Form SH-4 — Data Entry
Company
Details of Share Transferor (current shareholder)
If “No”, fill each value below.
Details of Transferee (new holder)
We validate distinctive numbers vs quantity and default Stock Exchange to N.A. if blank.
Form No. SH-4
Securities Transfer Form
Securities Transfer Form
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.
| Date of Execution: |
| CIN: | |
| Name of Company: | |
| Name of Stock Exchange (if listed): | N.A. |
DESCRIPTION OF SECURITIES
| Kind / Class of Securities (1) | Nominal Value (2) | Called up per unit (3) | Paid up per unit (4) |
|---|---|---|---|
| No. of Securities being transferred | Consideration received (Rs.) |
|---|---|
|
In figures: In words: |
In figures: ₹ /- In words: |
| Distinctive Number | From | To | Certificate No. | Folio No. |
|---|---|---|---|---|
Transferor’s Particulars:-
| Registered Folio No. | Name(s) in full | Signature(s) |
|---|---|---|
I, hereby confirm that the Transferor has signed before me.
Signature of witness — Name and address —
Signature of witness — Name and address —
Transferee’s Particulars:-
| Name in Full | Father’s/Mother’s/Spouse Name / Company Regn. No. | Address & E-mail Id | Occupation | Existing Folio No. (if any) | Signature | Folio No. of Transferee | Specimen Signature of Transferee |
|---|---|---|---|---|---|---|---|
Value of stamp affixed: Rs.
Enclosures: (1) Certificate(s) (2) If no certificate, letter of allotment (3) Others, specify.
Stamps — For office use only
| Checked By | |
| Signature Tallied By | |
| Entered in the Register of Transfer on | vide Transfer No. 01/ |
| Approval Date | |
| Power of attorney / Probate / Death Certificate / Letter of Administration |
| Name of the Transferor | Name of the Transferee | No. of shares | Date of Transfer | Signature of the authorized signatory |
|---|---|---|---|---|