Annual Report Of Exempted Foreign Company - Corporate Affairs Commission - Form Cac 10c Page 2

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5.
6.
7.
9.
Name and Address of Principal Representative of Company in Nigeria:
________________
_____________________________________________________________________________
_____________________________________________________________________________
_______________________________________
________________________________________
Signature of Director/Principal Representative
Signature of Director/Principal Representative
_
______________________________________
________________________________________
Name & Telelphone Number
Name & Telephone Number
Note:
If there is insufficient space on the form to provide any information required, please attach a separate sheet containing the information
set out in the prescribed form.
Presented for filing by:
Name: __________________________________________________ Accreditation Number: ________________________________
Address: ____________________________________________________________________________________________________
Tel. No. & E-mail: ________________________________________________ Signature & Date: ______________________________

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