Condensed financial income statement.

Details Year1 Year2 Year3

1. Sources of income.

1. Dividend

2. Trading

3. Other Income.

1. Total income a+b+c.

2. Expenses.

1. Directors remuneration

2. Trustees fees

3. Custodian fees

4. Registered fees

5. Other expenses.

1. Total expenses a+b+c+d+e.

2. Gross profit 4-3

3. Depreciation

4. Net profit before tax 5-6

5. Tax (income tax).

6. Profit after tax 7-8

7. Income distributed or dividend declared.

8. Retained earning 9-10

Place _____

Date ______

Signature and designation of the applicant.

Action Points: This form must accompany Form 56A