COMPANIES.

No. 58 of 1911.

2179

FORM I.

[Third Schedule contd.]

Particulars to be supplied to the Registrar of Companies pursuant to section 95 of a mortgage or charge created by Limited.

Presented for filing by.

(1) (2) (3) (4) (5) Date of the instrument creating or evidencing the mortgage or charge and description thereof. Short particulars of the property mortgaged or charged. Amount secured by the mortgage or charge. Names (with addresses and descriptions) of the mortgagees or persons entitled to the charge. Rate per cent. of the commission, allowance or discount (if any) paid or made either directly or indirectly by the company to any person in consideration of his subscribing or agreeing to subscribe, whether absolutely or conditionally, or procuring or agreeing to procure subscriptions, whether absolute or conditional, for any of the debentures included in this return.

Signature.....

Designation of position in relation to the company

Date......

* As amended by G.N. No. 57 of 1922 and Law Rev. Ord., 1924.

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