CM 36 Take – over offer and Take – Over Statement

Form CM 36

REPUBLIC OF NAMIBIA

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA

COMPANIES ACT, 2004

(Sections 320(2)(c), 322(3) and 324)) (Regulation 52)

TAKE-OVER OFFER AND TAKE-OVER STATEMENT

Name of offeree company:

Insert

Particulars of offeror (if person):

Surname: Full forenames

here

Nationality

(if not Namibian)

Occupation ("Director of

Companies" not acceptable)

particulars

Residential address

Business address & Email

Postal address

of

principal

Insert

here

Particulars of person acting on behalf of principal (if any):

Surname: Full forenames

particulars

of person

Nationality

(if not Namibian)

Occupation ("Director of

Companies" not acceptable)

acting on

Residential address

Business address & Email

Postal address

behalf of

principal

Particulars of offeror (if company, external company or other body corporate

Name ___________________________________________________________

Registration No. (if any)

Name of country (and state, if any,) in which incorporated (if not in Namibia):

Registered address in Namibia & Contact number

Postal address in Namibia

Address in foreign country (if external company)

Name of controlling company (if any): _________________________________________

Registration No. (if any)

DIRECTORS

Surnames

Full forenames

Residential address & Email

Copies of the take-over statement and annexures, dated ________________________

by the offeror/take* over statement by directors of the offeree company with annexures.

dated .................................................................................... are attached hereto.

*Delete whichever is not

applicable

Date .................................................................................

Signature of offeror ..........................................................

If company, rubber stamp of company, if any, or of secretaries

Signature .............................................Director/Secretary/Manager

Perforated

(To be completed by offeror)

Take-over offer/take-over statement, dated ........................................................

Received

___________________________

Name of offeror ...................................................................................................

.............................................................................................................................

Registrar of Business

Postal address ....................................................................................................

Date stamp of Business

Registration office

..............................................................................................................................

Email address

Not valid unless stamped by the Registrar of Business.

Copyright: Business and Intellectual Property Authority, Namibia

N$ 20,00 fee payable in terms of the Act and as set out in the regulations

Registration Number of Company