Cross-referenced from Rules 870(2) and 880
Name of Applicant:
__________________________________________________________
Application for listing of _______________________________________________ additional securities of $ ___________ each fully paid arising from the exercise of ______________ Company Warrants/Convertible Preference Shares*.
1) State how the additional securities rank with existing securities.
(If they do not rank pari passu, confirm that the new certificates have been endorsed accordingly, and provide a specimen copy of the endorsed certificate to the Exchange)
(If they do not rank pari passu, confirm that the new certificates have been endorsed accordingly, and provide a specimen copy of the endorsed certificate to the Exchange)
2) In respect of each class of securities, provide the following details:—
Class of security : ______________________
Class of security : ______________________
| Total number of issued shares excluding treasury shares | Company Warrants/Convertible Preference Shares* | ||||
| Number | $ | Number | $ | ||
| Before exercise Add: Issued pursuant to exercise | Before exercise Less: Amount exercised | ||||
| After exercise | | | Amount outstanding | | |
3 Total number and amount of Outstanding Convertible Loan Stock/Bonds*:
$ ____________ (if more than one issue, give a breakdown)
Outstanding Options: ____________________ shares/stock units*
$ ____________ (if more than one issue, give a breakdown)
Outstanding Options: ____________________ shares/stock units*
4 We confirm that the Company Warrants/Convertible Preference Shares* were exercised in compliance with the terms of the Deed Poll dated _____________ .
| Name: | Authorised Signature: |
| ________________________ | _______________ |
| Designation: | Date: |
| _________________ | _______________ |
Enclosures:
(a) A copy of the Return of Allotment (Form 24) (if any) filed with the Registrar of Companies and Businesses.
(b) Confirmation of despatch of Share/Stock Certificates.
(c) Cheque for any additional listing fee, if applicable.
(d) Letter of approval from the Home Exchange granting listing and quotation to the new shares/stock units.
Note: (a) and (b) are not applicable to secondary listing applications.
(d) is not applicable to primary listing applications.
* Delete where applicable.