FORM NO.CAA.13

[Pursuant to section 233(5)  and rule 25(6)]

Application by the Central Government to the Tribunal

[HEADING AS IN FORM NCLT. 4]

(Name and address of the applicant)

State the name and address of the persons who should be given opportunity of being heard in disposing of this reference.

(Note: Please enclose as many additional copies of the reference application as there are persons as above named.)

On the basis of the information available from the documents annexed hereto-

1. The applicant hereby makes reference to the National Company Law Tribunal, -----, Bench, under section …………….. of the Companies Act, 2013

2. The applicant states as follow :

(Here set out the brief facts of the case)

3. The submission of the applicant  is as follows :

(Submission)

4. The applicant has annexed hereto the documents or copies thereof as specified below:

Place:

Date: Signature of the applicant

List of Document

1.

2.

3.