COMPANIES (FORMS) ORDER

54C
Form No. 10 F—continued.

Total
amoun'’
secured
bv the

whole
series.

I)

Amount
of the
present
ssue of
the
series.

3)

Dates of
Resolu-
tions
withoriz-
ing the
issue of
the
series.

(1)
Date of the
Covering
Deed (if any)
by which the
security is
created or
defined; or,
if there is no
such Deed,
the date of the
frst execution
of any
Debenture of
the series.

le)

Genera
descrip
tion of
the
>ropert
~hareed

{6}

Names
of the
“rustee:
ifany)
‘or the
Deben-
ture
holders

(7)

Amount or rate per cent. of
the Commission, Allowance
or Discount (if any) paid
or made either directly or
indirectly by the Company
to any person in consideration
of his subscribing or agreeing to
subscribe, whether absolutely
or conditionally, or procuring
or agreeing to procure sub-
scriptions, whether absolute
or conditional, for any of the
Debentures included in this
Return. (4)

Signature of the persons
authorised under Section
344 (1) (c) of the Companies
Act, 1929, or of some other
person in Great Britain duly
authorised by the Company.

Dated the

a

(@) Country of origin.
(6) The vate of interest payable under the terms
not be entered.

27

r FF
Or

Debenture shouic