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Application under the

Capital Markets and Securities (Prospectus Requirements) (Amendment)


Regulations 2010
and the
Capital Markets and Securities (Nominated Advisors) Regulations 2010
for
The 50,000,000 shares of TZS 500 per share offered to the Public will
represent 100% of the issued and fully paid up share capital of 50,000,000
ordinary shares of a nominal value of TZS 500 each.
Offer opens: Monday, 23 March 2015
Offer closes: Monday, 4 May 2015
Expected Listing Date: Monday, 8 June 2015
Date of this Prospectus: 19 February 2015

xviii
xix

73
73
79
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83
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86
87
87
87
88
88

Capital Markets and Securities Act (CAP 79);


Capital Markets and Securities (Prospectus Requirements) Regulations, 1997;
and the Capital Markets and Securities (Nominated Advisors) Regulation, 2010.

19/02/2015

IMPORTANT DATES - OFFER TIMETABLE


Event

Expected date

Offer opens

Monday, 23 March 2015

Offer closes

Monday, 4 May 2015

Approval of results by CMSA, allotment date and


announcement of results

Friday, 22 May 2015

Submission of Register to DSE for printing of depository


receipts

Monday, 25 May 2015

Depository receipts and refunds of excess monies mailed


to successful applicants

Friday, 5 June 2015

Expected DSE listing and first trading date

Monday, 8 June 2015

ix

MWALIMU COMMERCIAL BANK PLC (IN FORMATION)

MWALIMU COMMERCIAL BANK PLC (IN FORMATION)

MEDIA ADVISOR
GLOBUS Media Limited,
Wing C, 6th Floor, NIC Life House,
Ohio Street/ Sokoine Drive ,
P.O. Box 105903, Dar es Salaam, Tanzania,
Tel/Fax: +255 22 2120723, Mobile: +255 684
278956,
E-mail: info@globusmedia.co.tz
Website: www.globusmedia.co.tz

DECLARATION OF CONSULTANTS FOR RESOURCES EVALUATION LIMITED


(THE NOMINATED ADVISOR)
To the best of its knowledge and belief, having made due and careful enquiry and
considered all relevant matters under the Capital Markets and Securities (Nominated
Advisors) Regulations, 2010 and the DSE Rules for EGM Companies and in relation to
this application for admission, this Nominated Advisor confirms that all applicable
requirements have been complied with and, in particular:
SECTION A:
The listing document complies with the DSE Rules for EGM Companies.
The requirements of the First Schedule to the Capital Markets and Securities
(Nominated Advisors) Regulations, 2010 have been complied with.
SECTION B:
It is satisfied that the applicant and its securities are appropriate to be listed on the EGM
having made due and carefully enquiry and considered all relevant matters set out in
the DSE Rules for EGM Companies and the Capital Markets and Securities Authority
(Nominated Advisors) Regulations 2010.
The Directors of the applicant have received advice and guidance ( from this Nominated
Advisor and other appropriate professional advisors) as to the applicants
responsibilities and obligations under the law in order to facilitate due compliance by the
applicant on an ongoing basis;
It will comply with the laws as applicable to it in its role as a Nominated Advisor to this
applicant.
The Directors of Mwalimu Commercial Bank PLC have resolved to issue the banks
ordinary shares at the par value of TZS 500 of the shares in this IPO for the reasons
given in Basis of IPO Price on page xviii of this Prospectus. The Nominated Advisor is
of the view that this treatment of the banks valuation is fair, objective, and sufficiently
conservative.

___________________
L. G. FUMBUKA, MBA FCCA
Certified Public Accountant in Public Practice
DIRECTOR
____
___
_ _____________
___________________
L
L. G
G. FUMBUKA
FUMBUKA, MBA FCCA
Certified Public Accountant in Public Practice
DIRECTOR

xiv

DEFINITIONS AND ABBREVIATIONS


In this Prospectus and the appendices hereto, unless otherwise indicated, the words in
the first column have the meanings stated opposite them in the second column. Words
in the singular include the plural and vice versa, words imparting one gender include the
other gender and references to a person include references to a body corporate and
vice versa:

Anchor Shareholder

Any one of the 2 promoters of the bank, namely, TTU and


TDCL

Articles

The Articles of Association of MCB PLC

ATM

Automated Teller Machine

Bank of Tanzania Act

The Bank of Tanzania Act, Cap 197 (Act No. 4 of 2006)

Banking Act

The Banking and Financial Institutions Act, Cap. 342 (Act


No. 5 of 2006)

Board

The Board of Directors of the bank

BoT

The Bank of Tanzania, also called the Bank

BRN

Big Results Now, the Presidential Delivery Bureau

Closing date

Monday, 4 May 2015, being the last submission date for


applications for the offer

CMSA
or
Authority
Companies Act
CREL

the

The Capital Markets & Securities Authority

The Companies Act, Cap 212 (Act No.12 of 2002)


Consultants for Resources Evaluation Limited, also called
the Nominated Advisor, abbreviated NOMAD
CSD
Central Securities Depository of the DSE
Depository Receipt
A non-negotiable document issued by the DSE
representing title in respect of securities deposited in the
CSD by a shareholder
Directors
The members of the Board of Directors of Mwalimu
Commercial Bank whose names appear on page 41 of this
document.
DSE,
or
the The Dar es Salaam Stock Exchange
Exchange
EGM
Enterprise Growth Market - a segment of the DSE that
caters for start-up companies and SMEs seeking capital
without a prior track-record of business operations
xv

FDI
Founder
shareholders

Foreign Direct Investment


The original group of paid-up members of the TTU who
were given TZS 50,000 each from accumulated members
contributions for the purpose of starting the bank. It
includes teachers in public service who are not members
of the TTU but who get 2% of their salaries deducted and
sent to TTU as agency fee.
GDP
Gross Domestic Product
General public
Individual and Corporate persons and eligible institutions
with legal capacity to contract
Government
The Government of the United Republic of Tanzania
IAS
International Accounting Standards
IFRIS
International
Financial
Reporting
Interpretations
Committee
Initial Public Offer or The Initial Public Offer to investors by MCB PLC of
IPO
50,000,000 ordinary shares at a price of TZS 500 per
share in terms of this Prospectus
Institutional Investor

Refers to corporate investors like Pension Funds, Unit


Trusts, Asset Management Companies, Banks etc.

Issuer
LDM
Legal Advisor
Listing Date

Mwalimu Commercial Bank PLC (In Formation)


Licensed Dealing Member of the DSE
Abenry & Company Advocates
Expected to be on or about Monday, 8 June 2015 the
effective date for trading on the DSE
MCB PLC
Mwalimu Commercial Bank PLC (In Formation)
MEMARTS
Memorandum and Articles of Association
MFI
Microfinance Institutions
Micro-finance
Refers to that unique sector of financing that targets small
and micro-enterprises
NMB
National Microfinance Bank PLC
Nominated Advisor or Consultants for Recourses Evaluation Limited, abbreviated
NOMAD
CREL
Offer Price
TZS 500 per share
Offer shares
The ordinary shares of MCB PLC subject to this offer
Opening Date
Monday, 23 March 2015, being the first date for
submission of applications for the IPO
Ordinary Shares
Ordinary shares of TZS 500 each in the share capital of
the Company
PLC
Public Limited Company
Promoters

TTU and TDCL

xvi

Prospectus

This offer document of the companys shares to the


general public

SACCOS

Savings and Credit Cooperatives Society

SMEs

Small and Medium Enterprises

the Company
TZS

Mwalimu Commercial Bank PLC (In Formation), also


called the bank, The Issuer, and MCB PLC
Tanzania Shillings

USD

United States Dollars

TDCL

Teachers Development Company Limited

TTU

Tanzania Teachers Union

xvii

xviii

xix

Mwanachama Hai

xx

xxi

xxii

United we stand strong, and our vision is one

These projections have been made on the key assumption of the capital base, assumed
to be that the paid up capital will be TZS 25 billion. Apart from the statutory minimum
reserve to be deposited with BoT, the core capital would be invested in various products
as described in the projection. Other assumptions are as follows:


Treasury Bills will fetch an average of 12% p.a. in later part of 2015

Placements in local banks will earn an average interest rate of 10% p.a.

There will be no placements in foreign banks.

Loans and overdrafts in local currency will earn interest of 18% p.a.

Loans and overdrafts in foreign currency will earn interest of 3% p.a.

Borrowings in local currency will be charged interest of 10% p.a.

Fixed deposits in local currency will bear interest of 6% p.a. while those in foreign
currencies will be charged interest of 2.5% p.a.

Savings deposits in local currency will earn interest of 5% p.a. and 2% p.a. for
foreign component.

Major expenses in 2015 will be those expenses related to IPO, in particular


printing & stationery, fees payable to nominated and legal advisors, Lead Bank,
etc. Others include publicity and advertisement, sensitization, business
promotion and development, depreciation of hardware and software, pre-opening
expenses, etc.

As part of the bank (In Formation) process, consultants were hired to prepare an
extensive Business Plan this is one of the documents available for inspection by
interested readers. BoT, as part of its licensing conditions, will also require an updated
version of the Business Plan as well as updated operations manuals for the banks
various activities in its core business.
This exercise will be accomplished along with the setting up and furnishing of the
banking hall as well as recruitment of key staff. A period of 6 months has been allowed
between conclusion of the IPO and consummation of these mundane aspects before
the bank opens its doors for trading. This is planned for Monday, 2 November 2015.
Upon close of the IPO and clearance of the shares by BoT, the shares will be listed on
the DSE and trading shall commence, tentatively set for Monday, 8 June 2015.

In the event of under-subscription, the IPO will continue to allotment with everyone
getting the amount they applied for as long as the minimum requirements for the BoT
capital adequacy threshold are met. At the date of this Prospectus, final commitments
for contribution toward Share Capital amount to about TZS 1.1 billion for individual
shareholders and TZS 10.9 billion from the founder shareholders.
There are no restrictions to the maximum number of offer shares to be applied for.
Important dates and time
TABLE 5 OFFER TIMETABLE
Event
Offer opens
Offer closes
Approval of results by CMSA, allotment date and
announcement of results
Submission of Register to DSE for printing of depository
receipts
Depository receipts and refunds of excess monies mailed
to successful applicants
Expected DSE listing and first trading date

12

Expected date
Monday, 23 March
2015
Monday, 4 May 2015
Friday, 22 May 2015
Monday, 25 May 2015
Friday, 5 June 2015
Monday, 8 June 2015

Source: http://www/meac.go.tz

FINSCOPE REPORT 2013

Source: Finscope 2013

Source: Finscope 2013

The Bank of Tanzania Act,

Banking Act

Foreign Exchange Act, 1992


 !!"! ! 

The envisaged MCB PLC shall be established and operated as required by the Banking
Act and Banking and Financial Institutions Regulations.
Other legal provision establishing MCB PLC is the Companies Act. The Bank shall carry
out a number of commercial bank activities and shall start operations once the Bank of
Tanzania grants it with the commercial bank license.

 "! !  
The MCB PLC has its headquarters in Dar es Salaam. The bank shall deliver various
financial products and services and undertake investments as well. The bank shall have
branches in different parts of the country.
# " " 

##$
Among the aims of the MCB PLC include enabling teachers and other customers to
have easy access to financial products with favorable terms and be able to benefit from
the shares they buy from the bank. In order to ensure the bank reaches its target,
delivers quality products and makes profits, one of the key aspects to be considered is
the management. Management is referred to as organization and coordination of an
enterprise or an entity in accordance with certain policies for the purpose of achieving
defined objectives. There are four components of management. They are planning,
organizing, directing and monitoring. The four aspects are considered in this strategic
plan for the MCB PLC.

 "  


In order to ensure that the bank takes off smoothly and deliver quality services,
arrangements for acquiring the necessary financial capital is necessary. Adequate
capital shall make the bank competitive in the delivery of services to a wide spectrum of
clients and through an increased volume of business and be able to make profit.
Various strategies for mobilizing capital to provide the opportunity for the bank to raise
adequate capital for smooth take-off have been identified.
Specifically, the bank shall ensure that at any given time it has the optimal asset
portfolio that enables it to maximize profit and grow. The growth of the portfolio shall be
in line with the bank expansion and marketing plans in place. The bank shall open
more branches and introduce new products and services as the market may require and
given that adequate capital shall be available. The increase in asset portfolio shall
enable the bank to grow and realize profit.



Second Schedule
Capital Markets and Securities (Prospectus
Requirements) (Amendment) Regulations, 2010

CONSULTANTS

FOR

RESOURCES

EVALUATION

LIMITED

CORE Securities Limited


Capital Markets and Securities Authority (CMSA)
Dar es
Salaam Stock Exchange

CORE Securities Limited

CORE Securities (Rwanda) Limited

Professional capabilities

CORE

CREL

Pomy Engineering
Limited

Mr. Jonathan Swalala:

Mrs. Nkunde Shoo

Mr. Edwine Mahenge

Miss Sandra Felician

SECTION E
RISK FACTORS

 
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RISKS RELATED TO THE BANKING INDUSTRY

 
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having in place a Board approved Policy which is reviewed annually or earlier


where warranted and all members of staff have a responsibility for maintaining
MCB PLCs reputation. MCB PLC actively pursues a positive image at all times by
ensuring that it demonstrates proper intent, integrity and ethical practices,
protection of data and intellectual capital, maintaining a sound financial position
and compliance with MCB PLCs policies, statutory and BoT requirements.
11. Compliance Regulatory risk: Compliance risk is the risk of non-compliance
with regulatory guidelines. Regulatory risk is the current and prospective risk to
earnings or capital arising from violations of, or non-conformance with laws, rules,
regulations, prescribed practice, or ethical standards issued by the regulator from
time to time. In addition to the specific safeguards instituted under each area of risk
MCB PLC is managing these risks by setting and enforcing firm code of ethics for its
Directors and staff and the HR Department performs regular reviews of compliance
with that code.
RISKS RELATED TO INVESTING IN SHARES
An Investment in equity involves higher degree of risks and such, MCB PLC is
subject to various risks in its operations. Prospective investors should
carefully consider the risks described below, in addition to the other
information contained in this Prospectus before making any investment
decision relating to the Equity Shares. The occurrence of any of the following
events could have a material adverse effect on the market price of the Equity
Shares and investors in MCB PLC may lose all or part of their investment.
Prospective investors should review the entire document and form their own
views before making an investment decision. They should also consult their
own financial, legal and tax advisors to carefully review the risks associated
in investing in the Company
1. The Companys success will largely depend on the continued services and
performance of the Companys Board, management and other key
personnel. Any failure of the Company to efficiently retain and manage its
human resources would adversely affect the Companys ability to implement
new projects and expand its business.
2. Given the increasing number of banks and non-financial institutions in the
market the cost of doing business is expected to be high. Mwalimu
Commercial Bank PLC capacity to monitor and swiftly respond to
competitors actions will determine the Companys competitive position and
performance in the market.
3. in case of high market volatility or adverse movements in share price, it is
possible that counter-parties may not honour their commitment, and any
inability on the part of market participants to pay the margins to the stock
exchanges may be detrimental to the Companys business, reputation and
profitability.

54

SECTION F
STATUTORY INFORMATION
OFFER STATUTORY INFORMATION
Particulars of the Initial Public Offer and listing


The Initial Public Offer

There are 50,000,000 ordinary shares are being offered to the public at a price of
TZS 500 per share. They are invited to apply only on the application form attached
to, or issued in connection with, this Prospectus. Exceptionally, investors can also
apply through their mobile money accounts through MaxMalipo. Details of this
aspect are given in Section G Applications using mobile


Time and date of opening and closing the public offer

The offer will open at 8.00 am on Monday, 23 March 2015 and end at the close of
business on Monday, 4 May 2015.


Eligibility

This offer is open to all the general public, Tanzanians and all East Africans alike to
the extent that the purchase of these shares would not be illegal in those other
jurisdictions.


Minimum and maximum level of subscription

Applications must be for a minimum of 100 shares and in multiples of 10 shares


thereafter.
Directors declaration of their interests


Directors shareholding

None of the Directors have any shares in the bank.




Directors interest in the offer

No director has any beneficial or non-beneficial interest in the promotion of the Bank
in the Offer. Neither have any sums been, or need to be paid, to any Director or
promoter in cash or otherwise to induce him to become a member of the Bank, or for
the rendering of services in connection with the promotion of the Bank. The Bank
has not granted share options to any director and there are no requirements for
qualification shares


Conflict of interest

The Banks Articles do not preclude a Director from entering into contracts or being
interested in contracts or arrangements with the Bank. However, a Director who is in
57

Votes may be given either personally or by proxy.


Legal opinion
On page 73 of this Prospectus, the legal advisors have given a legal opinion as to
the completeness and compliance of this Prospectus in all respects with the
requirements of all legislation applicable to this offer.
Registration of Prospectus
A Copy of this Prospectus was registered by the Registrar of Companies on
17th March 2015 in terms of section 35 of Companies Act (Cap. 212) and section 131
of the Capital Markets and Securities Act, 1994 (as amended).
Application for listing
This offer is subject to the Directors application for listing to the DSE for approval of
a listing of MCB PLCs 50,000,000 ordinary shares. Listing is expected to occur on or
about Monday, 8 June 2015 before it opens its doors for banking business on or
about Monday 2 November 2015.
Withholding tax on securities income

MCB PLC is required to act as an agent for the Tanzania Revenue Authority in
deduction of withholding tax on dividends payable to its shareholders. The
withholding tax rate is currently 5% (if the company is listed on the DSE, 10% if not
listed) of the gross dividends.
Central Securities Depository
The Central Securities Depository (CSD) is a bank for shares installed at the DSE to
enhance security and to facilitate efficient dealing in those shares. Shares are held
by the CSD on behalf of shareholders in terms of the rules of the CSD and all
transfers of shares after the date of the listing must take place through the CSD. The
CSD will issue each successful applicant with a Depository Receipt, which is a
document of title similar to a Depository Receipts but is not negotiable.
Experts Consent

Consultants for Resources Evaluation Limited (Nominated Advisor), Abenry &
Company Advocates (Legal Advisor), CORE Securities Limited (Sponsoring Broker),
and NMB PLC (Lead Receiving Bank), have all given and not withdrawn their written
consent to the inclusion of their names and reports, where applicable, and reference
thereto in the form and context in which they appear in the Prospectus. None of
these consents have been withdrawn prior to registration of this Prospectus with the
Registrar of Companies.

59

Use of proceeds
The Bank will utilise net of IPO proceeds to enlarge the capital base, which will cover
the minimum core capital requirements as well as provide funds for initial operations
at a sufficiently large scale to ensure profitable operations as soon as possible,
payment of dividends and opening of new branches.
Authorisations
Letter Reference CMSA/F3/B.25 dated 19/2/2015 from the Capital Markets.
Documents available for inspection
Copies of the following documents will be available for inspection at MCB PLCs
registered offices at any time during business hours on weekdays (except official
Tanzania public holidays) from the offer opening date to the offer closing date:


The Memorandum and Articles of Association of MCB PLC

The Business Plan of MCB PLC covering the 5 years 2015-2019

The signed legal opinion prepared by Abenry & Company, Advocates

Consent letters from the IPO Advisors

Documents related to borrowings, landed and leased properties of the


Company as stated in the Legal Opinion

Business licenses, insurance policies, Directors resolution and material


contracts reviewed as stated in the Legal Opinion

Letter Reference CMSA/F3/B.25 dated 19/2/2015 from CMSA approving this


Prospectus

60

Memorandum

Articles
Transferability of shares

Alteration of Capital

General Meeting

Proceedings of General Meetings

Directors

Dividend Policy

Winding Up

This section describes IPO transactions using MAXMALIPO.


Although this shall be particularly handy for upcountry investors
who cannot access CMSA-licensed Brokers or even normal bank
accounts, other users (even those with access to CMSA-licensed
Brokers and conventional bank accounts) if they wish.

Appendix I
Appendix II

Appendix III

SECTION H: LEGAL OPINION


Our Ref:

19th February, 2015

CO/MCB PLC/LHS/107/15

The Directors
Mwalimu Commercial Bank PLC (In Formation)
P.O. Box 61002
Dar es-Salaam
Tanzania
Ladies and Gentlemen,
RE:

LEGAL OPINION IN RESPECT OF AN OFFER FOR SALE OF SHARES TO


THE GENERAL PUBLIC AND LISTING OF SHARES ON THE DAR-ESSALAAM STOCK EXCHANGE OF MWALIMU COMMERCIAL BANK PLC
(IN FORMATION)

1.0

Background and purpose


We, Abenry & Company, Advocates, have been engaged as Legal Advisers
to advise Mwalimu Commercial Bank PLC (In Formation) (the Company) in
connection with the planned listing of the Companys shares on the Dar-esSalaam Stock Exchange through the Enterprise Growth Market Window (the
Listing) and the Offer for sale to the general public of up to fifty million
(50,000,000) million Ordinary Shares of Tanzania Shillings Five Hundred
(TZS.500.00) each (the Offer) pursuant to the Prospectus dated 19
February, 2015.

2.0

Interpretation
2.1

Wherever used in this Opinion, unless the context otherwise requires:


2.1.1 the term Banking Act shall mean the Banking and Financial
Institutions Act, Cap. 342;
2.1.2 the term BoT shall mean the Bank of Tanzania, established
under the Bank of Tanzania Act, Cap 197;
2.1.3 the term CMSA or the Authority shall mean the Capital
Markets and Securities Authority established under the Capital
Markets and Securities Act, Cap 79;
2.1.4 the term CMS Act shall mean the Capital Markets and
Securities Act, Cap 79;
2.1.5 the term Companies Act shall mean the Companies Act,
Cap. 212;
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APPENDIX II:
SUMMARISED MAXMALIPO PROCESS FLOWS
PART A: REGISTRATION
a. First registration
1.

Access the USSD: *150*36#

2.

Choose new registration

3.

In the backend we capture the MSISDN

 Query validity from mobile operator as follows:

Send MSISDN

Operator check validity

Operator check mobile wallet registration

Operator retrieves registration details




FirstName|MiddleName|LastName|Address

Operator responds with

MSISDNValidity|MobileWalletValidity|&above details

Record the details

4.

Prompt with Unit Price of shares and ask to enter number of shares

5.

In the backend record and calculate total amount

6.
Prompt with Unit Price, Number of shares entered above and total
amount computed, and request confirmation
7.

Generate and assign control number(reference number for payment)

8.

Send SMS Text to the MSISDN with the control number, and
Registration number, and due date

b. Next time, want to acquire shares


1.

Access the USSD: *150*36#

2.

Choose use registration number

3.

Enter registration number

4.

Prompt with Unit Price of shares and ask to enter number of shares

5.

In the backend record and calculate total amount

6.

Prompt with Unit Price, Number of shares entered above and total
amount computed, and request confirmation

7.

Generate and assign control number(reference number for payment)

8.

Send SMS Text to the MSISDN with the control number, and
Registration number, and due date

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APPLICATION FORM
A copy of the Prospectus to which this application is attached was registered in terms of section 35 of the
Companies Act, Cap. 212 and section 131 of the Capital Markets and Securities Act, Cap 79 (as amended)
(the Prospectus)

CSD ACCOUNT NO.

SERIAL NUMBER: 0000

For Ofcial use only

MWALIMU COMMERCIAL BANK PLC (IN FORMATION)


(Incorporated in the United Republic of Tanzania)
(Incorporation number: 90216)
APPLICATION FORM
For ordinary shares in terms of the public offer of 50,000,000 ordinary shares at a price of TZS 500 per
share payable in full on application
Please refer to the instructions overleaf before completing this form.
This form, when completed, should be submitted, together with TZS cash or a TZS bankers cheque
(crossed not negotiable) or TZS bankers draft in favour of MWALIMU COMMERCIAL BANK PLC (IN
FORMATION) public offer, by hand to an authorized receiving agent mentioned below not later than the
closing Business on Monday, 4 May 2015
Each application submitted must be in one name only and show one address. The Directors of MCB PLC
reserve the right to accept or reject any application, in whole or in part, particularly if the instructions
overleaf and as set out in this Prospectus are not properly complied with.

To the Directors, MCB PLC:


I/We, the undersigned, conrm that, having read the Prospectus, hereby irrevocably apply for and request
you to accept my/our application for the under mentioned number of ordinary shares in MCB PLC at TZS
500 per ordinary share or any lesser number that may be allotted to me/us in terms of the Prospectus and
subject to the Articles of Association of MCB PLC.
I/We enclose a TZS bankers cheque/TZS bankers draft in favour of MCB PLC public offer, for the
appropriate amount due in terms of this application.

89

Dated: _________

Mobile # __________

Telephone number: __________

CSD Account #:___________

Signature:
Assisted by: (where applicable)

Please complete in BLOCK LETTERS


Mr
Surname of individual or name of corporate
body/institution (Circle appropriate title or
ll in Other title if not listed)

Mrs
Miss
Other title

All successful applicants will receive a CSD depository receipt as proof of their shareholding in MCB PLC
Name in full (if an individual)_________________________________ ID Issuers Name or Law ______________________
Name in full as registered (for Corporates)_____________________ ID Issuers Name or Law ______________________
Name of competent registering Authority___________________________________
Collection instructions: please indicate (tick)- Posted to me at the given on the application form The Depository
Receipts or refund cheque (if any) should be - sent to the authorized receiving agent to wait collection
Identity Number (individuals only)______________________________________
Registration Number (for Corporates)_________________law_______________
Only legally recognised persons or entities may apply, It is necessary to produce positive identication when collecting Depository Receipts or refund cheques (if any). Depository Receipts and refund cheques (if any) will only be
available for collection from the Bank
P O Box :(.. )
Bank Account Holder: ..............................
Postal address Depository Receipts and refund
cheques (if any) will be sent to this address By registered post at the applicants risk.

Bank Account Number:...........................


Bank Name:............................................
Branch Name:.........................................
Total amount of TZS cash, TZS. Bankers cheque or TZS bankers draft to cover ordinary shares applied for herein at TZS.
500 per ordinary share.

Total number of ordinary shares applied for


Note: Minimum number of 100 shares
(Enter gures only not
words)

TZS 500

TZS (enter gures only not words)

If a recognized nominee company, state number of principals covered by this form (a supporting schedule which
discloses the number of shares applied for on behalf of each principal in respect of each application must appear in
the space provided overleaf)
(Please detach along the perforation and retain this portion for your records)

Serial number: 0000


Name(s) of applicant or institution

Total shares required

90

Total funds submitted

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