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Stock transfer form

Full Name of Undertaking (“the Company”)
Address of Undertaking
Registered Number
Full Description of Security
Number and Amount of Shares
Those Securities Numbered
Name and Address of the Registered Holder(s) (the “Transferor”)
I/We hereby transfer the above security in the name of the Transferor to the Transferee named below for the Consideration set out below and request the making of the necessary entries in the registers of the company.
Name and address of the person to whom the security is being transferred. (the “Transferee”)
Date of Transfer

Stock Transfer Form Template

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