B 66
[Subsidiary]
Please do not write in
this binding margin.
Please complete legibly.
preferably in black
type, or bold block lettering.
CAP. 32]
Companies (Forms) Regulations
[1984 Ed.
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
Name of shareholder
Address
register
Amount No. of
of call shares held per share
unpaid
Total amount due
Estimated
to realize
$
$
$
Signed
Date
:)
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