Form - III

(See rule 18)

Declaration against acquisition of any adverse financial or other interest

I, ................., having been appointed as the President or Member (cross out portion not applicable) of the National Company Law Tribunal, do solemnly affirm and declare that I do not have, nor shall have in future any financial or other interest which is likely to affect prejudicially my functioning as the President or Member (cross out portion not applicable), of the National Company Law Tribunal.

Signature: .................

(Name of the President/ Judicial/Technical Member)

Designation: .................

National Company Law Tribunal

Dated:

Place: