Form Sh-4 - Securities Transfer Form

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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
Amount called up per
Amount paid up per
unit of security (2)
unit of security (3)
unit of security (4)
No. of Securities being Transferred
Consideration received (Rs.)
In figures
In words
In words
In figures
Distinctive
From
Number
To
Corresponding
Certificate Nos.
Transferors’ Particulars
Registered Folio Number:
Name(s) in full
Signature(s)
1._______________________________________________
_____________________
2._______________________________________________
_____________________
3._______________________________________________
_____________________
I, hereby confirm that the transferor has signed before me.
Signature of the Witness: _________________________________
Name of the Witness: ____________________________________
Address of the Witness: __________________________________________________________________
________________________________________________________________Pincode: ______________

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