Cap. 6:07 No. 7/2018 INSOLVENCY Was the debtor, or a member of management of the debtor, a director of a company which was liquidated within I 0 years before the liquidation of the estate of the debtor? ....... . If the preceding answer is in the afflnnati ve, state the name of each liquidated company, the date of liquidation and the office of the Master of the High Court which had jurisdiction: State the debtor's nationality: .. State the debtor's place of birth, elate of birth and, if an identity number has been assigned, the identity number: .. Was the debtor's estate or the estate of a partnership in which the debtor is or was a partner previously liquidated or placed in bankruptcy, \\ hether in Zimbabwe or elsewhere? If the preceding answer is in the affirmative, state(a) whether debtor's own estate or his partnership's estate was (i) liquidated; or (ii) ........................................... . placed in bankruptcy:. . (b) the place where and the date when that estate \Vas liquidated or placed tn ................................. .. .... . . ............ . bankruptcy . (c) whether the debtor has been rehabilitated or his estate released; if so, when: .. PART lO AFFIDAVIT/SOLEMN DECLARATION I, .......................................... declare under oath/solemnly and sincerely declare* that to the best of my knowledge and belief the statements contained in this Schedule arc true and complete, and that every estimated amount therein contained is fairly and correctly estimated. Signature of declarant Sworn/solemnly cleclarccl before me on the ... ..... day of .....aL .... Commissioner of Oaths Full names Business address Designation and area or office 327

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