CENTRAL
SECURITIES CLEARING SYSTEM LTD.
Initiating House (Resident or Target) (Tick as applicable)
The Managing Director
CSCS Ltd.
Stock
Exchange House,
2/4,
Dear Sir,
TRANSFER OF
STOCK(S) REQUEST FORM
A. I hereby apply for the following stock(s) in CSCS System acquired through Stock broking firm (Resident Stock broking firm) to be transferred to .. . .. .. Stock broking firm (Target Stock broking Firm) if more, use plain sheet of paper.
Security Units Security Units Security Units
..
..
..
DECLARATION
In making the transfer, CSCS is hereby indemnified from any liability whatsoever arising from the transfer.
Yours faithfully,
.
Investors Name and
Signature Account
Number
B. Resident Stockbroking Firm
We confirm that the request for the transfer has been received by us.
. .
Name & Signature
of MD/CEO Name
& Signature of Accredited Rep.
C. Target Stockbroking Firm
We confirm that we are ready to accept the stocks and pledge that the CSCS interest will not be prejudiced or compromised in transactions relating to the transfer.
. .
Name & Signature
of MD/CEO Name
& Signature of Accredited Rep.