Company No. COMPANIES ACT 2016 Section 141 NOTICE OF ...

0 downloads 182 Views 114KB Size Report
It is an offence under section 591 of the Companies Act 2016 to make or authorize the making of a statement that a perso
Company No. 10 cm

15 cm

COMPANIES ACT 2016 Section 141

NOTICE OF INTEREST OF A SUBSTANTIAL SHAREHOLDER ___________________________________ (Name of Company)

NATURE OF INTEREST OF A SUBSTANTIAL SHAREHOLDER Type of change:  Become Substantial Shareholder (Section 137)  Change in Interest of Substantial Shareholder (Section 138)  Ceases to be Substantial Shareholder (Section 139) To,

_______________________________ (Name of Company)

*I/* We hereby give notice that *I/we *am/* are substantial shareholder(s) and *I/* we give below the information, particulars and circumstances as required by section 141. ___________________________________ Particulars of Substantial Shareholder ___________________________________

Name:

I/C No. /Passport No. :

Address:

Nationality: Full Particulars of Voting Shares

Date interest acquired

Name and address of registered holder

No. of shares or amount of stock &

Full particulars of each interest and of circumstances by reason of which the substantial shareholder has interest

Declaration: I confirm that the facts and information stated in this document are true and to the best of my knowledge. Signed by:

__________________ (Substantial Shareholder)

Name NRIC/ Passport No. Date

: : :

Company No.

Attention: It is an offence under section 591 of the Companies Act 2016 to make or authorize the making of a statement that a person knows is false or misleading and that person may be liable, upon conviction, to imprisonment for a term not exceeding ten years or to a fine not exceeding RM3million or to both. LODGER INFORMATION Name

:

NRIC No

:

Address

:

Phone No

:

Email

: