Sec Form 10-1 - Notice Of Exempt Transaction Under 10.1(K)/ Application For Confirmation Under Section 10.1 Of The Securities Regulation Code Page 2

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(i) Other securities registered with the Commission
under the Revised Securities Act or the Securities
Regulation Code (title of each class, number of
shares of common stock and amount of debt
outstanding, date of registration)
(j) Describe any other offer for sale/sale of securities
by the issuer for the last 12 months for which
exemptive relief from registration was claimed under
RSA or Section 10.1 of the Code (whether or not this
form was filed
(k) Name of underwriter or selling agent involved in
the sale
4.
If securities are being sold by the owner thereof, please disclose:
(a) Name of Selling Owner or
Owner’s Representative
(b) Date of acquisition and from whom (issuer,
another person)
(c) Price of securities when acquired
5.
Terms and Conditions of the Sale:
(a) Date and place of initiation of selling efforts
(or proposed date and place of sale if prior
confirmation is requested)
(b) Unless being sold by the issuer or the owner,
please disclose name of person selling the securities
and his authority
(c) Lock-Up Period
(d) Summary of other terms and conditions of the
sale.
6.
Information about purchasers
(a) Name, address and legal residence of each
purchaser, and indicate whether each purchaser is a
“qualified buyer” under Section 10.1(1) of the Code.
(b) Number of shares which shall be purchased/
purchased by each purchaser
(c) For each purchaser, indicate whether such
person is an officer, director or holder of at least 5%
of any class of equity shares of the issuer
(d) Indicate the class, number, and percentage of all
shares of the issuer already owned by each
purchaser
2

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