Form No SH-4 - Securities Transfer Form

Form No. SH-4

Securities Transfer Form

[Pursuant to section 56 of the Companies Act, 2013 and sub-rule (1) of rule 11 of the Companies (Share Capital and Debentures) Rules 2014]

Date of execution: _________________

FOR THE CONSIDERATION stated below the “Transferor(s)” named do hereby transfer to the “Transferee(s)” named the securities specified below subject to the conditions on which the said securities are now held by the Transferor(s) and the Transferee(s) do hereby 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 each unit of security (2)	Amount called up per unit of security (3)	Amount paid up per unit of security (4)

No. of Securities being transferred		Consideration received (Rs.)
In Figures	In words	In Figures	In words

Distinctive Numbers	From
	To
Corresponding Certificate Number

Transferor’s Particulars -

Registered Folio No: Name(s) in Full Signatures

I hereby confirm that Transferor(s) has signed before me. Signature of witness Name and Address

Transferee’s Particulars

Name in Full	Father’s/Mother’s/Spouse’s Name	Address and Email id	Occupation	Existing folio no, if any	Signature

Folio No of Transferee Specimen signature of Transferee

...................................... ....................................................

Value of stamp affixed: ........................................ (Rs.)

Enclosures:

1. Certificate of shares or debentures or other securities
2. If no certificate is issued, letter of Allotment
3. Other, specify _____________________

For Office Use only

Checked by ______________________

Signature tallied by ____________________

Entered in the Register of Transfer on _______________ vide Transfer No _______________ Approval Date ___________________

Power of attorney / Probate / Death Certificate / Letter of Administration Registered on ………………….at No…………………………..

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