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REGISTRAR OF COMPANIES
OF
THE REPUBLIC OF FIJI
FORM A23
of the Companies Act 2015
APPLICATION FOR EXTENSION OF PERIOD FOR LODGEMENT OF FINANCIAL STATEMENTS
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.
Foreign company details
Foreign company name ......................................................................................................................................................................................................................................................................................................................................................................................................................................................
Foreign company number ......................................................................................................................................................................................................................................................................................................................................................................................................................................................
Financial year ended .................................................................................................................. / .................................................................................................................. / ..................................................................................................................
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 lodgement of financial statements
We apply to extend the period for lodgement of the financial statements from a period ending on .................................................................................................................. / .................................................................................................................. / .................................................................................................................. to a period ending on .................................................................................................................. / .................................................................................................................. / .................................................................................................................. (being 6 months after the end of the financial year). The reasons for this extension application are as follows:
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Signature
I certify that the information in this form is true and complete.
Name ......................................................................................................................................................................................................................................................................................................................................................................................................................................................
Capacity
□ Director (or equivalent) of the foreign company
□ Secretary of the foreign company
□ Duly appointed local agent of the foreign company
Signature ......................................................................................................................................................................................................................................................................................................................................................................................................................................................
Date signed .................................................................................................................. / .................................................................................................................. / ..................................................................................................................