APPENDIX F

FORM No. 49,
APPLICATION FOR REGISTERED SHARES IN EXCHANGE
FOR SHARE WARRANTS.

Application No. .......
New Share Cert. No.

I'o THE ‘A’ CoMPANY, LIMITED,
’

[, the undersigned, being the holder of the under-mentioned Share
Warrants to Bearer of your Company, representing srr SIAR,
hereby surrender the same to be cancelled, and request that you will
enter my name in the Register of Members as the proprietor of the said
Shares.
Please forward the new Share Certificate by post, at my risk, tc

Enclosed is 2s. 6d., being the fee required in accordance with the
Conditions of Issue of Share Warrar+

Stgnatur

Name in f1'

Addres:

Dccudation

DY

No. of Warrants © Distinctive No. of Shares

Denomination

One een.

Five

[wentv. fis

Tota. Share: