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 ____________________ Loan Stocks/Bonds*.
1) State how the additional securities rank with existing securities.
(If they do not rank pari passu, confirm that the 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 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, furnish the following details:—
Class of security : ______________________
Class of security : ______________________
| Total number of issued shares excluding treasury shares | Convertible Loan Stocks/ Bonds* | ||||
| Number | $ | Number | $ | ||
| Before conversion Add: Issued pursuant to conversion | Before conversion Less: Amount converted | ||||
| After conversion | | | Amount outstanding | | |
3 Total number and amount of Outstanding Company Warrants/Convertible Preference Shares: $ ____________ (if more than one issue, give a breakdown)
Outstanding Options: ____________________ additional securities
Outstanding Options: ____________________ additional securities
4 We confirm that the abovesaid Convertible Loan Stocks/Bonds* were converted in compliance with the terms of the Trust Deed 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.