FORM NO. 56CA
[See clause (b) of sub-rule (3) of rule 2DA]
Statement of assets and liabilities
YEARS
First Year Second Year Third Year
(Mention years also)
A. ASSETS
1. Fixed Assets
(a) Gross block Rs.
(b) Depreciation Rs.
(c) Net value (a – b) Rs.
2. Current assets
(a) Investments Rs.
(b) Cash and bank balances Rs.
(c) Others (please specify
balances)
Rs.
(d) Total [(a) + (b) + (c)] Rs.
3. Current liabilities and provisions Rs.
4. Net worth (1+2-3) Rs.
B. LIABILITIES
1. Monies raised/issued and paid-up
capital
Rs.
2. Free reserves (excluding revaluation
reserves)
Rs.
3. Total (1+2) Rs.
Place ___________________
Date ________________ Signature and designation of the applicant
Note : Please give full particulars of investments and also state whether you satisfy the conditions mentioned
in sub-rule (5) of rule 2DA, if not, indicate reasons with details.