1984 Ed.]
Companies (Forms) Regulations
[CAP. 32
FORM XIB(i)
B 43
[Subsidiary]
L.N. 168/84.
Please do not write in this binding margin.
COMPANIES ORDINANCE
(Chapter 32)
Statement as to affairs (Statutory Declaration)
Pursuant to sections 300A(1)(b) and 300B
In the matter of a debenture or series of debentures registered on
19.
Please complete legibly, preferably in black type, or bold block lettering.
Name of company
Company number
Statement as at the
19
day of
being the date of appointment of the Receiver
We
of
and
of
a director of the above-named company
Please refer to Notes.
the secretary thereof solemnly and sincerely declare that the statement made overleaf and the several lists hereunto annexed marked +
are a full, true and complete statement as to the affairs of the above-named company
on the
day of
19
being the date of the appointment of the Receiver. And we make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Ordinance
+Note the several lists
attached are not exhibits to the declaration.
Declared at
this
day of
19
before me
A Commissioner for Oaths**
Signatures of declarants:
Presentor's name, (if any)
address and reference
For official use
Please see note 3.
**or Notary Public or Justice of the Peace or Solicitor having the powers conferred on a Commissioner for Oaths. The Commissioner is requested to read note 2.