Certificate No Class No of Shares
[INSERT NUMBER] [INSERT CLASS, I.E. ‘ORDINARY’] [INSERT NUMBER]

Company Name: [INSERT NAME]

Company Number: [INSERT NUMBER]

This is to certify that

[INSERT FULL NAME OF SHAREHOLDER]

of

[INSERT RESIDENTIAL ADDRESS]

is the registered holder of [INSERT NUMBER AND CLASS] shares of $ [INSERT NOMINAL VALUE OF SHARES]
each in the above named company subject to the memorandum and articles of association of the company

This certificate was authorised by:

Directors ______________________________ Secretary _______________________________

______________________________ Date _______________________________

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