) of rule 10 before applying for director identification number; or
I am required to obtain the security clearance from the Ministry of Home Affairs, Government of India under sub-
rule (1) of rule 10 before applying for director identification number and the same has been obtained and is
attached,
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To be digitally signed by the Director/ Managing Director Digitally signed by
NADEE NADEEM MALIK
M MALIK Date:
DIN1###
2025.01.09
14:35:27 +05'30'
07345296
Director's Consent and Declaration
ALFINA PROPZONE
I, SAJID MALIK hereby give my consent to act as a director of
PRIVATE LIMITED
(name of the company), pursuant to sub-section (5) of section 152 of the companies Act, 2013 and Certify that I am not disqualified
to become a director under the companies Act, 2013.
I declare that I have not been convicted of any offense in connection with the promotion, formation or management of any
company or LLP and have not been found guilty of any fraud or misfeasance or of any breach of duty to any company under this
Act or any previous company law in the last five year.
I further declare that if appointed my total Directorship in all the companies shall not exceed the prescribed number of companies
in which a person can be appointed as a Director.
I further declare that I have not incurred disqualification under the Companies Act, 2013 in any of the above companies and that I,
at present, stand free from any disqualification from being a director.
I also declare that:
I am not required to obtain the security clearance from the Ministry of Home Affairs, Government of India under
sub-rule (1) of rule 10 before applying for director identification number; or
I am required to obtain the security clearance from the Ministry of Home Affairs, Government of India under sub-
rule (1) of rule 10 before applying for director identification number and the same has been obtained and is
attached,
To be digitally signed by the Director/ Managing Director SAJID Digitally signed by
SAJID MALIK
Date: 2025.01.09
MALIK
DIN2### 13:47:09 +05'30'
00257250
Declaration
I* MOHAMMAD YUNUS authorized by the Board of Directors of the Company/ by the court or NCLT vide*
01 number dated* 23/12/2024 (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 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.
*To be digitally signed by
Digitally signed by
Mohamm Mohammad
Yunus
ad Yunus Date: 2025.01.09
DIN3### 13:16:00 +05'30'
02493675
*Designation
(Director/Manager/Company Secretary/Chief executive officer/Chief Financial Officer/Statutory Auditor/Liquidator)
Director
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*Director identification number of the director; or DIN or PAN of the manager or CEO or ******75
CFO or liquidator; or Membership number of the secretary or statutory auditor
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
Category
Chartered Accountant (in whole time practice)
Company Secretary (in whole time practice)
Cost Accountant (in whole time practice)
Whether associate or fellow:
Associate Fellow
Membership number
Certificate of practice number
For Office use only:
eForm Service request number (SRN) AB2381155
eForm filing date (DD/MM/YYYY) 09/01/2025
Digital signature of the authorizing officer
DIN2
This eForm is hereby registered
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
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