COMPANIES (FORMS) ORDER 
53’ 
Form No. 58. 
No. of Company... 
THE COMPANIES ACT, 1929. 
7 
3 
4 55. Companies 
Registration Fee 
Stamp must be 
imbressed herve 
STATEMENT OF THE AMOUNT OR RATE PER CENT. OF THE COMMISSION 
PAYABLE IN RESPECT OF SHARES AND OF THE NUMBER OF SHARES 
WHICH PERSONS HAVE AGREED FOR A COMMISSION TO SUBSCRIBE 
ABSOLUTELY. 
Pursuant to Section 43 (1) (c) (ii) and (d). 
Name 
of 
Compar. 
Presente. 
Name of Company ... 
Tne 
Article of Association authorising 
Commission. 
Particulars of amount payable as 
Commission for subscribing, or 
agreeing to subscribe, or for 
procuring or agreeing to pro- 
cure, subscriptions for any 
shares in the Company; or, 
Rate of such Commission... 
Date of Circular or Notice (if 
any), not being a prospectus, 
inviting subscriptions for the 
shares and disclosing the 
amount or rate of the Com- 
mission .. 
Number of shares which persons 
have agreed for a commission to 
subscribe absolutely. 
Toy 
Rat: 
Ce NF 
(Signatures of all the Director: 
or of 
their agents auth- 
in wuritivr- 
Dated 
the