Specimen List of Allottees

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Annexure A : List of Allottees

Table A

Name of the Company


Date of Allotment
Type of shares Allotted (Equity or Preference)
Nominal Amount per share (in Rs.)
Premium / (Discount) Amount per share (in Rs.)
Total Numbers of allottees
Brief particulars in respect of terms and conditions,
voting rights etc.
Table B (List of allottees, applicable in case of allotment of shares payable in cash)
S. Name & Address of Nationality Number Total Total amount
N Occupation of Allottee of the of shares amount to be paid on
o. Allottee Allottee allotted paid calls (including
(including premium)
premium) outstanding
(in Rs.) (in Rs.)

Table C (List of allottees, applicable in case of allotment of shares for consideration


otherwise than in cash) Not Applicable
S. No. Name & Address Nationality Number Whether shares If partly paid up
Occupation of Allottee of the of shares allotted as fully amount
of Allottee Allottee allotted or partly paid outstanding
up (in Rs.)
1 2 3 4 5 6 7
Total
Table D (List of allottees applicable in case of allotment of Bonus shares) Not
Applicable
S. No. Name & Address of Allottee Nationality of Number of Shares
Occupation of Allotee allotted
Allottee
1 2 3 4 5
Total

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