| Company name * |
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| Has there been any change in address for communication: |
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| If yes, Please provide new address |
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| Has there been any change in the address of the registered office |
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| If yes, Please provide new address |
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| Has there been any change in the company directors? |
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| If yes, provide: Full name | Retired or New | Date of Appointment or Retirement | Residential Address |
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| Has there been any change in the shareholders? |
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| If yes, provide : Number of shares issued | Name of shareholder | Allocation | Residential Address |
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| Name of person filling this form * |
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I certify that the particulars contained in this annual return are correct |
