(1984 Ed.)
Companies (Forms) Regulations
[CAP. 32
B 51
SCHEDULE III TO LIST ‘A’
Statement of Affairs
Unpaid calls
The names to be arranged in alphabetical order and numbered consecutively
No. No. in share register Name of shareholder Address Amount of call per share No. of shares held Total amount due Estimated to realize $ $ $Signed
Date
[Subsidiary]
Please do not write in this binding margin.
Please complete legibly, preferably in black type, or bold block lettering.
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