FORM 11 THE COMPANIES ORDINANCE, 1984 (Section 122 and 463) PARTICULARS OF MORTGAGE OR CHARGE SUBJECT TO WHICH PROPERTY HAS BEEN ACQUIRED Please complete in typescript or in bold block capitals. 1. CUIN (Incorporation Number) 2. Name of the Company 3. Fee Paid (Rs.) 4. Receipt No. Name & Branch of The Bank Day Date (Bank challan to be attached in original) 5. Particulars of a mortgage or charge subject to which property has been acquired by the above mentioned company. 6. Date of creation of the charge 7. Description of the instrument creating or evidencing the mortgage, charge etc. 8. Date of acquisition of the property Day Month Year Month Year 9. Amount owing on security of the mortgage or charge. Rs. 10. Short particulars of the property acquired subject to mortgage, charge etc. 11. Gist of the terms and conditions and extent and operations relating to the mortgage, charge, etc. Also to include description of the nature of the mortgage/charge e.g. equitable, pari-passu, etc. 12. Names, addresses and description of the mortgagees or persons entitled to the charge or other interest. 13. Signatures of Chief Executive / Secretary 14. Name of Signatory 15. Designation 16. N.I.C Number of signatory Day 17. Date Month Year