SH4

Form No. SH-4 Securities Transfer Form [Pursuant to section 56 of the Companies act, 2013 and sub-rue !1" of rue 11 of t Companies !Share Capita and #ebentures" $ues 201%& Date of execution……………………………….. FOR THE CONSIDERATION stated below the “Transferor(s) na!ed do hereb" transfer tothe “Transfer na!ed the se#$r%t%es s&e#%f%ed below s$b'e#t to the #ond%t%ons onwh%#h the sa%d se#$r%t%es are Transferor(s) and the Transferee(s) dohereb" a ree to a##e&t and hold the sa%d se#$r%t%es s$b'e #ond%t%ons aforesa%d. CIN Name of the company (in full): Na!e of the Sto#* E+#han e where the #o!&an" %s l%sted, %f an" DESCRI-TION OF SEC RITIES /%nd0Class of se#$r%t%es (1) No!%nal 2al$e of ea#h $n%t of se#$r%t" (3) A!o$nt #alled $& &er $n%t of se#$r%t" (4) A!o$nt &a%d $& &er $n%t of se#$r%t" (5) No. of Se#$r%t%es be%n Transferred Cons%derat%on Re#e%2ed (Rs) InF% $res In6ords Inwords Inf% $res D%st%n#t%2e N$!ber Fro! To Corres&ond%n Cert%f%#ate Nos TRANSFEROR’S PARTI!"ARS Re %stered Fol%o N$!ber Atte#ation: I hereb" attest the s% nat$re of the Transferor(s) here%n !ent%oned. Na!e(s) %n f$ll Seller S% nat$re (s) S% nat$re 1. Name: 3. A$$%e##: 4. Seal I, hereb" #onf%r! that the Transferor has s% ned before !e. Na!e and Address of 6%tness 6%tness S% nat$re 1

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share transfer form

Transcript of SH4

Form No. SH-4Securities Transfer Form[Pursuant to section 56 of the Companies act, 2013 and sub-rule (1) of rule 11 of theCompanies (Share Capital and Debentures) Rules 2014]

Date of execution..FOR THE CONSIDERATION stated below the Transferor(s) named do hereby transfer tothe Transferee(s) named the securities specified below subject to the conditions onwhich the said securities are now held by the Transferor(s) and the Transferee(s) dohereby agree to accept and hold the said securities subject to the conditions aforesaid.

CIN: Name of the company (in full): Name of the Stock Exchange where the company is listed, if any:

DESCRIPTION OF SECURITIES:Kind/Class of securities (1)

Nominal value of eachunit of security(2)

Amount called upper unit ofsecurity(3)

Amount paid up perunit of security(4)

No. of Securities being TransferredConsideration Received (Rs)

In FiguresIn WordsIn wordsIn figures

Distinctive NumberFrom

Corresponding Certificate Nos:

TRANSFERORS PARTICULARSRegistered Folio Number Attesation:I hereby attest the signature of the Transferor(s) herein mentioned.

Name(s) in full Seller Signature (s)Signature:

1.Name:

Address:

Seal

I, hereby confirm that the Transferor has signed before me.

Name and Address of WitnessWitnessSignature

TRANSFEREES PARTICULARS-123

Name in full

Fathers/mothers/Spousename

Address,

Mobile/Ph. No.E-mail ID

Occupation

Existingfolio no., ifany

PAN No.

Signature

Folio No. of Transferee : ________________Specimen Signature of Transferee

Existing Folio No. If any1._____________________________

2._____________________________

Value of stamp affixed:____________(Rs.) 3._____________________________Enclosures:(1) Certificate of shares or debentures or other securities (2) If no certificate is issued, letter of allotment.(3) Copy of PAN CARD of all the Transferees (For all listed Cos).(4) Other, Specify.Stamps:

For office use onlyChecked by______________________ Signature tallies by ____________________________Entered in the Register of Transfer on _________________vide Transfer No._______________ Approval Date___________ Power of attorney/Probate/Death Certificate/Letter of administrationRegistered on _________________________________________at No._______________2