CM 16 Return of Allotments which have become Void
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Form CM 16
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
COMPANIES ACT 2004
(Section 99(4)) (Regulation 26(2))
RETURN OF ALLOTMENTS WHICH HAVE BECOME VOID
Name of Company
1. Authorised capital of company:
NO PAR VALUE
PAR VALUE
Authorised number of shares
Class of shares
Number of shares
Class of Shares
Nominal amount of each share
N$
Authorised capital
N$
Total
2. Issued capital of company as shown on the return of allotments dated ________________________________
NO PAR VALUE
PAR VALUE
Number of shares
Class of shares
Issue price per share
N$
Stated capital
N$
Number of shares
Class of shares
Nominal amount of each share
N$
Premium on each share
N$
Total premium account
N$
Total amount of paid-up capital, excluding premium account
N$
Total
Summary of total issued capital as shown on the return of allotments :
Amount of Issue Paid-up capital …………………………………………
N$
Stated Capital ……………………………………………………………...
N$
Premium account ………………………………………………………….
N$
Total issued capital ………………………………………………………..
N$
3. Particulars of allotment which has become void
NO PAR VALUE
PAR VALUE
Number of shares
Class of shares
Issue price per share
N$
Stated capital
N$
Number of shares
Class of shares
Nominal amount of each share
N$
Premium on each share
N$
Total premium account
N$
Total capital excluding premium
N$
Total
4.
Reasons for allotment becoming void
5. Issued capital of company at date of this return
NO PAR VALUE
PAR VALUE
Number of shares
Class of shares
Issue price per share
N$
Stated capital
N$
Number of shares
Class of shares
Nominal amount of each share
N$
Premium on each share
N$
Total premium account
N$
Total amount of paid-up capital, excluding premium account
N$
Total
Summary of total issued capital as shown on the return of allotments :
Amount of Issued Paid-up capital
N$
Stated Capital
N$
Premium account
N$
Total issued capital
N$
Certified correct
Date ___________________________ Signature ____________________________________
Director/Manager/Secretary
Rubber stamp of company, if any, or of secretaries
Perforated (To be completed by the Company)
Acknowledgement of receipt of return of allotments having become void,
Date of receipt by Registrar of Business
________________________
dated
Name of Company
Registrar of Business
Postal Address
Date stamp of Business Registration Office
Email address:
Copyright: Business and Intellectual Property Authority, Namibia
Registration Number of Company
N$ 20,00 fee payable in terms of the Act and as set out in the regulations
Continuation of Form CM 16