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