FLA – APPLICATION FORM Company Name whose shares are being transacted: PAN number of the Company: Phone Number: Email ID: Attach last audited financial statements: Attach unaudited financial statement with schedules for recent concluded Financial year: If filing for rectification of FLA post availability of Audited financials, provide audited financials of last Financial year: Is this your first FLA filing? YesNo If yes, do you need assistance? YesNo Download and attach the two documents below: Download Verification Letter: Download Verification Letter Download Authorization Letter: Download Authorization Letter Submit
