This document contains a declaration from [Name] for the Board of Directors of XYZ Limited under Section 149(6) of the Companies Act of 2012. The declaration states that [Name] possesses the relevant expertise and experience required by the Company's Articles of Association. It also states that [Name] is not and has never been a promoter of the Company, its holding companies, subsidiaries or associates. Finally, the declaration affirms that [Name] has no pecuniary relationships with the Company, its holding companies, subsidiaries or associates, or their promoters or directors, that would violate the requirements of the Act.

1. By: Tarun Singhvi (tarunsinghvi@gmail.com) Page 1
To,
The Board of Directors,
XYZ Limited
Sub: Declaration under Section 149 (6) of the Companies Act, 2012
I __________________ [Name], S/o __________________ [Name], Resident of _____________________
[Address] hereby give declaration as required under section 149(6) of the Companies Act, 2012 that:
(a) I possess relevant expertise and experience as required under the Articles of Association of the
Company
(b) I am or was not a promoter of the Company or its holding, Subsidiary or its Associate Company’s;
I am not related to promoters or directors in the company, its holding, subsidiary or associate
company;
(c) I have or had no pecuniary relationship with the company, its holding, subsidiary or associate
company, or their promoters, or directors, during the two immediately preceding financial years or
during the current financial year;
(d) None of my relatives have or had pecuniary relationship or transaction with the company, its holding,
subsidiary or associate company, or their promoters, or directors, amounting to two per cent [2%]. or
more of its gross turnover or total income or fifty lakh rupees [Rs. 50 Lacs] or such higher amount as
may be prescribed, whichever is lower, during the two immediately preceding financial years or during
the current financial year;
(e) neither me nor any of my relatives—
i. hold or have held the position of a key managerial personnel nor have been employee of the
company or its holding, subsidiary or associate company in any of the three financial years
immediately preceding the financial year;
ii. had been an employee or proprietor or a partner, in any of the three financial years
immediately preceding the financial year, of :
A. a firm of Auditors or Company Secretaries in practice or Cost Auditors of the company or
its holding, subsidiary or associate company; or
B. any legal or a consulting firm that has or had any transaction with the company, its
holding, subsidiary or associate company amounting to ten per cent [10%]. or more of the
gross turnover of such firm;
iii. hold together with my relatives two per cent. or more of the total voting power of the
Company; or
iv. hold the office of Chief Executive or Director, by whatever name called, of any non - profit
organization that receives twenty-five per cent [25%]. or more of its receipts from the
company, any of its promoters, directors or its holding, subsidiary or associate company or
that holds two per cent [2%]. or more of the total voting power of the company;
Name of Director:
Date: