APPENDIX F 
FORM No. 42. 
APPLICATION FOR SHARE WARRANTS 
SHARES. 
To the Directors _ 
~ ze 
Date lodg-=.. 
£.’ COMPANY, LIMITED, 
London Wall, London, E.C. 
I/We, the undersigned, being the Holder(s) ot... 
registered Shares of your Company, as per particulars at back hereof, 
the Certificates whereof I/we enclose, hereby request you to issue tc 
me/us the following Share Warrant(s) to Bearer, in respect thereof, and 
[/we enclose remittance for *~ defrav the 
charges for same as undernoted 
PARTICULARS OF SHARE 
WARRANTS REQUIRED. 
No. 
Descriptio- 
TrECATI 
jy Shares 
over 
2/6 
mor 
raction 
hereof. 
IOr each 
Varrant. 
+s TAMP .JIT. 
3% . 
. Shares 
‘nly 5 per cent. of the number of Shares to be converted will be 
issued in Warrants of 1 Share each at the usual fee. Share- 
holders desiring a larger proportion can obtain them on pay 
ment of 6d. per Warrant extra 
Witness 
Address 
Dated °~ 
shareholder 
Name 
Address - 
r~ 
Occupatior 
Sior 
t The Signa- 
ture must be at- 
tested by a Wit- 
ness who must 
add his Postal 
Address after the 
name. When the 
Signature is af- 
fixed out of Great 
Britain it must 
be attested by 
H.M. Consul or 
Vice-Consul, No- 
tary Public, or 
by some other 
person holding 
a public position. 
® Three times the amount of ad valorem Stamp Duty chargeable on deed transferrine 
the share(s) if consideration for transfer be nominal value of shares.