CM 52 APPLICATION FOR EXEMPTION FROM LODGING ANNUAL FINANCIAL STATEMENTS

Form CM 52

REPUBLIC OF NAMIBIA

COMPANIES ACT 2004

(Section 306(6) (Regulation 50)

APPLICATION FOR EXEMPTION FROM LODGING ANNUAL FINANCIAL

STATEMENTS IN RESPECT OF SUBSIDIARIES

Registration Number of Company

Revenue stamp or Revenue franking machine impression

N$ 40,00

Name of holding company

Names of subsidiaries (if any) Registration Numbers

Application is made by the abovementioned holding company to be exempted from lodging with the Registrar annual financial statements in respect of the abovementioned subsidiary private companies. The reasons for making the application are:

(Separate sheet may be used)

(Perforated) (To be completed by company)

Application to Registrar by company for exemption from lodging annual financial statements in respect of subsidiaries.

Dated

Name of company

Approved

Postal address

Not approved

Email address

Contact number(s)

Registrar of Business

Date stamp of Business

Registration Office

If approved, the exemption is only valid for a period of two years from this date

Not valid unless stamped by Registrar of Business

Printing specifications: Size A4; good quality paper; adequate spacing to be allowed for typewritten information to be inserted under appropriate headings; complete Form to fit on single page; tear off portion to fit Companies Office window envelope; printer’s proofs and sample paper to be approved by the Registrar of Business, Windhoek