Shes therein at any time since the date of the last return

the Shares so held.

name of any person in the list to be readily found must be annexed to this list,

*Number of Shares held by existing Members at date of Return t

ACCOUNT OF SHARES

Particulars of Shares Transferred since the date of the last Return, by persons who are still Members.

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Particulars of Shares Transferred since the date of the last Return, by persons who have ceased to be Members.

REMARKS

Number †

Date of Registration of Transfer

Number †

Date of Registration

of Transfer

State whether Director, Manager or Secretary,

Signature

#

Director

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