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



FORM 48. Statutory Declaration By Director Of Entitlement To Qualification Shares.

FORM 48
Companies Act, 1965
Section 123 (1) (d)

STATUTORY DECLARATION BY DIRECTOR OF ENTITLEMENT TO
QUALIFICATION SHARES
...................................... (NAMA SYARIKAT)

In the matter of the Companies Act, 1965
and
In the matter of. (Nama Syarikat)
I,...................................... , of ...................................... I/C No ...................................... , in the State of...................................... , do solemnly and sincerely declare that -


1. I am a director of...................................... (Nama Syarikat) .

2. The articles of association of the company provide that a director's shareholding qualification shall be the holding of ...................................... shares in the company.

3. The company is formed or intended to be formed by way of reconstruction of, or to acquire shares in* ......................................

4. 1 am a shareholder in † ......................................

5. As such a shareholder, I will be entitled to receive ...................................... shares in ...................................... (Nama Syarikat) and to have those shares registered in my name in the register of members of the company.

And I 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 ......................................

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

___________________________________________________
*Insert name of other corporation or names of other corporations in group of corporations.
† Insert name of other corporation or relevant names of other corporations in group of corporations.


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