Does the instrument ☐ Yes include a charge (which ☐ No is not a floating charge) or a fixed security over any tangible or intangibles? Is the instrument ☐ Yes expressed to contain a ☐ No floating charge? Is the floating charge ☐ Yes express to cover all the ☐ No property and undertaking of the company? Do any of the terms of ☐ Yes the charge prohibit or ☐ No restrict the company from creating further security that will rank equally with or ahead of the charge? Description of the nature of the charge Details of the obligations secured by the charge Section 6: Signature I declare that the information in this application and any attachments is true and complete as at the date of this form. Signature Date Name Designation Party lodging this application Title* Forenames* Surname* Designation* Organisation Office Number
Does the instrument include a charge (which is not a floating charge) or a fixed security over any tangible or intangibles? ☐ Yes ☐ No Is the instrument expressed to contain a floating charge? ☐ Yes ☐ No Is the floating charge express to cover all the property and undertaking of the company? ☐ Yes ☐ No Do any of the terms of the charge prohibit or restrict the company from creating further security that will rank equally with or ahead of the charge? ☐ Yes ☐ No Description of the nature of the charge Details of the obligations secured by the charge Section 6: Signature I declare that the information in this application and any attachments is true and complete as at the date of this form. Signature Date Name Designation Party lodging this application Title* Forenames* Surname* Designation* Organisation Office Number
registerofcharges_ver100_2016-12-28.docx