[5047]

5. Affidavit verifying statement of affairs1

AFFIDAVIT VERIFYING STATEMENT OF AFFAIRS

UNDER SECTIONS 224(2), 227L(2), 270(2)
and REGULATION 7(7)

Company Name: (GHI Pte Ltd) (Receiver and Manager

Appointed)

Company No: (2002123456A)

I/we _______________ of _______________ holder of

Singapore NRIC/Passport No.† ________________ being*
________________ make oath/affirm and say that the
particulars contained in the statement of affairs relating to the
abovenamed company dated ________________ and signed by
me/us are true to the best of my/our knowledge and belief.

SWORN/AFFIRMED in Singapore )
on this ________________ day of (month), (year) )

Before me

___________________________________
A COMMISSIONER FOR OATHS/NOTARY PUBLIC
__________________
* Insert description sufficient to show that the person
swearing the affidavit is a person referred to in ss 224(2),
227L(2), 270(2) of the Companies Act (Cap 50, 2006 Ed) or
reg 7(7) of the Companies Regulations (Cap 50, Rg 1,
1987 Ed).
† Delete where applicable.
_________________
1 Companies Regulations (Cap 50, Rg 1, 1987 Ed), Form 62.