CM 40 Appointment as liquidator or Provisional Judicial Manager or Judicial Manager

Form CM 40

REPUBLIC OF NAMIBIA

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA

COMPANIES ACT 2004

(Sections 382(5)(a), 436(b) and 439(d)(i), (ii)) (Regulation 57)

APPOINTMENT AS LIQUIDATOR/PROVISIONAL

JUDICIAL MANAGER/JUDICIAL MANAGER

Name of company _________________________________________________________________________________

Herewith certificate of appointment /† Certificate of cancellation as * ___________________________________________

in respect of the abovementioned company.

† Copy of judicial management order attached.

Date ______________________________________ Signature ___________________________________________

†Liquidator/Provisional judicial manager/Judicial manager

Rubber stamp, if any

*State whether Liquidator/Provisional judicial manager/Judicial manager

† Delete whichever is not applicable.

Address of liquidator/Provisional judicial manager/Judicial manager

Business address

Postal address

Email Address:

(Perforated) (To be completed by Liquidator/Provisional judicial manager/Judicial manager)

Appointment as Liquidator/Provisional judicial manager/Judicial manager

Name

Notice Received

_____________________________

Postal address

Registrar of Business

Date stamp of Business

Registration Office

Email address

Not valid unless stamped by the Registrar of Business.

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