Last Updated: 1 January 2022
[COM 10,400] FORM A28 APPLICATION FOR EXTENSION OF PERIOD TO PROVIDE COPIES OF REGISTERS OR MINUTES

REGISTRAR OF COMPANIES

OF

THE REPUBLIC OF FIJI

FORM A28

Sections 86, 175, 368

of the Companies Act 2015

APPLICATION FOR EXTENSION OF PERIOD TO PROVIDE COPIES OF REGISTERS OR MINUTES

If there is insufficient space in any section of the form, you may photocopy the relevant page(s) of the form or complete an annexure and submit the relevant page(s) or annexure as part of this lodgement.

Details of company or trustee/manager of a managed investment scheme

Name of company or trustee/manager of a managed investment scheme

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Company number (if applicable) ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Lodgement details

Who should the Registrar contact if there is a query about this form?

Firm/Organisation ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Contact name ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Position description ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Telephone number (during business hours) ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

E-mail address (optional) ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Level/Office building ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Street number and street ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Town/City ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Island ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Extension application for period to provide copies of registers or minutes

We apply to extend the period for providing:

□ copies of registers

□ minutes

from a period ending on .................................................................................................................. / .................................................................................................................. / .................................................................................................................. to a period ending on .................................................................................................................. / .................................................................................................................. / .................................................................................................................. The reasons for this extension application are as follows:

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Signature

This form must be signed by a current officeholder of the company or trustee of a managed investment scheme.

I certify that the information in this form is true and complete.

Name ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Capacity

□ Director

□ Company secretary

Signature ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Date signed .................................................................................................................. / .................................................................................................................. / ..................................................................................................................