Form No. 021 - (See rule 49) - Company Court Rules, 1959

Form No. 21 (See rule 49) [Heading as in Form No. 1] Company Petition No. ............... of 19 .......... A.B. Co., Ltd., Petitioner List of creditors as on the .......... day of ............... 19 ..... Serial No. Name, address description of creditor Nature of debt or claim Amount or estimated of value the debt or claim (Sd.) ........................... Director, Secretary or other competent officer of the Company. The above list of creditors marked 'A' was produced and shown to E.F., and is the same list of creditors referred to in his affidavit sworn before me this ............... day of ............... 19 ..... X. Y., Commissioner for Oaths.