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FORM 3
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U.S. SECURITIES AND EXCHANGE COMMISSION ------------------------------
WASHINGTON, DC 20549 OMB APPROVAL
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number:
Expires:
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Estimated average burden
Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) hours per response.......0.5
of the Investment Company Act of 1940 ------------------------------
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
BRITANNIA HOLDINGS LIMITED Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) ROYAL SILVER MINES, INC. (Month/Day/Year)
(Last) (First) (Middle) MARCH 24, 1997 (OTCBB SYMBOL: RSMI)
KINGS HOUSE, THE GRANGE ---------------------------- ---------------------------------- -----------------------
- ---------------------------------------- 3. IRS or Social Security 5. Relationship of Reporting 7. Individual or Joint/
(Street) Number of Reporting Person to Issuer Group Filing (Check
ST. PETER PORT, GUERNSEY, GY1 2QJ, C.I. Person (Voluntary) (Check all applicable) applicable line)
- ---------------------------------------- Director X 10% Owner Form filed by
(City) (State) (Zip) ---------------------------- ----- ----- ----- One Reporting
Officer Other Person
----- (give ----- (specify Form filed by
title below) below) ----- More than One
Reporting Person
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TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instruction 4) Beneficially Owned Direct (D) or Beneficial
(Instruction 4) Indirect (I) Ownership
(Instruction 5) (Instruction 5)
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COMMON STOCK 2,135,000 D
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*If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Print or Type Responses)
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ (Instr. 4) Price of Deriv-
Year) Deri- ative
vative Security:
Security
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Date Expira- Amount or (D) or
Exercis- tion Title Number Indirect (I)
able Date of Shares (Instr. 5)
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Stock Purchase Warrants
(right to buy) 01/31/97 01/30/99 Common Stock 200,000 $1.25 D
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Stock Purchase Warrants
(right to buy) 02/14/97 02/14/99 Common Stock 335,000 $1.25 D
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Stock Purchase Warrants
(right to buy) 03/24/97 03/24/99 Common Stock 1,600,000 $1.25 D
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Explanation of Responses:
BRITTANIA HOLDINGS LIMITED
+By /s/Patrick Adrian Blin August 4, 1997
**Intentional misstatements or omissions of facts constitute Federal Criminal ----------------------------- ------------------
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
Note. File three copies of this form, one of which must be manually signed. +Patrick Adrian Blin, Director Page 2
If space provided is insufficient, See Instruction 6 for procedure. (8/96)
(Print or Type Responses)
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