COMPANIES ACT, 1929

fTotal amount of calls received, including
payments on application and allotment.
Total amount (if any) agreed to be considered
as paid on shares which have been
issued as fully paid up otherwise than in
cash.
Total amount (if any) agreed to be considered
as paid on shares which have
been issued as partly paid up to the extent
of per share otherwise than
in cash.
Total amount of calls unpaid -
Total amount of the sums (if any) paid by way
of commission in respect of any shares or
debentures or allowed by way of discount in
respect of any debentures since the date of
the last Return.
Total number of shares forfeited - -
Total amount paid (if any) on shares forfeited
Total amount of shares for which shai
warrants to bearer are outstanding.
Total amount of share warrants to bearer
issued and surrendered respectively since the
date of the last Return.
Number of shares comprised in each share
warrant to bearer.
Total amount of the indebtedness of the Company
 in respect of all mortgages and charges
of the kind which are required (or, in the
case of a Company registered in Scotland,
which, if the Company had been registered
in England, would be required) to be registered
 with the Registrar of Companies under
the Companies Act, 1929.
Copy of last audited Balance Sheet of the Company.
Nore.—Except where the Company is (1) a ‘Private Company”
within the meaning of Section 26 of the Companies Act, 1929, or
is (2) an Assurance Company which has complied with the provisions
of Section 7 (4) of the Assurance Companies Act, 1909, this Return
must include a written copy, certified by a Director or by the Manager
or Secretary of the Company to be a true copy, of the last balance
sheet which has been audited by the Company's auditors (including
every document required by law to be annexed thereto) together
with a copy of the report of the auditors thereon (certified as aforesaid),
 and if any such balance sheet is in a foreign language there
must also be annexed to it a translation thereof in English certified

* Where various amounts have been called, or there are shares of different kinds. state them
separately.
t Include what has been received on forfeited as well ac on exicting charec