Section 4: Submitted / Filed

FORM 30 Regulation, 12 FORM 30 NOTICE OF CHANGE OF NAME 1. PROPOSED NAMES: (BOX) To check if the company name is available (sensitive words and duplicate names) electronically or if appearing in person by completing form 28 Availability Check The above company resolved to change the company name to: Proposed name: (BOX) Attach copy of resolution in respect of change of name Name or Director 80 81 1. Submitted / Filed FORM 317 Regulation 27 FORM 317 THE COMPANIES ACT NO. 5 OF 2009 ANNUAL RETURN FOR A COMPANY HAVING SHARES OTHER THAN A SMALL COMPANY NASSIT NO TIN NO No. of Employees ANNUAL RETURN Made up to the.............................day of........................... ( being the twenty eight day after the date of the general meeting for the year ii. Address where Register of Members & Debenture Holders is kept if different from above ii. Particulars of past and present members of the company since the last return was filed. 82 83 ( in case of a corporation the registered or principal office) Tel No P.O. Box Email Number of Shares held at date of return Particulars of shares transferred since date of last return listing persons who are still members and persons who have seized to be members Residential Address( in case of a Residential Address( in case of a corporation the registered or principal office) Tel No P.O. Box Email Number of Shares held at date of return Particulars of shares transferred since date of last return listing persons who are still members and persons who have seized to be members Residential Address( in case of a corporation the registered or principal office) Tel No P.O. Box Email Number of Shares held at date of return Particulars of shares transferred since date of last return listing persons who are still members and persons who have seized to be members Use additional sheet if required 84 85 (3) Particulars of Directors of the Company as at date of return Residential Address( in case of a corporation the registered or principal office) Tel No P.O. Box Email Business occupation and Particulars of other Directorships (in case of a corporation the registered or principal office) Tel No P.O. Box Email and Particulars of other Directorships ( in case of a corporation the registered or principal office) Tel No P.O. Box Email and Particulars of other Directorships 4 . Authorized share capital divided into shares of Le each Number Class Shares (a) Number of shares of each class taken up to the date of the return (ii) Number of shares of each class issued as partly paid up (c) Amount of discount on the issued share which has not been written off 5 . Issued share capital Fully Paid Up Partly Paid Up 6 . In Cash Other than Cash ii. Total amount called up on shares 8 . Total amount received on calls 9 . Total amount of calls unpaid 10 . Total amount paid as commission for shares or debentures ii. Total numbers of shares forfeited ii. Total amount of shares for which share warrants are outstanding ii. Total amount of indebtedness in respect of the mortgage and charges required to be registered with the commission 14 . Staff hired for the reporting year 15 . Number of staff terminated or retired 16 . Total amount paid on termination or retirement package 17 . Details of the Secretary Name (Incase of an individual, Any former fore- Usual residential address but the present, the forenames names or surnames in case of a but corporation and surname and in this case the registered address of a corporation the corporation name We certify that the Company has not since the date of incorporation/ the last annual return issued any invitation to the public to subscribe for any of its shares/ debentures. ................................................... ................................................... Signature o f Director Name of Director & Tel. No. ................................................... ................................................... Signature o f Direc/Secretary Name of Direc/ Secretary & Tel. No. No te: ii. If there is insufficient space on the form to provide any information required, please attach a separate sheet containing the information set out in the prescribed form. iii. This return should be accompanied by Audited Account of Company for the year in which the return is made. FORM 319 Regulation 27 FORM 319 ANNUAL RETURN FOR A SMALL COMPANY NASSIT NO TIN NO No. of Employees ANNUAL RETURN made up to Day of (being the twenty eight days after the date of the general meeting for the year 1 . Registered office address 2 . Location of registers of members & Debentu re Holders (or any part of su ch registers) if other than the registered office of the company 3 . Particulars of indebtedness: 4 . Staff hired for the reporting year 5 . Number of staff terminated or retired 6 . Total amount paid as termination or retirement packag