Suggested format; no separate MCA form
Legal reference: Section 378E; Articles
When applicable: Where the relevant benefits are determined and approved.
Completion instructions: Maintain separate calculations for each benefit. Withheld price, limited return and patronage bonus have different bases. Attach surplus, reserves and approvals.
Editable preparation format. It is not a verbatim reproduction of a prescribed MCA form or a filing service. Where a statutory form is prescribed, reconcile all fields and use its current prescribed layout for the formal register. Maintain required authentication, access controls and retention.
| Company name | |
|---|---|
| CIN | |
| Registered office | |
| Period / register volume | |
| Custodian and authority |
| Financial year / period | |
|---|---|
| Member name and folio | |
| Benefit type | |
| Produce / capital / patronage basis | |
| Approved rate / allocation method | |
| Entitlement calculation | |
| Amount approved (INR) | |
| Board / general meeting resolution | |
| Adjustments and reasons | |
| Tax treatment reviewed | |
| Payment amount and date | |
| Bank / voucher reference | |
| Unpaid balance and follow-up | |
| Authentication |
Prepared 24 September 2026. Review against the latest Rules and company Articles before statutory adoption. Source: Companies Act, 2013 and the Rules identified above. MCA · India Code