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



FORM 43. Statutory Declaration Verifying Memorandum.

FORM 43
Companies Act, 1965
Section 113 (2)


STATUTORY DECLARATION VERIFYING MEMORANDUM
..............................................(NAMA SYARIKAT)

In the matter of the Companies Act, 1965
and
In the matter of*............. (Nama Syarikat)


We,....................... of....................... I/C Nos....................... in the State of......................, a director of*...................... (Nama Syarikat), and...................... of...................... in the State of ...................... ,the secretary of that company, do solemnly and sincerely declare that the particulars contained in † the memorandum of satisfaction of registered charge/† the memorandum where property or undertaking is released from registered charge or has ceased to form part of company's property or undertaking/dated the
....................... day of...................... ,19...................... ,are true to the best of our knowledge, information and belief.

And we make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declarations Act, 1960.

Declared at...................... in the State of...................... this.......................... day of .....................,19......................
........................................
Director

........................................
Secretary

Before me -
...........................................

_________________________________________________
*Insert name of mortgagor company.

† Strike out whichever is inapplicable.
NOTE
This form may be endorsed at the foot of, or annexed to Form 41 or 42.


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