1964_COMPANIES_(FORMS)_REGULATIONS — Page 67

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B 68

[Subsidiary]

CAP. 32]

Companies (Forms) Regulations

[1984 Ed.

Please do not write in this binding margin.

LIST 'C' (consisting of ... pages)

Statement of Affairs

Please complete legibly.

Preferential creditors for rates, taxes, salaries, wages and otherwise

The names to be arranged in alphabetical order and numbered consecutively

preferably in black type, or bold block lettering.

No. Name of creditor Address and occupation Nature of claim Period during which claim accrued due Date when due Amount of claim

Signed

Date

Balance not payable in full Amount payable preferential $ C $ carried to List 'E'

$ C

$ C

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2026-05-04 10:06:54 · NVIDIA / meta/llama-4-maverick-17b-128e-instruct
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B 68 [Subsidiary] CAP. 32] Companies (Forms) Regulations [1984 Ed. Please do not write in this binding margin. LIST 'C' (consisting of ... pages) Statement of Affairs Please complete legibly. Preferential creditors for rates, taxes, salaries, wages and otherwise The names to be arranged in alphabetical order and numbered consecutively preferably in black type, or bold block lettering. No. Name of creditor Address and occupation Nature of claim Period during which claim accrued due Date when due Amount of claim Signed Date Balance not payable in full Amount payable preferential $ C $ carried to List 'E' $ C $ C
Baseline (Original)
B 68 [Subsidiary] CAP. 32] Companies (Forms) Regulations [1984 Ed. Please do not write in this binding margin. LIST 'C' (consisting of. pages) Statement of Affairs Please complete legibly. Preferential creditors for rates, taxes, salaries, wages and otherwise The names to be arranged in alphabetical order and numbered consecutively preferably in black type, or bold block lettering. Name of No. creditor Address and occupation Nature of claim Period during which claim accrued due Date when due Amount of claim Signed Date Balance not Amount payable preferential in full $ C $ carried to List 'E' ་ C $ C
2026-05-04 10:06:54 · Baseline
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B 68

[Subsidiary]

CAP. 32]

Companies (Forms) Regulations

[1984 Ed.

Please do not write in this binding margin.

LIST 'C' (consisting of.

pages)

Statement of Affairs

Please complete legibly.

Preferential creditors for rates, taxes, salaries, wages and otherwise

The names to be arranged in alphabetical order and numbered consecutively

preferably in black

type, or bold block lettering.

Name of

No.

creditor

Address and occupation

Nature of claim

Period during which claim accrued due

Date

when due

Amount of claim

Signed

Date

Balance

not

Amount payable preferential

in full

$

C

$

carried to

List 'E'

་

C

$

C

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