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Application List opens 200,000,000 Ordinary shares of 1.00 each Application List closes
February 09, 2009 March 18, 2009
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at
Financial Adviser:
Account Number:
Name:
Units Held:
TIDDO SECURITIES LIMITED
RC 155716 Provisional Allorment:
Amount:
2, Allottees should complete only ONE of the Boxes marked 'A' and 'B' on the reverse of this Form.
3. Shareholders accepting the provisional allorment in full, should complete Box 'A' and submit their Acceptance/Renunciation Form to the
Financial Adviser together with a bank draft or cash for the full amount payable on acceptance. The cheque or draft must be crossed ''AMANA
RIGHTS", If payment is not received by the close of the Issue, the provisional allorment will be deemed to have been declined and will be
cancelled.
4. Shareholders accepting their provisional allorment partially should complete item (i) of Box 'B' and submit their Acceptance/ Renunciation Form
to the Financial Adviser together with a cheque or bank draft to the Financial Adviser for the amount payable for the partial acceptance.
5. Shareholders who' wish to acquire additional shares over and above their provisional allorment may apply for additional shares by completing item
(ii) of Box 'A'.
6. All cheques or bank drafts will be presented for payment on receipt and all acceptances in respect of which cheques are returned unpaid for any
reason, will be rejected and cancelled. Shareholders are advised to obtain an acknowledgement of the amount paid from the Financial Adviser
through whom this Acceptance/Renunciation Form is to be lodged.
7. Joint Allottees must sign on separate lines in the appropriate section of the Acceptance/Renunciation Form.
8. Ao"ceptance/Renunciation Forms of Corporate Allottees must bear their incorporation numbers and corporate seals and must be completed under
&e hands of duly authorized officials who should also state their designations.
IfWe accept in full, the provisional allotment shown on the front of this form.
Number of Additional Ordinary shares applied for Additional amount payable at N2.00 per share
IfWe agree to accept the same or smaller number of additional shares in respect of which allotment may be made to me.
iii IfWe enclose my/our cheque/bank draft forN · · · ·..,··..· ·· being the sum of the amount payable as
shown on the front of this form, and the additional amount payable as shown in item (ii) above.
Signature: .
Next of Kin: .
1 2Number
3
Amount ofpayable
Ordinaryat N2.00
shares per share
renounced
lIWe accept only the number of Ordinary Shares shown in Column I above and enclose my/our chequelbank draft for the value shown in Column 2 above.
Ii lIWe hereby renounce my/our Rights to the Ordinary shares shown in Column 3, being the balance of the Ordinary Shares allotted to me/us
Signature: . Date: .
Signature: ......................................................................................•.......................................