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1、TRANSMISSION FORMTo The RegistrarC B MANAGEMENT SERVICES (P) LIMITEDP-22, BONDEL ROAD, KOLKATA-700 019 Doc.No.APPLICATION FORM FOR TRANSMISSION/TRANSPOSITION/CONSOLIDATION OF FOLIOSPLEASE READ INSTRUTION ON REVERSE UNIT: PLEASE FILL UP IN CLEAR BLOCK LETTERSA) TYPE OF REQUEST (Tick relevant box) 1)
2、TRANSMISSION 2) TRANSPOSITION (3) CONSOLIDATION OF FOLIOS 4) CHANGE OF NAME /SURNAME 5) DELETION (B) REGISTERED FOLIO NO. (The folio is mentioned on the front/reverse of the certificate) (C) NAME OF THE HOLDER(S) (As endorsed on certificate(s)FULL NAMES OF HOLDERS(1) .(2) .(3) .(D) PARTICULARS OF SH
3、ARE (if space provided is insufficient, then continue reverse)CERTIFICATE NO.DISTINCTIVE NOS.NO.OF SHARES(E) TOTAL NO.OF SHARES (F) TO BE TRANSMITTED/TRANSPOSED IN FAVOUR OF (In case of consolidation, do not fill up this column)NAMEOCCUPATIONF/H NAME(1) (2 ) (3 ) (G) FULL ADDRESS OF FIRST HOLDER(H)
4、BANK DETAILS & PAN/ GIR ,.PIN CODE1) Name & Address of Bank 2) Type of A/c SB/CA/OD/NRI/NER 3) A/C NO.4) PAN/ GIR5) 6) 7) (I) SIGNATURE ( Duly attested by Manager of Bank with SB a/c no. )J) BUYER REG.FOLIO (1) FOR OFFICE USE ONLY(2)(3)DOC.Regn. no. Date of Regn.Witness Name:Address : Occupation :IN
5、STRUCTIONS(1) IN CASE OF TRANSMISSION1) In a Joint Account no names can be deleted APART from the name of the deceased nor can any fresh names be added.2) Request for Transmission CANNOT be put through in case of shares standing in the singly name of the deceased merely on the basis of death Certifi
6、cate. Proper legal documents are required to be submitted.(II) IN CASE OF TRANSPOSITION1) Request for Transposition of names can be made for full holdings only.(III) IN CASE OF CONSOLIDATION OF FOLIOS 1) Consolidation of folios can be done only if order of names are identical in both the accounts.2) Only one form is required to be filled up if more than one folio is to be consolidated.3) There is no need to fill up column no.F4) Mention Register Folio No. in which the shares are to be consolidated.(IV) PARTICULARS OF SHARE CERTIFICATE(S) (continued from front):.
