Stock Transfer Form - Company Registrations …

1 STOCKTRANSFERFORM(Above this line for Registrars only) Company lodged with the Registrar(For completion by the Registrar/ Stock Exchange)Consideration moneyName ofundertakingDescription ofSecurityNumber or amount ofShares, Stock or othersecurity and, in figurescolumn only, numberand denomination ofunits, if anyName(s) of registeredholder(s) should begiven in full: theaddress should begiven where there isonly one the Transfer is notmade by the registeredholder(s) insert also thename(s) and capacity( , Executor(s) of theperson(s) making thetransferI/We hereby Transfer the above security out of the name(s)aforesaid to the person(s) named belowStamp of selling Broker(s) or, fortransactions which are not stockexchange transactions, of Agent(s),if any, acting for the transferor(s)FiguresWordsIn the name(s) ofSignature(s) of transferor(s) name(s) and fullpostal address(es)(including County or, ifapplicable, Postal Districtnumber) of the person(s))

2 To whom the security state title, if any,or whether Mr., ,Miss., or complete in typewriting or in request that such entries be made in the register as are necessary to give effect to the or name and address of person lodging this form (if other than the Buying Broker(s))Stamp of Buying Broker(s) (if any) form OF CERTIFICATE REQUIRED WHERE Transfer IS EXEMPT FROM AD VALOREMSTAMP DUTY AS BELOW THRESHOLD.(1) Delete as appropriate.(2) Delete second sentence if certificate is given by transferor or his ("Transferor", "Solicitor", etc.)Signature(s)NOTESiIf the above certificate has been completed, this Transfer does not need to be submitted to the Stamp Office but should be sent directy to theCompany or its the above certificate is not completed, this Transfer must be submitted to the Stamp Office and duly stamped.

3 (1) I/ We certify that the transaction effected by this instrument does not form part of a larger transaction orseries of transactions in respect of which the amount or value, or aggregate amount or value, of theconsideration exceeds 1,000.(1) I/ We confirm that (1) I/ We have been duly authorised by the transferor to sign this certificate and thatthe facts of the transaction are within (1) my/ our knowledge (2).Dat