THE MINISTRY OF JUSTICE

OF

THE REPUBLIC OF FIJI

FORM A76

Section 417

of the Companies Act 2015

NOTICE OF REGISTRATION OF AUDITOR OR LIQUIDATOR

Notice to:

Surname ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

First name(s) ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Former name ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

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

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

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

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

This is a notice that your registration under the Companies Act 2015 as (an auditor/a liquidator) is subject to the following conditions:

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Issued by the Ministry of Justice on .................................................................................................................. / .................................................................................................................. / ..................................................................................................................

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

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