Companies. [Ch. 31. No. 1. 699

Particulars of an Issue of Debentures in a Series when more than one issue in the
Series is made by , Limited.

(1) (2) (3)

Particulars as to the amount or rate per cent. of
the commission, allowance, or discount (if any)
paid, or made, either directly, or indirectly, by the
Date of Amount of Company, to any person in consideration of his
present issue. | present issue. | subscribing or agreeing to subscribe, whether
absolutely or conditionally, or procuring or agree-
ing to procure subscriptions, whether absolute or
conditional, for any of the Debentures included in

this Return (a).

 

 

(Signature)
[Designation of position in relation to the Company.]}
Dated the day of , 19

(a) The rate of interest payable under the terms of the Debentures should xoé be
entered.

Form No. 25.
THE COMPANIES ORDINANCE.

Declaration verifying Memorandum of Satisfaction of Mortgage or
Charge.

Pursuant to section 84.
Name of Company
Presented by

We, of a Director of , Limited and of
the Secretary thereof do solemnly and sincerely declare that the particulars
contained in the Memorandum of Satisfaction annexed hereto and dated the day
of , 19 _, are true to the best of qur knowledge, information and belief,
And we make this solemn Declaration, conscientiously believing the same to be
true, and by virtue of the provisions of the Statutory Declarations Ordinance.

Declared at the
day of one thousand
nine hundred and
before me,

A Commissioner for Oaths (a).
(a) or Notary Public or Justice of the Peace.