You have to upload form 62 for filing the Statement in lieu of prospectus in Schedule 3 form.
No special format is required for such allotment. Find below the desired one:
ALLOTMENT OF SHARES
"RESOLVED THAT 100 equity shares of Rs. 10/- each in the share capital of the Company be and are hereby allotted to below-mentioned allotee in physical form
S. No. Name No. of Shares 1 Mr. X 1,000 RESOLVED FURTHER that any director or Company secretary of the Company be and is hereby authorized to file the return of allotment pursuant to section 75 of the Companies Act, 1956 with the Registrar of Companies concerned in the prescribed form.