The Companies Act of the Kingdom of Bhutan, 1989

SCHEDULE- VI 
FORM OF REGISTER OF SHARE HOLDERS 
[See Section 26]    
Name          : 

Father's 
Husband's Name :  Folio No...................... 

Address           :  Date on which entered as a shareholder Date on which ceased to be a shareholder 
Occupation      : 
                   - Instruction if any 
NO MINEE        : Nom.   Amount   Date                          TOTAL 
                      Val.   &account when   Date of  C.B.  Amount  Nom.Val. 
Name              :    of     (Allot.  due    payment  POL.   paid  of shares 
Address          : shares  etc) 
Occupation     : acquired 
                     8     9        10      11      12     13       21 
Dividends of  : 

SHARES AQUIRED                             SHARES TRANSFERRED 
---------------------------------------------------------------------- 
Folio       Date of        No. of      Dist No.         No. &  Trans-     No.  Date     No.of 
No.        allot-           shares     of shares        Date   ferors     Tran- entry   shares 
of           ment           alloted    Inclu  of           Folio               sfer  of        Trans- 
allot-       or entry      or tran-   From  To Certi-                                   Trans- ferred 
ment or    of tran-       sfered 
tranfer      sfer 
---------------------------------------------------------------------- 
1        2         3      4     5   6       7    14     15       16 
---------------------------------------------------------------------- 

---------------------------------------------------------------------- 
Dist. Number of     No. & Date    Transferees    Balance of   Remarks 
  Shares Inclu.     Of issu of       Folio       Shares held  Initial 
------------------  the Certificate 

From       To 
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17         18           19            20             22          24 
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