Gen . Form No. Al
No. of Co mpany ..... .. ... . ... .. .. . . ...... . .... . . . ....... .
GOVERNMENT OF UGANDA
(Stamp)
STATEMENT OF NOMINAL CAPITAL
In the Matter of the Stamps Act and in the Matter of
. ... .. ....... .... ....... . ............. . ... . ..·...................,LIMITED
I,
.............................................. . ........ .. . ........................ . .......... .
Of. . ... ... . . . .. ............... . . ... . . . . ...... . ........ . . . . . ......... . ............................................ . . . .... .. . . .. .. .
hereby state as follows;
1. That I am* . .. . ................. ....... ...... .... ............ ..... . . . . . ... .. .... ... .. ... . ... .. . . ... ................ .
of ..................................................................... . .... . ..... ..... ... ...... . .... ... .. .. .... .L. IMITED
2. That the n ominal share capital of the said .....................................................................
. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ... Ijn1ited
is Shs.. .. .... . .. . .. .... ..... . ... . .. ....... ... ... . ......... (Shi llings) ....... . ...... .... .... ...... ........... .. . . . ........... . .
. divided as follows: t
...... .- .. ... ... .... .... ................. ······· Shares of shs .......... ........................ .... .. ... each
Shares of shs ....... ........... .. .. ........... .. . ....... each
Shares of shs .. ...... . ............ ..... ................. each
J)ated at .. . ......... . ... . .. .. .............. this . . . . . . . . . . . ........ . ... day of ............ .......... ........ 20 ............... .
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Witness:
Signature ........... . ... . .. .. . .... . .. ... ... .......· ................... .
Full name ........ . ........... .... ...... . . . . .. ....... .. ............ ... . .
Address ................................ . .......................... : . . .
Occupation . ....... ........................ ..,, .......... . . ......... ...
* "An Advocate of the High court engaged in the_f ation" or "A person named in the Articles of
Association as a Director, Secretary or other Offic;·as the case may be.
tHere state number, class and value of shares. Separate classes should be stated separately.
l'rinted hv Uganda Hookshop Press
and ohtainahle from
/tJip:.
... 3 \BOOKSHOP
UGANDA £
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