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FORM AD.-Regs. 32, 34.

Industrial and Provident Societies Act, 1893.
56 and 57 Vict., c. 39.

(To be sent in duplicate by each society, accompanied by Forms AB and AE.)

Application for Registry of a Special Resolution for
Transfer of Engagements.

Name of society transferring its engagements

Register No.

Limited.

[If the society is registered in Scotland or Ireland, add Scotland or Ireland, as the case may be].

Name of society undertaking to fulfil transferred engageLimited.

ments

Register No. [If the society is registered in Scotland or Ireland, add as betore].

To the Central Office.

Application for registry of a special resolution for transfer of engagements of the first-named society is made by the

societies whose seals and the three

persons whose names are affixed and subscribed.

1. The following is a copy of a special resolution passed by the votes of three-fourths of the members present and entitled to vote at a general meeting of the first-named society, of which notice was duly given, held the

day of

18 and confirmed by a majority

of the members present and
general meeting, of which
the
day of

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entitled to vote at a subsequent notice was duly given, held on 18

[The resolution to be copied at length.]

2. The last-named society has (state in what manner) undertaken to fulfil the engagements of the first-named society, as testified by the common seal and by the signature of the secretary of the said last-named society to this application, and by the declaration of an officer of the same sent with this application.

3. With this application is sent the fee of 10s. prescribed by the Treasury Regulations.

[If either or both societies, being registered in England, do business also in Scotland or Ireland, or in both the said countries, dc., add as the case requires.]

Seal of the first-named society.

Chairman of the first general meeting.

Secretary of the first-named society.

Chairman of the subsequent general meeting. Seal of the last-named society.

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Secretary of the last-named society.

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Register No.

[If the society is registered in Scotland

or Ireland, add Scotland or Ireland, as the case may be].

I.

of,

,

an officer

of the above-named society, do solemnly and sincerely declare that by a resolution of a meeting of the society held on the day of [or as the case may be, stating by what authority the transfer

at

is accepted] the society has undertaken to fulfil all the engagements of the Limited. Register

No.

[add Scotland or Ireland if required].

And I make this solemn declaration, conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declarations Act, 1835.

Taken and received before me, one of Her Majesty's justices of the peace for the said county of

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in the

day

FORM AF.-Reg. 33.

Signature of
declarant.

Industrial and Provident Societies Act, 1893.
56 and 57 Vict., c. 39.

(To be sent in triplicate, accompanied by Form AB.)

Application for Registry of Special Resolution for
Conversion into a Company.

Name of society

Register No.

Limited.

[If the society is registered in Scotland or Ireland, add Scotland or Ireland, as the case may be].

To the Central Office.

Application for registry of a special resolution for conversion of the above-mentioned society into a company is made by the society whose seal and the three persons whose names are affixed and subscribed at the foot hereof.

The following is a copy of a special resolution passed by the votes of three-fourths of the members present and entitled to vote at a general meeting of the said society, or which notice was duly given, held on the

of

day

18 and confirmed by a majority of the members present and entitled to vote at a subsequent general meeting, of which notice was duly given, held on

the

day of

Section 54 of the above-mentioned Act.

18

[The resolution to be copied at length.]

pursuant to

With this application is sent the fee of 10s. prescribed by the Treasury Regulations.

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of the above-named company, do solemnly and sincerely declare that by a resolution of a special general meeting of the company, held on the

at

day of

[or as the case may be, stating by what authority the amalgamation is agreed to or the transfer of engagements accepted], the company has agreed to an amalgamation with [or undertaken to fulfil the engagements of] the Limited, Reg. No. [add Scotland

or Ireland, if required].

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declarations Act, 1835,

Taken and received before me, one of

Her Majesty's justices of the peace for the said county of

at

said county, this

of

Signature of

in the

declarant.

day

18

FORM AH.-Reg. 38.

Industrial and Provident Societies Act, 1893.

56 and 57 Vict., c. 39.

Instrument of Dissolution.

(To be signed in duplicate, and accompanied by Form AI.)

Name of society

Register No.

Limited.

[If the society is registered in Scotland

or Ireland, add Scotland or Ireland, as the case may be].

Instrument of dissolution of the

made the

day of

Limited,

18 , pursuant

to the Act 56 and 57 Vict., c. 39, Section 61, and signed by threefourths of the members.

It is agreed and declared as follows:

1. The liabilities and assets of the society are the following [here set them forth in detail].

2. The number of members is and the nature of their interests in the society respectively is as follows:

3. The society has no creditors other than such members [or if there be any, state the amount due to them and the provision to be made for its payment].

4. The funds and property of the society shall be appropriated and divided in the following manner [or in such manner as the Chief Registrar may award. If left to the award of the Chief Registrar add The fee of £1 prescribed by the Treasury Regulations is sent herewith].

[Here insert any other provisions the society desires to make as to the dissolution.]

Signature of members.

Schedule.

List of members who have not signed the foregoing instrument-

N.B.-All signatures by mark only must be attested by a witness who does not sign as a member.

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