Securities Transfer Form Page 2
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Transferee’s Particulars:-
Name in full :
1.
2.
3.
Father’s/ mother’s/
1.
Spouse name
2.
3.
Address & E-mail id
Occupation
Existing folio
Signature 1.
No., if any.
2.
3.
Folio No. of Transferee:
Specimen Signature of Transferee
1.
2.
3.
Value of stamp affixed : ________ (Rs.)
Enclosures :
(1)
Certificate of shares or debentures or other securites
(2)
If no certificate is issued, letter of allotment.
(3)
Others, specity _____________________________
Stamps
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 ______________ ot No. ______________
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