Off Market Transfer

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Transferor

Details

Name

Address

NID No.

MSD A/C No. (optional)

Mobile No.

No. of Shares (optional)

Certificate No. (optional)

Registry No. (optional)

Status
decease

Relationship with the Transferee

Transferee

Details

Name

Address

NID No

Registry No. (optional)

MSD A/C No. (optional)

Mobile No.

No. of shares to be transferred (optional)

NID Transferee

NID Transferor (optional)

NID Witness

Certificate - Transferor (optional)

Certificate - Transferee (optional)

Attested Report

Attested Report from Court & Letter Stating the details if sending a representative to collect the new certificate.

Signature

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Transferor Name

Transferor Signature

Witness Name

Witness Signature

Transferee Name

Transferee Signature

Declaration

I hereby agree that the information submitted in this form is true and accurate.