Suggested format; no separate MCA form
Legal reference: Sections 378A, 378C and 378G; Articles
When applicable: For proposed and existing members.
Completion instructions: Verify actual production activity. Land ownership is not the only producer-eligibility test. Preserve the application, certificates and decision evidence.
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 |
| Application date and number | |
|---|---|
| Applicant name and address | |
| Individual / producer institution | |
| Production activity | |
| Village / operational location | |
| Evidence type, issuing authority and date | |
| Evidence file reference | |
| Institution eligibility analysis, if applicable | |
| Articles admission criteria | |
| Verification and findings | |
| Board admission decision and date | |
| Member folio and admission date | |
| Reverification / cessation concerns | |
| Verified by and date |
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