FORM 62

Companies Act, 1965

Companies Regulations, 1966

Section 189(2), 234(1)

Regulation 7

AFFIDAVIT VERIFYING STATEMENT OF AFFAIRS

............................................. (NAMA SYARIKAT)
In the matter of the Companies Act, 1965
and
In the matter of ...................................... (Nama Syarikat)

I, ............................................. of ............. I/C No ,

in the State of ................................................. being *........................................................................
of .............................................................. (Nama Syarikat), make oath and say that the particulars
contained in the statement of affairs relating to ....................................................... (Nama Syarikat)
dated .................. day of ......................................, 20.........., and signed by me are true to the best
of my knowledge and belief.

Sworn at ........................................ in
the State of ........................................
this .............................................. day
of ........................................, 20..........
Before me..............................................................................
*

Insert description sufficient to show that the person swearing the affidavit is a person referred to in section 189 (2) or
section 234 (2) (as the case requires) of the Companies Act, 1965.