Single format · FV09-M4-2

Statement and operative paragraphs, net worth and turnover

A single format from the CA Certificates for Grants and Incentives pack. Plugs into the master shell above; for MSME classification use the card in C.1.

Length
2 pages
Blanks to fill
58
Files
Word and PDF
Law stated to
16 September 2026

What it covers

  1. 1Statement and operative paragraphs, net worth and turnoverPlugs into the master shell above; for MSME classification use the card in C.158 blanks

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

Annexure A — Statement of net worth as at [Date as at which net worth is certified] and of turnover for the year ended [Year-end date of the turnover year]

[Name of the entity] · CIN / Registration No. [Entity's CIN / registration no.] · PAN [Entity's PAN] · Prepared by management for submission under [scheme]

Part I — Net worth

Reference in the audited accounts

Amount (Rs)

Paid-up equity share capital

Note [ ]

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Paid-up preference share capital [include only if the criteria permit]

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Securities premium [include / exclude per the criteria]

Note [ ]

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General reserve and other free reserves

Note [ ]

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Surplus in the statement of profit and loss

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A. Total

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Less: accumulated losses

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Less: revaluation reserve

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Less: deferred revenue expenditure and miscellaneous expenditure not written off

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Less: write-back of depreciation and amalgamation reserves, and any other reserve excluded by the criteria

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Less: share application money pending allotment [if excluded by the criteria]

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B. Net worth as at [DD.MM.YYYY]

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Movements between the date of the audited balance sheet and the date certified, if any: [allotment of ____ shares on ____ vide PAS-3 dated ____; no other change]

5 more paragraphs and tables follow in the full format.

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