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UNWALL INTERNATIONAL INCORPORATION
Share Allotment Application Form Date dd mm yyyy
To The Board of DirectorsUnwall International Incorporation
Dear sirs,
I / We hereby apply to you for allotment to me / us of the shares of USD 0.50 each as stated below. The amount shown bellow is remitted here with towards the share application money.
I / We authorize you to place my / our name’s on the Register of Members of the Company as the holder(s) of the shares that may be allotted and to register my / our address as stated below.
SHARES TYPES NUMBER OF SHARES PRICE PER SHARES TOTALU Share 83946 50 Cents 41973
UWII Share 50 CentsApplicant Details
Sole / First Applicant ID / Certificate No. ID00105699Name (Block Letters) HAMDANI,SH,M.HUMFather’s Name SENOLOccupation BUSINESSMAN SignatureAddress
JL. SUI RAYA DALAM MITRA INDAH UTAMA V BLOK C NO. 21 PONTIANAK - KALIMANTAN BARAT – INDONESIA
Contact Number +628164999044 Email id [email protected] (Block Letters) LUCY JASRUL, S.SOSAddress JL. SUI RAYA DALAM MITRA INDAH UTAMA V BLOK C NO. 21 PONTIANAK - KALIMANTAN BARAT – INDONESIARelation with First Application WIFE
Acknowledgement By Subscriber
1. I/We the undersigned acknowledge that this offer for the subscription for shares is non-renounceable by me/us.2. I/We the undersigned confirm that I/We have full legal capacity to contract and do hereby irrevocably apply for the allotment to me/us of the above mentioned number of ordinary shares at 50c per ordinary share in Unwall International Incorporation, subject to the Memorandum and Articles of Association of the Company.3. I/We agree that this application is irrevocably and once submitted may be not be withdrawn without the written consent of Unwall International Incorporation.4. I/We, the undersigned, hereby acknowledge that-
Neither the directors of the company from time to time, nor the company itself, will be liable for any loss or damage,directly or indirectly suffered by me/us, from whatsoever cause arising, in relation to my/our acquisition, ownership or disposal of the shares
I/We have signed this acknowledgement of my/our own free will and volition.
18 10 2013