COMPANIES (FORMS) ORDER 514 
Form No. 41. 
No. of Company... mmm. 
THE COMPANIES ACT, 1929. 
ral 
7’ 
9) 
A 5s. Companies 
Registration Fee 
Stamp to beim 
pressed here. 
DECLARATION OF COMPLIANCE WITH THE REQUIREMENTS OF ° THE 
COMPANIES ACT, 1929, ON APPLICATION FOR REGISTRATION OF A CoMPANY 
Pursuant to Section 15 (2) 
Name 
of 
Compar 
Present: 
Io) 
Do solemnly and sicerely declare that I am (a). 
esses nasa sssnat ae sesso ase rb nes basssssniensosssass «cos msmsesssssaatsensesssnssinsanssins | ceemmsseneeseerennnnnnenne | Lol IMITEA, 
And that all the requirements of the Companies Act, 1929, in respect of 
matters precedent to the registration of the said Company and incidental 
thereto have been complied with, And I make this solemn Declaration 
conscientiously believing the same to be true and by virtue of the orovi- 
sions of the ‘‘ Statutory Declarations Act, 1825.” 
Declared at... .. rere 
wes QAY OF 
rt smeeenODI€@ thousand 
nine hundred and... 
before me 
the .. 
A Commissioner for Oaths. (b) 
(a) “A Solicitor of the Supreme Court” (or tn Scotland ‘‘an Enrolled 
Law Agent”) ‘““engaged in the formation,” or “A person named in the 
Articles of Association as a Director or Secretary 
(6) or Notary Public or Justice of the Peace.