am an aright issues form
TRANSCRIPT
8/6/2019 Am an Aright Issues Form
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8/6/2019 Am an Aright Issues Form
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Acceptance/Renunciation FormCare should be taken to comply with the instructions set out on the front of this form. If you are in doubt as to what action to take,you should immediately consult your Stockbroker, Bank Manager, Solicitor, Accountant or any other professional adviser forguidance.
To the Financial Adviser:
TIDDO SECURITIES LIMITED RcI55716 •
A Full AcceptancelRequest for Addit ional Ordinary Shares
IfWe accept i n full, the provisi onal al lotment shown on the f ront of thi s form.
ii IfWe also apply for additional Ordinary Shares:
Number of Additional Ordinary shares applied for Addit ional amount payable a t N2.00 per share
I fWe agree to accept the same or smal ler number of addi tional shar es i n r espect of which all otment may be made to me.
iii IfWe enclose my/our cheque/bank draft forN · · · ·..,··..· ·· being the sum of the amount payable asshown on the front of this form , and the additi onal amount payable as shown in it em ( ii) above.
Cheque details: Name ofbank/branch: Cheque number: .
Signature: Bank Account No: .
Name (in block letters): Date: .
Signature: .
Name (in block let ters ):
Next of Kin: .
Mother' s Maiden Name (in block let ters ):
Daytime Telephone Number
B Renunciation or Partial Acceptance
Incorporation Number and Seal ofCorporate Allottee
1 2 3mount payable at N2.00 per shareumber of Ordinary shares renounced
lIWeacceptonly thenumber ofOrdinary Shares shown inColumn I above and enclose my/ourchequelbank draft for the value shown in Column 2 above.
Cheque details: Name ofbanklbranch: Cheque number: .
Ii lIWehereby renounce my/our Rightsto the Ordinary shares shown in Column 3,being the balance ofthe Ordinary Sharesallotted to me/us
Signature: .
Name (in block letters): .
Signature: ......................................................................................•.......................................
Name (in block letters): .
Daytime Telephone Number , .
Date: .
Incorporation Number and Seal ofCorporate Allottee