FORM OF APPLICATION – FORM I

FORM OF APPLICATION

FORM I

Form of application for the registration of a Co-operative Society with limited liability

[Rule 9(1)] 

PART I

To

The Registrar of Co-operative Societies,

Dated​20….

Sir,

We, the undersigned, agree to the enclosed by-laws and under section 16 of the West Bengal Co-operative Societies Act, 2006 (West Ben. Act XL of 2006) apply to be registered as a co-operative society with limited liability under the title of ………………​…………….​​……………. the registered office being at ……….​……………………

Post Office ……………….​………………………    Thana ………….​Town/Panchayat ……..​………..​…………….. Sub-division ………​……………..​District……………..

Serial No.	Name of applicant for registration	Father’s Name	Occupation	Age
1	2	3	4	5

Permanent	Present	Whether member	Signature or
Address  6	Address  7	of any other society, If so, name and address of the societies 8	L.T.I. of applicant  9

PART II

1. Name of the proposed society………………………………………………………………

……………………………………………………………………………………………………

2. Nature of liability of members​……………………………………………………………..

3. On share basis or without shares………………………………………………………….

4. Number of applicants……………………………………………………………………..

(a) Individual​:

(b) Co-operative Societies:

5. Names of the members of the first board (constituted under section 16 (2) (c) of the Act.

(1) Chairman

(2) Vice-Chairman

(3) ……………………………………………………………..

(4) ……………………………………………………………..

(5) ……………………………………………………………..

(6) ……………………………………………………………..

6. Names and address of the person (Chief Promoter in the case of a housing co-operative society) towhom communications, if any, are to be addressed till registration of the society ………………..

7. ​Certified that each of the applicants belongs to a different family as required under section 16(3) of the Act.

Signatures of three applicants authorized bythe promoters to sign andcertify on their behalf

(1) ………………………………..

(2) ………………………………..

(3) ………………………………..

Date :………………………