CC4 – Application for conversion

Application for Conversion

(To be lodged in duplicate)

REGISTRATION NUMBER OF COMPANY

Name of company

I/We, the undersigned, being all the members of the above-named company, apply for the conversion of this company into a corporation.

I/We state that:

every member of the company will become a member of the corporation: and

upon conversion the assets of the corporation, fairly valued, will exceed its liabilities, and that after conversion the corporation will be able to pay its debts as they become due in the ordinary course of its business.

The following documents are lodged herewith:

A statement in writing by the author as required by section 27(2)(b) of the Act; and

A founding statement in terms of section 12 of the Act.

SIGNATURE

DATE(S)

NEW REGISTRATION NUMBER

REPUBLIC OF NAMIBIA

CC 4

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA

CLOSE CORPORATIONS ACT, 1988

(Sections 27)

(Regulations 13)