"Securities Transfer Form" - India

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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: ______________
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: ______________
Transferees’ Particulars
Father’s/ Mother’s / Spouse
Name in full (1)
Address & E-mail id (3)
Name (2)
1. ________________________
1.______________________
_________________________________
2. ________________________
2.______________________
_________________________________
3. ________________________
3.______________________
_________________ Pin code ________
Email id: _________________________
Occupation (4)
Existing Folio No., if any (5)
Signature (6)
1. _______________________
_____________________
1. ______________________________
2. _______________________
2. ______________________________
3. _______________________
3. ______________________________
Folio No. of Transferee
Specimen Signature of Transferee(s)
__________________
1. _________________________
2. _________________________
3. _________________________
____________
STAMPS
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.
Copy of PAN Card of all the Transferee(s)(For all listed Cos.)
4.
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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