P.U. 173/66
COMPANIES REGULATIONS, 1966
SECOND SCHEDULE (Regulation 3)



FORM 35. Statement Containing Particulars Of A Series Of Debentures.

FORM 35

Companies Act, 1965
Section 108 (5) ,(6) ,(7)


STATEMENT CONTAINING PARTICULARS OF A SERIES OF DEBENTURES
.............................................................................................. (NAMA SYARIKAT)

A series of debentures containing or giving by reference to any other instrument a charge to the benefit of which the debenture-holders of that series are entitled equally has been created by ........................................ (Nama Syarikat) .

1. The total amount secured by the whole series is RM ..............................

2. The amount of the *first/* only issue of the series is RM.............................

3. The date of the resolution authorizing the issue of the series was .............................

4. The date of the covering instrument by which the security is created or defined, or, if there is no such instrument, the date of the first execution of debentures of the series was .............................

5. A general description of the property charged is as follows:

6. The names of the trustees (if any) for the debenture-holders are .............................

7. The amount of rate per centum of the commission, allowance or discount (if any) paid or made either directly or indirectly by the company to a person in consideration of his subscribing or agreeing to subscribe whether absolutely or conditionally, or procuring or agreeing to procure subsciptions whether absolute or conditional, for any of the debentures included in this return is.............................

Dated this............................. day of.............................,19.............................
.................................................
Director*
Secretary*
Agent in Malaysia*
___________________________________________________
*Strike out whichever is inapplicable.


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