No. OF COMPANy.

GOVERNMENTOFUGANDA

Company Form No.S

THECOMPANIESACTCAP

110

NOTIFICATION

OF CHANGE

OF DIRECTORS

OR SECRETARY

OR IN THEIR PARTICULARS
(P/lrSUUII( to

Section 201 (5) )

Name of C0I11pany Presented by

Limited .

To Registrar of companies . ............................................................................................................................................ in accordance with section 201 of the companies ACT CAP 110 that Limited hereby notifies you

(I

fen: specify nature and date of change. If change of a new Director or

Secretary fill in particulars below)

PARTICULARS

OF NEW DIRECTOR

OR SECRETARY

(Columns
I. Name' (iu thc case ofan individual. present Christian name or names and surname. In the case of a corporation. the corporate name)

1.2 and 4 only need be completed

for a Secretary)
5. Business occupation and particulars of other directorships
6.

2 Any former Christian name or names and surname

.'.
Nationality

4. Usual residential and postal address. (In the case of corporation. the situation of its registered or principal office and its registered postal address)

Datc of Birth

"

DATED the
')rill/t'd
111111

day of.

20

Signature

by 1.~1II111t1 U(Wl\s/J(IJI IJrt'.~s obtuismblc ".\flWiil'l'~1' from

tr: \' n \

noo,,:sIIOI'