1964_COMPANIES_(FORMS)_REGULATIONS — Page 19

B 20

[Subsidiary]

L.N. 240/75.

CAP. 32]

Companies (Forms) Regulations

[1984 Ed.

1200.00

Fee $100.00

FORM IV

2N10/25

Presented by

COMPANIES ORDINANCE

(Chapter 32)

Particulars of a mortgage or charge created by a company registered in Hong Kong

Pursuant to section 80

Particulars of a mortgage or charge created by

Limited.

1.

2.

3.

4.

5.

Date and description of the instrument creating or evidencing the mortgage or charge (a)

Amount secured by the mortgage or charge

Short particulars of the property mortgaged or charged

Names, addresses and descriptions of the mortgagees or persons entitled to the charge

Amount or rate per cent of the commission, allowance or discount (if any) paid or made either directly or indirectly by the company to any person in consideration of his subscribing or agreeing to subscribe, whether absolutely or conditionally, or procuring or agreeing to procure subscriptions, whether absolute or conditional, for any of the debentures included in this return (b)

(Signature)

(Designation of position in relation to the company)

Dated the

day of

19.

(a) A description of the instrument, e.g., "trust deed", "mortgage", "debenture", etc., as the case may be, should be given.

(b) The rate of interest payable under the terms of the debentures should not be entered.