COMPANIES (FORMS) ORDER 551
Form No. 12 F.

No. of Company F.....o....
THE COMPANIES ACT, 1920

No Revenue Stam
duty chargeable
DECLARATION VERIFYING MEMORANDUM OF SATISFACTION ~F MORTGAGE OF
CHARGE BY A COMPANY "NCNAPTIP:~ "9D OJTSIDE ANGLANT
21° CY +

Name
ot
Compar-
Presented

I (or Wel...
of ... an
the person(s) authorised under Section 344 (1) (c) of the Companies Act
1929, bv (@&)e

Do solemnly and sincerely declare that the particulars contained .a ihe
Memorandum of Satisfaction annexed hereto and dated the......

day of. # Qun.., are true to the best of my our knowledge,
information and belief. And I (or We) make this solemn Declaration,
conscientiously believing the same to be true, and by virtue of the pro-
visions of the “Statutory Declarations Act, » ar **
Declared at

the..ecrnday of.
one thousand nine hundred and

before me wooo.
A Commissioner for Oaths. (oc
(a) Name of Company.
(b) or Notary Public or Justice of the Peace