Single format · FV02-C4-2

Fully diluted reconciliation statement

A single format from the The Cap Table pack. Cap table to register of members, MCA master data and demat holdings.

Length
3 pages
Blanks to fill
74
Files
Word and PDF
Law stated to
12 September 2026

What it covers

  1. 1Fully diluted reconciliation statementCap table to register of members, MCA master data and demat holdings74 blanks

Read the opening

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

Reconciliation of the capitalisation table of [Company Name] Private Limited as at [Date as at which the cap table is reconciled]

Part 1 — from issued capital to fully diluted

Particulars

Equity shares

Authority / source

A

Equity shares outstanding per the register of members

[____]

Register of members, folios 1 to [__]

B

Less: shares bought back and extinguished

[(____)]

SH-10; SH-11 SRN [______]

C

Less: shares forfeited or cancelled

[(____)]

Board resolution dated [DD.MM.YYYY]

D

Net outstanding equity (A − B − C)

[____]

E

Add: [Series ___] CCPS on an as-converted basis

[____]

Terms of issue; SR dated [DD.MM.YYYY]

F

Add: CCDs on an as-converted basis

[____]

Debenture trust deed dated [DD.MM.YYYY]

G

Add: convertible notes on an as-converted basis at the cap or discount

[____]

Note purchase agreement; Form CN SRN [______]

H

Add: warrants on exercise of the unexercised portion

[____]

Warrant certificate dated [DD.MM.YYYY]

I

Add: options granted, vested or unvested, and not yet exercised

[____]

SH-6 as at [DD.MM.YYYY]

J

Add: unallocated ESOP pool

[____]

Members' resolution dated [DD.MM.YYYY]

K

Total fully diluted (D + E + F + G + H + I + J)

[____]

6 more paragraphs and tables follow in the full format.

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