Sections 108 and 
370. 
782 
SECRETARIAL PRACTICE 
SIXTH SCHEDULE. 
ForM oF ANNUAL RETURN OF A COMPANY HAVING A SHARE 
CAPITAL. 
Annual Return of the Company, Limited made 
up to the day of 19 
(being the fourteenth day after the date of the first or only ordinary 
general meeting in 19 ). 
The address of the registered office of the Company is as follows :— 
Summary of Share Capital and Shaves. 
Nominal Share Capital £ PS | £ 
into* 
J 
Total number of shares taken up* to the 
day of 19 
being the date of the return (which number 
must agree with the total shown in the list 
as held by existing members). 
Number of shares issued subject to payment 
wholly in cash. 
Number of shares issued as fully paid up other- 
wise than in cash. 
Number of shares issued as partly paid up to 
the extent of per share otherwise than 
in cash. 
t Number of shares (if any) issued 
at a discount. 
Total amount of discount on the issue of 
shares which has not been written off at the 
date of this Return. 
*There has been called up on each of 
shares. 
*There has been called up on each o: 
shares. 
*There has been called up on each c. 
shares. 
£ 
4, 
shares of 
each. 
shares of 
each. 
* Where there are shares of different kinds or amounts e.g. Preference and Ordinary or £ 
and 15.) state the number and nominal values separately. 
t If the shares are of different kinds, state them separately