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[Pursuant to section 108 (1-A) of the Companies Act, 1956] FOR THE CONSIDERATION stated below the Transferor (s) name do hereby transfer to the Transferee(s)named the shares specified below subject to the conditions on which the said shares are now held by the Transferor (s) and the Transferee (s) do hereby agree to accept and hold the said shares subject to the conditions aforesaid. Full name of company xxx Name of the recognised stock exchange where dealt in, if any Description of Equity/Preference Shares No. in figures No. in Words Consideration (in figures) Consideration (in words)
xxx
From To xxx
x x
TRANSFEROR (S) [SELLER (S)] PARTICULARS Regd. Folio No. Name(s) in full x 1. 2. 3. 4. x x x x 1. 2. 3. 4. x x x x Signature(s)
Signature of Witness ATTESTATION I, hereby attest the Signature of the Transferor(s) herein mentioned Name and Address of Witness
xx x
xx xx xx xx xx xx PIN
TRANSFEREE (S) [BUYER (S)] PARTICULARS Signature(s) Name(s) in full 1. 2. 3. x x x Address xx xx xx xx xx xx Value of Stamps Rs.x affixed 200 x 1. 2. 3. x x x Fathers/Husbands Name
Occupation 1. x 2. x 3. x
Transferee(s) existing Folio,if any, xx in same Order of Names Dated the PLACE day of
Death Certificate x x
(Signature (not Initials) of Broker, Bank, Company or Stock Exchange Clearing House) Lodged by xx Full address xx Share Certificates to be returned to (Fill in the name and address to which the Certificates are required to be returned) Name & Address xx