Form No. SH-4 Securities Transfer Form ( AS PER NEW COMPANIES ACT 2013)

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 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 unit of security (2)		Amount called up per unit of security (3)		Amount paid up per unit of security     (4)
No. of Securities being transferred				Consideration received (Rs.)
In figures		In words		In words		In figures
Distinctive Number	From
	To
Transferor’s Particulars:-
Registered Folio No.		Name(s) in full				Signature (s)
1.
2.
3.
I, hereby confirm that the Transferor has signed before me.
Signature of witness
Name and address
Transferee’s Particulars:-
Name in Full	Father’s / Mother’s / Spouse Name	Address & E-mail Id	Occupation	Existing Folio No. if any	Signature	Folio No. of Transferee	Specimen Signature of Transferee
1.
2.
3.
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) Others, specify………………………………………..
Stamps
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………

Name of the Transferor	Name of the Transferee	No. of shares	Date of Transfer	Signature of the authorized signatory