1964_COMPANIES_(FORMS)_REGULATIONS — Page 12

(

1984 Ed.]

Companies (Forms) Regulations

[CAP. 32

FORM IIIA

COMPANIES ORDINANCE (Chapter 32)

Application for the issue of a new share certificate

Pursuant to section 71A(1)

To the Secretary of

This application is made by

of

who claims

(2)

*as the registered holder

of th *as transferee from the registered holder

Shares in the Company.

The distinguishing numbers of the shares are Separate certificates numbered (3).

(3)

and

respectively were issued in respect of Nos.

10

and Nos.

10

Limited.

The latest value of the shares within the meaning of section 71A(3) of the Companies Ordinance was S....

(calculated on the basis per share recorded at the Stock Exchange on the

of a last recorded price of $

day of

19.

Dated this

day of

19

(Signature of Applicant)

Notes Regarding Completion

• Delete whichever is not applicable.

(1) Insert number, ie, quanlily. of shares.

(2) Insert class of Shares i.e Ordinary. Preference, Deferred or as appropriate.

(3) If numbers are unknown, state "unknown".

表格EA

公司條例

( 香港法例第三十二章) 補發新 股票申請書 根據第七上 A條第(1)款之規定

B13

[Subsidiary]

L.N. 298/79.

致:

申請人

(2).

有限公司秘書

地址您,

係

貴公司(1)

股

*

註冊持有人

*

註冊持有人之承讓人。

該等股份之識別號碼為(3). 識別號碼.

4.

及

之股份,前經獲發

股票,編號分別為

及

根據公司條例第七十一A條第(3)款之規定,該等股票之最後價格為,

元(按 JL.

證券交易

所之收市價每股

日期

一九

年

元計算)

。

.JĮ..

H

(申請人簽署)

填表須知

將不適用者刪去。

(1) 填寫數目,即股數。

(2) 填寫股票類別,即普通股、優先股、扣存股或其他類別。

(3)

如編號或號碼不詳,則填寫「不詳」。