Embed Size (px)
Citation preview
7/26/2019 FORM 49(Sample
http://slidepdf.com/reader/full/form-49sample 1/3
FORM 49
Companies Act, 1965 Section 141(6)
Company No.123456-W
RE!RN "#$#N" %AR#C!&ARS #N RE"#SER ' #REC'RS,
*ANA"ERS AN SECREAR#ES AN C+AN"ES ' %AR#C!&ARS
JAYA SELALU SDN. BHD.
iectos
// Name Nationa/ity0Race
ate o it
Resientia/ Aess siness'ccpation
(i any)
%atic/as o 'te
iectosips
Nate o Appointment
o Cane anRe/eant ate
#entity Ca No.0
%asspot No.
A7 a8a Nai
Amina
*a/aysian 0
*a/ay
*a/aysian 0
*a/ay
21.:2.19;;
:4.:6.19;;
No. <<, =a/an
<<0<<A, esa
S8a>aya, 5:4?: @a/a
&mp.
No. <<, =a/an
<<0<<, esaS8ama8m, 5:4?:
@a/a &mp.
ist
iecto
ist
iecto
Ni/
Ni/
ist iecto
Name in te
Atic/es
ist iecto
Name in te
Atic/es
111111-11-111
222222-22-222
1
7/26/2019 FORM 49(Sample
http://slidepdf.com/reader/full/form-49sample 2/3
Company No. 123456-W
FORM 49
*ANA"ERS AN SECREAR#ES
// Name Nationa/ity
0Race
Resientia/ Aess 'te
'ccpation
(i any)
Nate o Appointment
o Cane an
Re/eant ate
#entity Ca No. 0
%asspot No.
*anaes- N0A
Secetaies-
an +i Cen
(&S :1:23)*a/aysian0
Cinese
1:, =a/an %=S 2:03:, ana
SnBay,4615: %eta/in =aya, Se/ano
a/ Esan.
Accontant Name in te Atic/es 333333-33-3333
ate tis
Sinate o iectoA7 a8a Nai
i/e 7y an +i Cen
1:, =a/an 2:03:,
46::: %eta/in =aya,
Se/ano a/ Esan.
2
7/26/2019 FORM 49(Sample
http://slidepdf.com/reader/full/form-49sample 3/3
e/ 2:3: 4:5:
3
