Form No. Sh-4 Securities Transfer Form Page 2

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Form No. SH-4
Stamps
Enclosures:
(1) Certificate of shares or debentures or other securities
(2) If no certificate is issued, letter of allotment.
(3) Others, 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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