Date dd mm yyyy To The Board of Directors Unwall International Incorporation Dear sirs, I / We hereby apply to you for allotment to me / us of the shares of USD 0.50 each as stated below. The amount shown bellow is remitted here with towards the share application money. I / We authorize you to place my / our names on the Register of Members of the Company as the holder(s) of the shares that may be allotted and to register my / our address as stated below. SHARES TYPES NUMBER OF SHARES PRICE PER SHARES TOTAL U Share 83946 50 Cents 41973 UWII Share 50 Cents Applicant Details Sole / First Applicant ID / Certificate No. ID00105699 Name (Block Letters) HAMDANI,SH,M.HUM
Fathers Name SENOL Occupation BUSINESSMAN Signature Address JL. SUI RAYA DALAM MITRA INDAH UTAMA V BLOK C NO. 21 PONTIANAK - KALIMANTAN BARAT INDONESIA
Contact Number +628164999044 Email id hamdani.abbah@yahoo.co.id Nominee Name (Block Letters) LUCY JASRUL, S.SOS Address JL. SUI RAYA DALAM MITRA INDAH UTAMA V BLOK C NO. 21 PONTIANAK - KALIMANTAN BARAT INDONESIA Relation with First Application WIFE
Acknowledgement By Subscriber 1. I/We the undersigned acknowledge that this offer for the subscription for shares is non-renounceable by me/us. 2. I/We the undersigned confirm that I/We have full legal capacity to contract and do hereby irrevocably apply for the allotment to me/us of the above mentioned number of ordinary shares at 50c per ordinary share in Unwall International Incorporation, subject to the Memorandum and Articles of Association of the Company. 3. I/We agree that this application is irrevocably and once submitted may be not be withdrawn without the written consent of Unwall International Incorporation. 4. I/We, the undersigned, hereby acknowledge that- Neither the directors of the company from time to time, nor the company itself, will be liable for any loss or damage, directly or indirectly suffered by me/us, from whatsoever cause arising, in relation to my/our acquisition, ownership or disposal of the shares I/We have signed this acknowledgement of my/our own free will and volition. 18 10 2013