FORM 48A. Statutory Declaration By A Person Before Appointment As Director, Or By A Promoter Before Incorporation Of Corporation. (COMPANIES REGULATIONS, 1966

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

FORM 48A. Statutory Declaration By A Person Before Appointment As Director, Or By A Promoter Before Incorporation Of Corporation.

FORM 48A
Companies Act, 1965
(Section 16 (3A) and 123 (4) )

Company No.

STATUTORY DECLARATION BY A PERSON BEFORE
APPOINTMENT AS DIRECTOR, OR BY A PROMOTER
BEFORE INCORPORATION OF CORPORATION

...................................... (NAME OF COMPANY)

I, ...................................... *I/C No. /*Passport No. ...................................... of ...................................... do solemnly and sincerely declare that -

(1) 1 am not an undischarged bankrupt.

(2) 1 have not been convicted whether within or without Malaysia of any offence

(a) in connection with the promotion, formation or management of a corporation;

(b) involving fraud or dishonesty punishable on conviction with imprisonment for three months or more, or

(3) I have not been imprisoned for any offence referred to in paragraph (2) hereof within the period of five years immediately preceding the date of this declaration.

*(4) 1 am an undischarged bankrupt but have been granted leave by the court under section 125 to act as a director of ...................................... (name of corporation) .

*(5) 1 have been granted leave by the court under section 130 to be director of ...................................... (name of corporation) or a promoter of a proposed corporation...................................... (name of proposed corporation) or both a director of...................................... (name of corporation) and a promoter of ...................................... (name of proposed corporation) . I attach herewith an office copy of the court order.

(6) 1 hereby consent to act as director of...................................... (Nama Syarikat) .

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.

Subscribed and solemnly declared by the abovenamed ...................................... at...................................... in the State of ...................................... this...................................... day of ...................................... ,19......................................

Before me

......................................

___________________________________________________
This Statutory Declaration shall be lodged with the Registrar of Companies and the Official Receiver.
* Strike out whichever is inapplicable.
†If the declaration is made in another country, it must be made under the law relating to statutory declaration of oaths prevailing in that country.

[Subs. P.U.(A) 16 / 1986:s.13]