G230911-1757
Statement of Particulars required to be given pursuant to the Business
Name Registration Act IN CASE OF AN INDIVIDUAL
This form must be signed either (a) by all the individuals who are partners (or if one or more of the
partners is a corporation, by a director or secretary thereof) or (b) by one individual who is a partner in
the firm, or (c) by a director or secretary of a corporation which is a partner in the firm; but in cases (b)
and (c), a statutory declaration as to the truth of the particulars contained in the form must be made as
per reverse. (Vide sec. 6 of the Act).
1- Business Name to be registered
ROBYN'S MYSTIQUE JEWELRY
Where a business is carried on under two or more business
Name, each of these business names must be stated.
Arts, entertainment and recreation
2- General nature of business Creative, arts and entertainment activities
Creative, arts and entertainment activities
3- Principal place of business
Church, Bukesa, Central Division, Kampala, Central,
Plot, Street and Postal Address.
4- Present Christian name (or names), surname and
age of each of each of the individuals who are
partners.
If any of the individual who are partners are of non- ABAHO BRENDA Age : 29
European origin,
Such individual or individuals (as the case may be) must
also stat the
Christian name (or names) or surname if his, her or their
fathers respectively
5- Former Christian name (or names), and surname
(if any) of each of the individuals who are partners.
6- Nationality of each of the individuals who are
partners
ABAHO BRENDA : Ugandan
If the Nationality stated is not the nationality or origin,
such nationality of origin must in any case be stated.
7- Usual place of residence of each of the
individuals who are partners. ABAHO BRENDA : CHURCH, BUKESA, CENTRAL DIVISION,
KAMPALA, CENTRAL
Plot, Street and Postal Address.
8- Other business occupation (if any) of each of the
ABAHO BRENDA : Occupation : Business Woman
individuals who are partners.
9- Date of commencement of business
The date need only be stated where the business was 2023-09-11
commenced after
The 15th day of October 1918.
10- Corporate name of each corporation which is a
partner.
11- Registered or principal office of each
corporation which is a partner.
Dated this 11th September 2023
Signed:............................................
........................................................
........................................................
STATUTORY DECLARATION
I, ............................................................ of ...................................................................................................................Uganda,
DO SOLEMNLY AND SINCERELY declare that the particulars hereon are true and correct AND I make this solemn
declaration conscientiously believing the same to be true and by virtue of the Oaths Act. DECLARED at
.................................................................in this..................................... District Of......................this.......................day
of.............20........................
BEFORE ME,
...........................................................
Magistrate/Commissioner for Oaths.