APPENDIX F 
FORM No. 10. 
APPLICATION FOR SHARES WITH RECEIPT FORM ATTACHED, 
Size 13 tn. by 8} in. the scceipl being exactly a quarter of the whole form. 
This form is based on the recommendation of the Institute of Bankers, and is designec 
for use with ‘ window ’ envelopes. 
THE ‘A’ COMPANY, LIMITED. 
Registered Office: London Wall, London, 
SHARE CAPITAL 
Jivided into Snare 
[ssux or SHAR' 
To the Directors of 
THE ‘A’ CompaNY, LIMITED, 
Having paid to your Bankers thesumof £_____________ being a deposit of .._ per Share 
on Application for. Shares of {__ each in the above-named Company, I/we, being 
of full age, hereby request that you will allot to me/us that number of Shares, and I/we here- 
by agree to accept the same or any less number that you may allot to me/us upon the terms 
and conditions of the Prospectus (dated...) and Memorandum and Articles 
of Association of the Company, and I/we authorise you to place my/our name(s) on the 
Register of Members in respect of the Shares allotted to me/us. 
Name (in full)... 
288 ($1, 
To be written 
distinctly. 
" :ston or Business ___________ Soe 
womar: should state whether she is a Spinster, Wife or Widow .. 
(Date)... o%_ 
This Form, when duly filled up as directed above, should be sent entire, with the 
necessary remittance, to the Company's Bankers, the_ --Bank, Lombard 
Street, London, E.C. 
Cheques should be made payable to Bearer and crosse 
Ce 
NEO 
¢ RO* 
If altered from ‘Order’ to ‘Bearer’ the alteration should be signed by the Drawer. 
The Applicant is particularly requested to write clearly, within the bordered space below 
his or her name and the full address to which the receipt should be sent. For Joint 
Accounts the first name should be written within, and the other or others below the 
bordered space. 
-e* [PERFORATED **¢* 
COMPANY, IMT ~~ 
““ZCATION F-'C IPT. 
Name 
of First 
or of Sole 
Applicant. 
REceivED for account of The ‘A’ 
Company, Limited, from the person(s) 
whose name(s) is/are written in the 
margin, the undermentioned amount 
being a deposit of ___. per share on 
Application for Shares in the above: 
named Company. 
ANh. 
mitec 
Address 
joint 
Anplicants 
(if any) 
Names only. 
This Receipt, when returned by 
the Bankers, must be preserved by 
the Applicant to be exchanged in due 
course for the relative Share Certificate.