FORM 41

THE COMPANIES ACT, 2017

THE COMPANIES (GENERAL PROVISIONS AND FORMS) REGULATIONS, 2018
[Section 60A(2) and Regulation 16A(4) and (6)]

REGISTER CONTAINING PARTICULARS OF HOLDERS OF SECURITIES OF

BEARER NATURE AND PARTICULARS OF SUCH SECURITIES SURRENDERED
OR CANCELLED

(Name of Company)

Names, addresses and particulars of holder of Particulars of securities surrendered and

securities of a bearer nature cancelled

Given Address/ Occupatio Nationality/ CNIC/ Date Class of Total Serial Date of Date of
Name registered n Country of Passport of Shares/ number no. of surrender cancellation
and office incorporation/ No./ Issu securities of securit
Surname/ address formation Registration e securities y
Compan No.
y Name

Note: Please give particulars depending upon whether the holder is an individual or body
corporate