I think below-mentioned specimens may serve your purpose.
Specimen-1
FROM
TO
THE REGISTRAR OF COMPANIES
Sub: Self Declaration of details of my conviction by any court for any offence involving moral turpitude or economic or criminal offences or for any offences in connection with the promotion, formation or management of a company – reg.
I, ------------------- S/o. ----------------, residing at ----------------------------, one of the subscriber to the Memorandum of the proposed company namely ------------------------, hereby declare that, I have not been convicted by any court for any offence involving moral turpitude or economic or criminal offences or for any offences in connection with the promotion, formation or management of a Company.
Yours Faithfully
Specimen -2
FROM
TO
THE REGISTRAR OF COMPANIES
Sub: Self Declaration that I have not been declared as proclaimed offender by any Economic Offence Court or Judicial Magistrate Court or High Court or any other Court – reg.
I, ------------------- S/o. ---------------------, residing at ---------------------, one of the subscriber to the Memorandum of the proposed company namely----------------------, hereby declare that, I have not been declared as proclaimed offender by any Economic Offence Court or Judicial Magistrate Court or High Court or any other Court.
Yours Faithfully