REGISTERS

MEMBER CERTIFICATES AND

MINUTE BOOK OF

COMPANY NUMBER:

INCORPORATED:

AUDITOR:

SOLICITORS:

REGISTERED OFFICE ADDRESS:

Register of Applications and Allotments

Class of Shares:

#

Applied

Allotted

Name of Applicant

No. Shares

Deposit

From

To

Tot Amt

To Pay

Memb'
Page

Notes

2

3

4

5

6

7

8

9

10

11

Register of Members and Share Ledger

Name:

Address:

Occupation:

Entered as Member:

Ceased as Member:

Share Class:

Denomination:

Allot/Transf.
Date

Allotments

Transfers

Share Cert

From

To

Consideration

Acquisitions

Disposals

Balance

Notes

Register of Mortgages and Charges

Date

Description of Instrument
creating Charge

Amount of
Charge

Rate of Interest

Description of Property Charged

Name and address of Mortgagee or Person entitled to Charge

Date of discharge of Charge

Notes

Register of Debentures

Debenture Number

Date

Amount

Description of property charged

Name and address of debenture holder

Annual interest rate

Amount of half-years interest

Date of interest due

Notes

Register of Sealings or Executions

Consecutive No.

Date

Authority Date

Sealing(s)/Execution(s)

Description of Documents Sealed or Executed

Person Attesting

Register of Sealings or Executions

Register of Director's Residential Address

Register of PSC's

Register of PSC's Residential Address

Company number:

Shareholder:

Date:

Certificate #

Number of Shares:

Certificate No

Share Class

Quantity

This is to certify that

of

Director(s)

Secretary

Witness

Date

Name

Address