Schedule 1

FIRST SCHEDULEFORM 1Section 30(7)Declaration where Pledge Claimed by Owner Take Notice, if this Declaration is false the person making it is punishable for perjury. Unless this printed form is taken before a Magistrate and declared to and signed, and delivered back to the pawnbroker not later than 19 , the articles mentioned in it will be delivered to any person producing the pawn ticket. I, A.B., of , in pursuance of the Pawnbrokers Act (Chapter 222), do solemnly and sincerely declare that the article [or articles] described below is [or are] my property and that I believe it is [or they are] pledged at the shop of The article [or articles] above referred to is [or are] the following: And I, C.D., of , in pursuance of the said Act, do solemnly and sincerely declare that I know the person now making the foregoing declaration to be A.B., of Declared before me this day of 19 . Signature of MagistrateFORM 2Section 30(7)Declaration where Pawn Ticket is Lost Take Notice, if this Declaration is false the person making it is punishable as for perjury. Unless this printed form is taken before a person authorised to administer oaths or a Notary Public and declared to and signed, and delivered back to the pawnbroker not later than 19 , the articles mentioned in it will be delivered to any person producing the pawn ticket. I, A.B., of , in pursuance of the Pawnbrokers Act (Chapter 222), do solemnly and sincerely declare that pledged at the shop of , pawnbroker, the article [or articles] described below being property and received a pawn ticket for the same, which has since been by , and that the pawn ticket has not been sold or transferred to any person by or to knowledge or belief. The article [or articles] above referred to is [or are] the following : Declared before me this day of 19 . Signature of Person authorised to administer Oaths/Notary Public.[S 343/93]FORM 3Section 23(4)List to be sent by Pawnbroker to RegistrarName of pawnerNRIC No.Date of pawningPledge No.Description of articlesAmount of loanInterest chargedDate of saleAmount for which sold as stated by auctioneerSurplus in hands of pawn broker [S 343/93]