Name of scheme:

Period of return:

Balance of unallotted securities under scheme(s) from previous return:

Plus:  The amount by which the block scheme(s) has been increased since the date of the last return (if any increase has been applied for):

Less:  Number of securities issued/allotted under scheme(s) during period:

Equals:  Balance under scheme(s) not yet issued/allotted at end of period:

Name of scheme:

Period of return:

Balance of unallotted securities under scheme(s) from previous return:

Plus:  The amount by which the block scheme(s) has been increased since the date of the last return (if any increase has been applied for):

Less:  Number of securities issued/allotted under scheme(s) during period:

Equals:  Balance under scheme(s) not yet issued/allotted at end of period:

Name of scheme:

Period of return:

Balance of unallotted securities under scheme(s) from previous return:

Plus:  The amount by which the block scheme(s) has been increased since the date of the last return (if any increase has been applied for):

Less:  Number of securities issued/allotted under scheme(s) during period:

Equals:  Balance under scheme(s) not yet issued/allotted at end of period:

Name of scheme:

Period of return:

Balance of unallotted securities under scheme(s) from previous return:

Plus:  The amount by which the block scheme(s) has been increased since the date of the last return (if any increase has been applied for):

Less:  Number of securities issued/allotted under scheme(s) during period:

Equals:  Balance under scheme(s) not yet issued/allotted at end of period:

Telephone number of contact: