FORM No. 39
Registration No. of Company___________________..
THE COMPANIES ACT, 1956
Registration' of an existing company
List of Members
[Pursuant to section 5671
Name of Company_______________________
Presented for filing by_______________.
Name in full	Address	Occupation	Number of shares or amount of stock held	Distinctive number of shares	
1	2	3	4	5	

Signature
Designation
Dated the_________________day of_______________..19__________.
           We______________.. of_________________ and ___________..being two of the_______________.. 0f________________. do solemnly and, sincerely declare that the particulars set forth in the several documents accompanying this declaration are true to our knowledge in regard to the particulars _______________and true to the best of our information and belief in regard to the other particulars.

Signature
Designation
Dated the______________. day of______________  19
1	Not more than six clear days before delivery for registration.
2	State whether Director, Managing Director, Manager or Secretary.
3	State whether Directors, or other principal officers.
4	Insert name of the company.