FORM 3
THE COMPANIES ACT, 2017
THE COMPANIES (GENERAL PROVISIONS AND FORMS) REGULATIONS, 2018
[Section 70 and Regulations 4 & 12]
RETURN OF ALLOTMENTS OF SHARES
PART-I
(Please complete in typescript or in bold block capitals.)
1.1 CUIN (Registration Number)
1.2 Name of the Company
1.3 Fee Payment Details 1.3.1 Challan No 1.3.2 Amount
PART-II
2. Share Capital
Number of Shares Amount (Rs)
2.1 Authorized capital
2.2 Paid up capital
(Inclusive of present allotment)
2.3 Kind of shares
(Check relevant checkbox) □ Ordinary □ Preference
2.4 Class of shares □ Class A
(Check relevant checkbox)
□ Clas
sB
□Preferred: Participatory: Redeemable at company’s option
□Preferred: Participatory: Redeemable at Shareholder’s option
□ Preferred: Non Participatory: Non-Redeemable
□Preferred: Non Participatory: Redeemable at company’s option
□Preferred: Non Participatory: Redeemable at Shareholder’s option
□ Any other Class, (please specify)______________
Day Month Year
2.5 Date of allotment* - -
(*If shares were allotted on different dates, then date of first allotment shall be mentioned)
2.6 SECTION A — SHARES ALLOTTED AGAINST CASH CONSIDERATION
No of shares indicating class, if any
2.6.1
Per share (Rs) Total Amount (Rs)
2.6.2 Nominal amount
2.6.3 Premium
2.6.4 Discount ( ) (____________)
Total (Amount paid on each share
2.6.5
2.6.2 to 2.6.4)
Total Amount of
Specify currency
foreign currency
Consideration received against
allotment in foreign currency
2.6.6
(equivalent amount in PKR included in
total amount mentioned at 2.6.5)
2.7 SECTION B — SHARES ALLOTTED FOR CONSIDERATION OTHERWISE
THAN IN CASH
indicating class, if
No of shares any
2.7.1
Per share (Rs) Total Amount (Rs)
2.7.2 Nominal amount
2.7.3 Premium
2.7.4 Discount ( ) ( )
2.7.5 Total (2.7.2 to 2.7.4)
2.7.6 The consideration for which shares have been allotted is as
follow:
Amount (Rs.)
(a) Property and assets acquired (give description)
(b) Good will
(c) Services (give nature of services)
(d) Other items ( to be specified)
(e) Total (a to d)
2.8 SECTION C — ALLOTMENT OF BONUS SHARES
No of shares indicating class, if any
2.8.1
Allotment Ratio (Existing
Total Amount (Rs)
shares / bonus shares)
2.8.2 Details of Bonus Shares
Resolution
number Day Month Year
Particulars of resolution
2.8.3 of Board of directors /
shareholders
SECTION D—NAME, ADDRESSE, AND OTHER PARTICULARS, OF THE
2.9
ALLOTTEES
Date of allotment Name of Father's Nat Country Addres Numb NIC No./NICOP/Passport No. of
allottee / iona of origin s of the er of allottee/Registration Number, if any(in
in full husband' lity in case allottee shares case of allotee other than natural person)
s name of allotte
foreign d
national
(1) (2) (3) (4) (5) (6) (7) (8)
dd mm yyyy Please enter NIC No. without (-)
PART-III
3.1 Declaration:
I do hereby solemnly, and sincerely declare that the information provided in the form is:
(i) true and correct to the best of my knowledge, in consonance with the record as
maintained by the Company and nothing has been concealed; and
(ii) hereby reported after complying with and fulfilling all requirements under the relevant
provisions of law, rules, regulations, directives, circulars and notifications whichever
is applicable.
3.2 Name of Authorized Officer with
designation/ Authorized Intermediary
3.3 Signatures
3.4 Registration No of Authorized Intermediary, if applicable
Day Month Year
3.5 Date
Enclosures:
1. In case shares are allotted against cash consideration, a report from Auditor of the Company in
terms of section 70(1)(b) of the Act as per Appendix attached herewith, to the effect that the
amount of consideration has been received in full.
2. In case shares are allotted against consideration otherwise than in cash, a copy of the contract
in writing constituting the title of the allottee to the allotment together with a contract of sale,
or for services or other consideration in respect of which that allotment was made, such
contract being duly stamped.
3. In case bonus shares are issued, copies of the resolution of Board of Directors /members
authorizing the issue of such shares.
4. In case the shares are issued at discount, a copy of the special resolution passed by the
members authorizing such issue and where the maximum rate of discount exceeds limits
specified in the Act, a copy of the order of the Commission permitting the issue at the higher
percentage.
5. In case of allotment of shares in consequence of the exercise of the option for conversion in
terms of an agreement for participation term certificates, term finance certificates, redeemable
capital, musharika or hire-purchase shall be reported in Section-B and copies of the relevant
documents submitted with the return.
6. Any other document, certificate, report etc required under any regulation pertaining to
issuance of shares.
