On Plain Paper

On Plain Paper

Application for Transmission and Issuance of Duplicate Share Certificate(s)

Date:

The Board of Directors

The Federal bank Limited

Federal Towers, Aluva

Dear Sirs,

I/We, the undersigned legal heirs of Late :

apply to the Bank for issue of duplicate share certificate(s) held under folio no. ______. The following documents are submitted in support my/our claim for issue of duplicate share certificate(s) to us:

1.  Indemnity Bond on a Non Judicial Stamp Paper of Rs.100/- duly signed on all pages (format enclosed).

2.  Affidavit Rs. 20/- Non Judicial Stamp Paper (Rs. 100/- Non-Judicial Stamp Paper, if the applicant is resident of Maharashtra), signed on all pages and duly affirmed by SEM/SEO/Notary Public.

1. Photograph, Proof of Identification, including that of Joint legal heirs, duly attested by Special Executive Magistrate (SEM) or Special Executive Officer (SEO) / Notary Public.

4.  Copy of the Death Certificate of the deceased shareholder duly attested, either by Special Executive Magistrate (SEM) or Special Executive Officer (SEO) or Notary Public.

5.  Court Certified copy of the Probate of the Will or Letters of Administration.

6.  Certified copy of the Succession Certificate/ Legal Heir ship Certificate.

7.  Attested Copy of Identity Proof and Address Proof of all legal heirs.

8.  Signature of claimant duly attested by Bank Manger/Notary

9.  No Objection certificate from other legal heir who do not claim shares.

10.  Affidavit for issuance of Duplicate Certificate on Rs. 20/- Non Judicial Stamp Paper (Rs. 100/- if the applicant is resident of State of Maharashtra), duly verified by Special Executive Magistrate (SEM) or Special Executive Officer (SEO) or Notary Public.

11.  Indemnity Bond for Duplicate Certificate on Rs. 100/- Non Judicial Stamp Paper,

12.  Demand Draft bearing number for Rs.500 favoring The Federal Bank Limited. Payable at aluva towards paper notification charges.

13.  PAN Card Copy of the claimant / Legal Heirs

Kindly let us know the further course of action from my/our end for transmission and issuance of duplicate share certificate(s) to us at the earliest.

Yours faithfully,

Name of the Shareholder(s) / Signature of the Shareholder(s)
1
2
3

Address of the Claimant :

With Pincode :

Phone Nos : Mobile No

Email Id :

FORMAT OF INDEMNITY

(for issue of Duplicate share Certificate(s) in favour of the registered holder)

(To be executed on Rs.100/- non-judicial Stamp Paper)

To

The Board of Directors

The Federal Bank Limited.

Aluva

SUB : ISSUE OF DUPLICATE SHARE CERTIFICATE(S)

I/We the legal heirs of late : who hold inter alia Shares in The Federal Bank Limited. as per the details mentioned below :

------

FOLIO NO. NO. OF SHARES CERT. NO(S). DISTINCTIVE NO(S).

------

------

These has/have been allotted/transferred to Late : by the Bank on / / . These Certificate(s) in respect of the said Shares were not accompanied by any blank transfer deed signed by the deceased , nor has any person by my/our order, in any manner disposed off, parted with or pledged the said Share Certificate(s) or assigned my/our interest therein or any part thereof to any person. I am / We are the sole and absolute owner of Shares covered by the Share Certificate(s) and cause the same to be surrendered to the Bank, if and when the same is/are found.

I/We, hereby declare that I/We have genuinely lost/misplaced the above share certificate(s) and therefore, request the Bank to issue Duplicate share Certificate(s). In consideration of the Bank so doing, I/We hereby indemnify the Bank and bind myself/ourselves, my/our heirs, executors and/or administrators to pay all claims, charges, costs, damages, demands, expenses and losses which the said Bank may sustain, incur/be liable for in consequence of having issued Duplicate Share Certificate(s) at my/our above said request. The Bank can realise the said claims, charges, costs, damages, demands, expenses and losses from me/us personally or from my/our Heirs, Executors and/or Administrators of my/our properties, as the case may be.

I/We, the undersigned, certify that the above facts are true and that I/We hold myself/ourselves responsible to make good all claims, charges, costs, damages, demands, expenses and losses, which the said Bank may sustain, incur/be liable for in consequence of complying with the request contained release all claims, charges, costs, damages, demands, expenses and losses from myself/ourselves/ heirs of our property, as the case may be.

In witness thereof, I/We have signed this------day of ------

Witness 1 : Signature(s) of the Share Holder(s)

Name : ------1. ------

Signature : ------2. . ------

Address : ------3. . ------

------

------Full Name

Witness 2 : 1. ------

Name : ------2. ------

Signature : ------3. ------

Address : ------Address of the Share Holder:------

------

Note. : 1. All pages of Indemnity should be signed by all Shareholders

2. Complete addresses of witness should be given.

AFFIDAVIT FOR TRANSMISSION and ISSUANCE OF DUPLICATE CERTIFICATE

(To be executed on a non-judicial stamp of Rs.20/-)

To

The Board of Directors

The Federal Bank Limited.

Aluva

I/We ------S/o ------aged ------year ------and ------S/o ------aged ------years, residing ------solemnly affirm and declare as follows :-

1. That Shri………………………………….(name of the deceased) the deceased, was holding equity shares in The Federal Bank Limited.

Folio No / No of Shares/ /Deb/bonds/units / Certificate No. / Distinctive Nos.
From / To

2. Shri……………………………………(Name of the deceased) expired intestate on……………………….(date of death) at …………………………….(place of death) leaving behind him the following heirs.

Sr. No / Name & Address of the Legal Heir/s /

Age

/ Relation with the deceased

3.  That the deceased/ I/We have not pledged the original certificate by way of security or collateral or otherwise and have not sold the above mentioned shares/deb/bonds/units anytime to any person.

4.  The above mentioned shares were the separate and self acquired property of the deceased. According to the law of instate Succession applicable to him/her by which he/she was governed at the time of his/her death, the person(s) mentioned hereinabove is/are the only heir(s) of the deceased. They are entitled to inherit solely/jointly the aforesaid shares covered under Folio No. ………………. held by the deceased.

5.  That I/we have genuinely lost/misplaced the above mentioned shares/deb/bonds/units

6.  That the late Shri………………………………………… (name of deceased) has left no other heir that these in paragraph 3 above and the person(s) mentioned therein is/are only his/her legal heir(s).

7.  I have already executed indemnity bond for issuing duplicate shares in lieu of the original share certificates held by the deceased and transmitting the aforesaid shares held by the deceased in my name.

8.  That I/we am/ are solely responsible for any future liabilities in respect of the above mentioned securities

9.  I am executing this declaration to be submitted to the concerned authorities of the company.

10.  I hereby state that whatsoever is stated herein above are true to the best of my/our knowledge.

VERIFICATION

I/We solemnly affirm that the statement contained in the above paragraphs are true to the best of my/our knowledge, information and belief and that nothing material has been concealed from being disclosed.

Solemnly declared and affirmed on Deponents

Identification at------

On This------day of 200 --- 1.------

------

------

2.------

------

Before the Executive Magistrate or Notary Public

(to be attested by the Bank Manager of the shareholder)

COMPANY

/ THE FEDERAL BANK LIMITED

REGISTRAR

/ INTEGRATED ENTERPRISES (INDIA) LTD.

SPECIMEN SIGNATURE FORM

SHAREHOLDER(S) / BOND HOLDER(S) DETAILS

Registered Folio No. / No. of Shares / Certificate Numbers
First / Sole Holder / Specimen Signature(s)
Second Joint Holder
Third Joint Holder
Address of the Holder **** :
Verification of Signatures (By Bank Only)
Banker’s are requested to ensure that the account is in operation for more than six months
Account No. / q  Current A/c
q  Savings A/c / A/c opening Date :
Last Transaction Date :
Full Name of Branch Manager with identification Number
Full Name and Postal address of Bank / Signature of Branch Manager with Seal

DOCUMENTS TO BE SUBMITTED ALONG WITH THIS FORM

A copy of the passport / Driving License / PAN Card or Election Voter card
This should be attested by Banker who has attested this form
1.  Mere sending of this form should NOT be construed as our confirmation that the earlier signature(s) recorded with us, if any, will be replaced with the fresh ones being submitted herewith. This will be done only after proper verification and our finding the same to be in order.
2.  Signature(s) should be verified only by your Banker’s and the verification must be complete in all respects. Forms which are not verified properly as per instructions will be rejected.
**** Shareholders should attach a separate requisition letter for change of address by mentioning the name of the unit and folio number, in case of change of address along with proof of residence.

LETTER OF INDEMNITY FOR TRANSMISSION OF SHARES

To

The Board of Directors

The Federal Bank Limited.

Aluva

Sub: Transmission of Securities standing in the name of Late Mr./Mrs…………………….………..under Folio No……….…

Certificate Nos. / Distinctive Nos. / No. of Shares

The said deceased died intestate without leaving a Will on the ………….. day of ………………20

I/We further inform you that he/she left behind him/her as his/her only surviving heirs and next of kin, the following persons, according to the Law of Intestate Succession applicable to him/her by which he/she was governed at the time of his/her death.

Sl No / Name / Address / Age / Relationship with the Deceased

I/We have, therefore, approached you with a request to transmit the aforesaid shares in the name of the Mr./Mrs./Ms………………..………. on my/our behalf without insisting of production of a succession certificate or an order of the court of competent jurisdiction evidencing my/our title there to and in consideration of your having agreed to our request, we undersigned legal heirs, do hereby undertake to indemnify the Bank jointly and severally, its successors and assigns from and any loss or damages, suits claims, etc and whatsoever which you may suffer and/or incur by reason of your, at my/our request, having considered the transmission of said shares as herein above mentioned to ………….…………. Without insisting on production of a succession certificate or an order of the court of competent jurisdiction.

IN WITNESS WHEREOF THE said……………………..[names(s) of applicant(s)] have here unto set their respective hand and seals this……………. .. day of……………. of ……………………

Signed, sealed and delivered by the said applicant(s)

………..………………………

Signature(s) of all the legal heir(s)

Witness:

1)  …………………………….

2) ..……………………………

Notes : 2 Witness signatures with Name & Address required

: Indemnity to be executed on Rs.100 Non-Judicial Stamp paper of appropriate value

LETTER OF SURETY FOR TRANSMISSION OF SHARES

The Board of Directors

The Federal Bank Limited.

Aluva

(Surety for Issuance of Duplicate Share Certificate in and/or Transmission of Share(s) in favour of …………………………………..……… for …….shares )

Name of Surety *…………………………………………

Permanent Residential Address…………………………….

…………………………….

……………Pin ……………….

Age……………..years Permanent Account No.** …………………………

*A person cannot stand as surety for spouse/family member

** Furnish proof of PAN (Copy of PAN Card to be enclosed)

(Fill in any one or more of the following boxes, whichever is applicable)

A. Details of Employment:

1.  Name of Employer :

2.  Place of Employment :

3.  Annual Salary :

4.  Other emoluments :

B. Details of immovable property owned:

(Absolutely in own name and not as member of a joint & undivided Hindu family. Specify whether the immovable property consists of houses or mere land)

1.  Within the municipal limits:

2.  Situation :

3.  Value :

4.  Annual rent realized :

C. Details of business owned

(absolutely in own name and not as a partner)

1. Name of the organization :

2.  Nature of business and location :

3.  Annual turnover :

4.  Annual profits :

Surety 2/2

Date: Signature of Surety

Full Name and Address of Bank Manager Signed in the presence of

…………………..

………………….. …………………………

…… Pin…………. (Bank Manager)

SURETY

I the undersigned certify that the above facts given by the claimant(s)/applicant(s) are true to the best of my knowledge and bind myself as surety to make good all claims, charges, costs, damages, demands, expenses and losses which the Bank and its successors and assigns may sustain, incur or be liable for in consequence of complying with the request contained above of the claimant(s)/applicant(s) herein and the Bank and its successors, assigns will be entitled to claim and realize all claims, charges, costs, damages, demands, expenses and losses from me or from my properties, as the case may be.

…………………………….

Signature of Surety

Name: ………………………………………………

Address : ………………………………………………

………………………………………………

Date :

Place

: …………………………………………..

(Signature of Magistrate/Notary)

Full Name and : ………………………………………..

Address of ………………………………………..

Magistrate/Notary ………………………Pin …..……….

Regd. No. ……………………………………….

Use space below to affix:

Notarial/Court Fee Stamp / Official Seal of Magistrate/Notary

Note : This Surety to be executed on Non-Judicial Stamp Paper of Rs.20/-

AFFIDAVIT FOR TRANSMISSION OF SHARES

The Board of Directors

The Federal Bank Limited.

Aluva

I ………………………………………………………son/daughter/spouse of ……………………residing at………………………………………………..do hereby solemnly affirm on oath and state as under:-

1.  That Mr./Mrs.……………………………the deceased, was holding shares of the Federal Bank Limited.. The details are as follows:

Folio/Certificate Nos./ / Distinctive Nos. / No. of Shares

2.  That the said deceased had died intestate on…………….at………………….

3.  That the following are the only legal heir(s) of late Mr./Mrs.……………………

Sl No / Name / Address / Age / Relationship with the Deceased

4.  That out of aforesaid legal heirs Master/Kum……………..aged……………years is minor he/she is being represented by his/her father/mother and natural guardian Mr./Mrs.…………………

5.  That all the legal heirs of the deceased……………………….have applied to the Federal Bank Limited to register the aforesaid securities in my/our individual/joint names and have executed a Letter of Indemnity in favour of the Federal Bank Limited indemnified against any loss, cost, expenses or damages which may be caused to them in consequence of any claim which may be made by or on behalf of any person claiming any interest in the said shares.