| Companies Act |
| STATEMENT IN LIEU OF PROSPECTUS DELIVERED FOR REGISTRATION BY |
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(Name of Company) |
| Under section 321 of the Companies Act. | |
| Delivered for registration by the classes and any maximum number of shares that the company is authorised to issue. | |
| Amount (if any) of above capital which consists of redeemable preference shares. | |
| The earliest date on which the company has power to redeem these shares. | |
| Names, descriptions and addresses of directors or proposed directors. | |
| If the share capital of the company is divided into different classes of shares, the right of voting at meetings of the company conferred by, and the rights in respect of capital and dividends attached to, the several classes of shares respectively. | |
| Number and amount of shares and debentures agreed to be issued as fully or partly paid otherwise than in cash. | |
| The consideration for the intended issue of those shares and debentures. | |
| Number, description and amount of any shares or debentures which any person has or is entitled to be given an option to subscribe for, or to acquire from a person to whom they have been allotted or agreed to be allotted with a view to his or her offering them for sale. | |
| Period during which option is exercisable. | |
| Price to be paid for shares or debentures subscribed for or acquired under option. | |
| Consideration for option or right to option. | |
| Persons to whom option or right to option was given or, if given to existing shareholders or debenture holders as such, the relevant shares or debentures. | |
| Names and addresses of vendors of property purchased or acquired, or proposed to be purchased or acquired by the company except where the contract for its purchase or acquisition was entered into in the ordinary course of the business intended to be carried on by the company or the amount of the purchase money is not material. | |
| Amount (in cash, shares or debentures) payable to each separate vendor. | |
| Amount (if any) paid or payable (in cash or shares or debentures) for any such property, specifying amount (if any) paid or payable for goodwill. | |
| Short particulars of any transaction relating to such property which was completed within the 2 preceding years and in which any vendor to the company or any person who is, or was at the time thereon, a promoter, director or proposed director of the company had any interest direct or indirect. | |
| Amount (if any) paid or payable as commission for subscribing or agreeing to subscribe or procuring or agreeing to procure subscriptions for any shares or debentures in the company; or | |
| Rate of the Commission.................................................. | |
| The number of shares, if any, which persons have agreed for a commission to subscribe absolutely. Estimated amount of preliminary expenses. | |
| By whom those expenses have been paid or are payable. | |
| Amount paid or intended to be paid to any promoter. |
| Consideration for the payment........................................... | |
| Any other benefit given or intended to be given to any promoter. | |
| Consideration for giving of benefit. | |
| Dates of, parties to, and general nature of every material contract (other than contracts entered into in the ordinary course of the business intended to be carried on by the company or entered into more than 2 years before the delivery of this statement). | |
| Time and place at which the contracts or copies thereof may be inspected. | |
| Names and addresses of the auditors of the company (if any). | |
| Full particulars of the nature and extent of the interest of every director in the promotion of or in the property proposed to be acquired by the company, or where the interest of such a director consists in being a partner in a firm, the nature and extent of the interest of the firm, with a statement of all sums paid or agreed to be paid to him or her or to the firm in cash or shares, or otherwise, by any person either to induce him or her to become, or to qualify him or her as, a director, or otherwise for services rendered by him or her or by the firm in connection with the promotion or formation of the company. | |
| (Signatures of the persons above-named as directors or proposed directors, or of their agents authorised in writing). | |
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| Date....................................................... |