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APPLICATION FOR SHARES

The Directors
LAKSHRE MARINETIME SDN. BHD.
60, JALAN SERULING 45 TAMAN KLANG JAYA
41200 KLANG, SELANGOR
MALAYSIA

Gentlemen,

I/We hereby apply for the under mentioned number of shares of RM1.00 each in the Company with instructions below
in respect of payment on application.

Amount Paid up Per Cheques, Bank Draft or


No of Shares Applied For Remittance Value of
Share Money Order No/Bank In Slip

RM 50,000 RM1.00 RM 50,000 BANK IN SLIP

I/We agree to accept the said shares or any lesser number, thereof which may be allotted to me/us and I/we hereby
authorise you to place my/our name(s) on the Register of Members of the company in respect of the number of
shares allotted to me/us.

I/We further authorise you to send the relevant share certificate to me/us and /or return my application and allotment
money or the balance thereof, if any, by ordinary post at my/our own risk.

Mr/Mrs/
Madam/Miss : M. MANIMALA A/P MANNARSAMY

Address : NO 48, JALAN BESI, TAMAN MELAWIS, 41100 KLANG SELANGOR

MALAYSIA

640310085480-06-5012_

Date : 14/07/2020 Signature : ________________

(For completion by Applicant which is a Limited Company)

Name of Company : LAKSHRE MARINETIME SDN. BHD. (1333232-T)


ND
Registered Office : UNIT 2-1, 2 FLOOR, 44B, JALAN CUNGAH, 42000 PELABUHAN KELANG.

Rubber Stamp of Company affixed in the presence of :-

………………………………………………
M. MANIMALA A/P MANNARSAMY (Director)

Company Rubber Stamp affixed in the presence of :-

Rubber Stamp of Company


………………………………………………
Director/Secretary
(Duly Authorised Signatories)

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