B 54
[Subsidiary]
Please do not write in this binding margin.
CAP. 32]
Companies (Forms) Regulations
[1984 Ed.
LIST 'D' (consisting of
pages)
Statement of Affairs
Please complete legibly, preferably in black type, or bold block lettering.
List of debenture holders secured by a floating charge
The names to be arranged in alphabetical order and numbered consecutively
No. Name of holder Address Amount Description of assets over which security extends S CSigned
Date
)
(
B 54
[Subsidiary]
Please do not write in this binding margin.
CAP. 32]
Companies (Forms) Regulations
[1984 Ed.
LIST 'D' (consisting of.
pages)
Statement of Affairs
Please complete legibly. preferably in black type, or bold block lettering.
List of debenture holders secured by a floating charge
The names to be arranged in alphabetical order and numbered consecutively
No.
Name of holder
Address
Amount
Description of assets over which security extends
S
C
Signed
Date
)
(
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