signed - brela · signed: director / secretary date: certificate of value this certificate must be...

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United Republic of Tanzania FO 55b Business Registrations and Licensing Agency Particulars of a contract relating to shares allotted as fully or partly paid up otherwise than in cash Pursuant to Section 55(2) of the Compani s Act 2002 Company number I ~_ Company Name in I full ----------------------------------------- ------------------------------------------ The company gives the following particulars of a contract which has not been' reduced to writing: 1. The number of shares allotted as fully or partly paid up otherwise than in cash 12. The nominal value of each share I_T_S_h _ 3a. The amount of such nominal value to be considered as paid TSh up on each share otherwise than in cash b. The value of each share allotted TSh - i.e. the nominal value and any premium c. The amount to be considered as paid up in respect of b. . TSh 4. If the consideration for the allotment of such shares is services, or any consideration other than that mentioned below in 8, state the nature and amount of such consideration, and the number of shares allotted. 5. If the allotment is a bonus issue, state the amount of reserves TSh ca italised in respect of this issue 6. If the allotment is made in consideration of the release of a TSh debt (e.g. a director's loan account state the amount released _ ~------------------------- 7. If the allotment is made in connection with the conversion of TSh loan stock, state the amount of stock converted in respect of this issue For official use only

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Page 1: Signed - BRELA · Signed: Director / Secretary Date: Certificate of value This certificate must be signed by the person to whom the shares have been allotted as well as an officer

United Republic of Tanzania FO 55bBusiness Registrations and Licensing AgencyParticulars of a contract relating to shares allotted as fully or partly paid up otherwisethan in cashPursuant to Section 55(2) of the Compani s Act 2002

Company number I ~_

Company Name in Ifull -----------------------------------------

------------------------------------------The company gives the following particulars of a contract which has not been' reduced towriting:

1. The number of shares allotted as fully or partly paid upotherwise than in cash

12. The nominal value of each share I_T_S_h _

3a. The amount of such nominal value to be considered as paid TShup on each share otherwise than in cash

b. The value of each share allotted TSh- i.e. the nominal value and any premium

c. The amount to be considered as paid up in respect of b. . TSh

4. If the consideration for the allotment of such shares is services,or any consideration other than that mentioned below in 8, statethe nature and amount of such consideration, and the number ofshares allotted.

5. If the allotment is a bonus issue, state the amount of reserves TShca italised in respect of this issue

6. If the allotment is made in consideration of the release of a TShdebt (e.g. a director's loan account state the amount released _

~-------------------------7. If the allotment is made in connection with the conversion of TShloan stock, state the amount of stock converted in respect of thisissue

For official use only

Page 2: Signed - BRELA · Signed: Director / Secretary Date: Certificate of value This certificate must be signed by the person to whom the shares have been allotted as well as an officer

8. If the allotment is made in satisfaction or part satisfaction of the purchase price of property,qive below:a. full particulars of the property which is the subject of the sale

b. full particulars of the manner in which the purchase price is to TShbe satisfiedAmount of consideration payable in cash or bills .......................

Amount of consideration payable in debentures, etc ...................

Amount of consideration payable in shares ..............................

Liabilities of the vendor assumed by the purchaser

Amounts due on mortgages including interest to date ofsale .............................................

Hire purchase debts in respect of goods acquired .....................

Other liabilities of the vendor ................................................i

any other consideration ......................................................

Form 55b

Signed:Director / Secretary

Date:

Certificate of valueThis certificate must be signed by the person to whom the shares have been allotted as well as an officer of theCompany

It is certified that the transaction effected by the contract does not form part of a largertransaction or series of transactions in respect of which the amount or value, or aggregateamount or value, of the consideration exceeds TS~l

Signed Date

Si ned Date