FORM 11
FINANCIAL STATEMENT CERTIFICATION
Pursuant to sections 65(1) and 66(1) of the Securities Act, 2012 and by-law 3 of the
Securities (General) By-Laws, 2015
We, ________________________________________________________(identify the certifying
officers, the Registrant or Self-Regulatory Organization, and their positions at the Registrant or
Self-Regulatory Organization ),certify that:
We have reviewed the____________________________________ (state whether Interim or
Annual Comparative) financial statements, to which this certificate relates, of
_______________________________ (insert name of Registrant or Self-Regulatory
Organization) for the period ending ______________________________ (state the period
to
which the financial statements relate).
Based on our knowledge, the_____________________ (state whether Interim or Annual
Comparative) financial statements do not contain any untrue statement of a material fact or omit
a material fact required to be stated or that is necessary to make the financial statement
not
misleading in light of the circumstances under which it was made, with respect to the period
covered by the ______________________ (state whether Interim or Annual Comparative)
financial statements.
Based on our knowledge, the__________________________ (state whether Interim or Annual
Comparative) financial statements fairly present in all material respects the financial condition,
results of operations and cash flows of the reporting issuer as of the date for the periods presented
in the_________________________ (state whether Interim or Annual Comparative )financial
statements.
Date: _____________________________________________