FORM NO. 16

Registration No. of the Company        .             Nominal Capital: Rs.

THE COMPANIES ACT, 1956

Notice to be given by receiver/manager on ceasing to act as such

[pursuant to section 137(2)]

Name of the company                                        Limited /Private Limited.

Presented by

To

The Registrar of Companies

       I             of          Hereby give you notice that I ceased to act as receiver/manager of the Limited on the                     day of         19

Signature

Receiver/Manager

Dated this                      Day of               19