FORM 5
THE COMPANIES ORDINANCE, 1984
[Section 82]
STATEMENT OF THE AMOUNT O R RATE PER CENT OF THE COMMISSION PAYABLE IN
RESPECT OF SHARES / DEBENTURES AND OF THE NUMBER OF THE SHARES /
DEBENTURES FOR WHICH PERSONS HAVE AGREED TO SUBSCRIBE FOR
ABSOLUTELY OR CONDITIONALLY
Please complete in bold block capitals.
1. CUIN (Incorporation Number)
2. Name of the Company
3. Fee Paid
Name of Bank
(Rs.)


Standard Chartered Bank Limited
MCB Bank Limited
Branch of the Bank
4. Receipt No.
Date
(Bank Challan to be attached in original)
5. Clause of Articles of Association authorising commission:-
6.
Particulars of amount paid or payable as
commission for subscribing or agreeing to subscribe
or procuring or agreeing to procure subscriptions for
any shares in the company:
6.1 Commission paid - Rs.
6.2 Commission payable - Rs.
6.3 Rate of commission (%)
7. Mode of payment
Day
8. Date of circular or notice (if any), not being a prospectus inviting subscriptions for shares and
disclosing the amount or rate of the commission:
9. Number of shares which persons have agreed for the commission to subscribe:
9.1 absolutely
9.2 conditionally
Month
Year
10. Gist of conditions:
11. Signature of Chief Executive/
Secretary
12
Name of CEO/Secretary
13. Designation
14. CNIC No. of Signatory
15. Date