1984 Ed.]

Companies

[CAP. 32

345

(14) Total amount of sums (if any) paid by way of commission

in respect of any shares or debentures

(15) Total amount of the sums (if any) allowed by way of discount for any debentures since the date of the last return

(16) Total number of shares of each class forfeited

(17) Total amount paid (if any) on shares forfeited

$.................... $...........

Number Class

$............

(18) Total amount of shares for which share warrants to bearer

are outstanding

(19) Total amount of share warrants to bearer issued and surrendered respectively since the date of the last return

Issued

Surrendered...

(20) Number of shares comprised in each share warrant to bearer, specifying in the case of warrants of different kinds, particulars of each kind

$.................... $....................

3.

Total amount of indebtedness of the company in respect of all mortgages and charges which are required to be registered with the Registrar of Companies under the Companies Ordinance (Note 2)

$....................

Presented by:

Presentor's reference:

LIST OF PAST AND PRESENT MEMBERS (Notes 3 and 4).

4.

Folio in register ledger

containing particulars

Names and

addresses

(including, in the case of a Chinese member, his name in Chinese characters if these are contained in the register of members) and occupations or descriptions

Number

of shares

or amount of stock held by existing members

at date of return (Notes 5 and 6)

Account of shares

Particulars of shares transferred since the date of the last return, or, in the case of the first return, of the incorporation of the company, by (a) persons who are still members, and (b) persons who have ceased to be members (Note 7)

5.

Number (Note 6)

Date of registration of transfer

(a)

(b)

Remarks

Remarks

LIST OF PERSONS WHO CEASED TO HOLD Partly-paid Shares (Note 8)

Folio in

register

ledger

containing

particulars

Names and addresses

(including, in the case of a Chinese member, his name in Chinese characters if

these are contained in the

register of members)

Particulars of shares transferred since the date of the last return or, in the case of the first return, of the incorporation of the company (Note 7)

Amount paid

up on each

such share

Number

(Note 6)

Date of registration of transfer

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