FORM 154

THE COMPANIES ORDINANCE, 1994

ANNUAL RETURN

(Section 154)

  1. Name of Company

  2. Company number

  3. Date of incorporation/continuance/amalgamation

  4. Last annual return

  5. Type of Company:
    • Company _________
    • Specified Private Company ________
    • Non-Profit Company _________

  6. Registered Office:

  7. Registered Agent:

    Name:

    Address:

    Code No:

  8. The directors of the company as of this date are:

    Name                                Address                                 Nationality                           Date of Change

  9. Officers, including corporate secretary:

    Name                                Address                                 Office Held

  10. Shareholders:

    Name                               Nationality                     No of Shares     Date of Change

  11. Are shares distributed to the public?

  12. The above information is correct and made up to the       day of                      , 199

    Date                    Signature                            Office Held

FOR REGISTRY USE ONLY:

Company No:

Agent Code No:

Date Filed:

Received By:


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