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No. of Co mpany ..... .. ... . ... .. .. . . ...... . .... . . . ....... . Gen . Form No.

Al

GOVERNMENT OF UGANDA (Stamp)

STATEMENT OF NOMINAL CAPITAL

In the Matter of the Stamps Act and in the Matter of

. ... .. ....... .... ....... . ............. . ... . ..·...................,LIMITED

I, .............................................. . ........ .. . ........................ . .......... .

Of. . ... ... . . . .. ............... . . ... . . . . ...... . ........ . . . . . ......... . ............................................ . . . ....
.. . . .. .. . hereby state as follows;

1. That I am* . .. . ................. ....... ...... .... ............ ..... . . . . . ... .. .... ... .. ... . ... .. . . ...
................ .

of ..................................................................... . .... . ..... ..... ... ...... . .... ... .. .. .... .L.
IMITED
2. That the n ominal share capital of the said ................................................................... ..
. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . .. . ... Ijn1ited
is Shs.. .. .... . .. . .. .... ..... . ... . .. ....... ... ... . ......... (Shi llings) ....... . ...... .... .... ...... ........... .. . . .
........... . . . divided as follows: t

...... .- .. ... ... .... .... ................. ······· Shares of shs .......... ........................ .... .. ...

each Shares of shs ....... ........... .. .. ........... .. .

....... each Shares of shs .. ...... . ............ .....

................. each

J)ated at .. . ......... . ... . .. .. .............. this . . . . . . . . . . . ........ . ... day of ............ .......... ........ 20
............... .

•• • 0 •• • • •••• •• 0 •••• •••• •••• •••• • ·


-- -·-
· •• 0 ··=-·
--- 0 0 0 0 •• ••••

Witness:

Signature ........... . ... . .. .. . .... . .. ... ... .......·

................... . Full name ........ . ........... .... ...... . . . . ..

....... .. ............ ... . . Address ................................ .

.......................... : . . . Occupation . .......

........................ ..,, .......... . . ......... ...


* "An Advocate of the High court engaged in the_f ation" or "A person named in the Articles of
Association as a Director, Secretary or other Offic;·as the case may be.
tHere state number, class and value of shares. Separate classes should be stated separately.
l'rinted hv Uganda Hookshop Press
and ohtainahle from

/tJip:. 3
UGANDA £
.. . \BOOKSHOP

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