Application Date: ________________
Company Name: ________________________________________________ Contact Number: ________________________
Premises Leased: ________________________________________________ Location: ________________________ Lease Exp.: ________________________
Nature of Change in Shareholding: ☐ Partial Change ☐ Complete Change ☐ Internal Change
Are there any Mortgages on assets: ☐ Yes ☐ No
I/ We being the owner(s) of the above-mentioned Company hereby declare that subject to approval of the SRTI Park, following amendments to be incorporated:
Shareholder Change:
| Current Shareholders | Proposed Shareholders | ||||
|---|---|---|---|---|---|
| Name | Number of Shares | Value | Name | Number of Shares | Value |
Reason for Proposed Changes:
Other Amendments:
| ☐ Manager Name (From ________________________________________________ To ________________________________________________) |
| ☐ Company Name (From ________________________________________________ To ________________________________________________) |
I/We the undersigned hereby declare and certify that the above details are accurate which is verified by the proposed Shareholders & confirm that the signatures in ...