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DETAILS OF ACTIVITY

Company Name: …………………


Company No.: …………………
Licence No.: …………………

Type of Activity: Investment Holding

DETAILS ON ACTIVITY

Full Name of Investee(s) :

Full Address of :
Investee(s)

Activities of Investee(s) :

% Holding in Investee(s) :

Number of Shares :

Value of shares :

Signature: ……………………………………………………

Name: …………………………….……………………………

Position: …………………………………….…………………

Date : ………………………………………..…………………

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