[Section 184] CONSENT TO ACT AS DIRECTOR/CHIEF EXECUTIVE Please complete in typescript or in bold block capitals. 1. CUIN (Incoror!tion N"#$er% &. N!#e o' t(e Co#!n) *. +ee P!i, (R-.% N!#e . /r!nc( o' T(e /!n0 D!) Mont( 1e!r 4. Receit No. D!te (Bank challan to be attached in original) 2. I34e, t(e "n,er-i5ne,, (!6e con-ente, to !ct !- Director(-% C(ie' E7ec"ti6e o' t(e !$o6e n!#e, co#!n) "r-"!nt to -ection 184 o' t(e Co#!nie- Or,in!nce 1984, !n, certi') t(!t I 3 8e !# 3 !re not ine9i5i$9e to $eco#e Director(-% 3 C(ie' E7ec"ti6e "n,er -ection 18: or 19; o' t(e Co#!nie- Or,in!nce, 1984. N!#e in '"99 +!t(er<- 3 ("-$!n,<- N!#e A,,re-- Occ"!tion NIC No or !--ort No. in c!-e o' +orei5n N!tion!9 Si5n!t"re =. Si5n!t"re :. N!#e o' Si5n!tor) 8. De-i5n!tion 9. NIC N"#$er D!) Mont( 1e!r 1;. D!te