Date Transfer Messrs Securities Depository CenterPlease transfer the securities as specified below: Type of Transfer Transfer of ownership of securities not traded in the Market Transfer of securities for the purpose of dividing joint ownership Transfers of founders’ shares Issuer’s Name Security Type - Choose -اسهمسنداتحقوق اكتتاب صكوك إسلامية Issuer’s Name Security Type No. of Securities To be Transfered Price Number Written Price Transferor’s Information Name of the Securities’ Owner SDC No. Name of Authorized Signatory for Judicial Entities: Signature Official Stamp for Judicial Entities Agency Information Agency Type Caretaker Custodian Agent Trustee Receiver Guardian Liquidator SDC No. Agent’s Name Nationality Signature بيانات المحال له الاسم رقم المركز اسم المفوض بالتوقيع للشخص الاعتباري التوقيع الخاتم الرسمي للشخص الاعتباري بيانات النيابة عن الغير نوع النيابة ولي الأمر الوصي الوكيل قيم المحجورين وكيل التفليسة قيم المحكمة المصفي رقم المركز اسم النائب الجنسية التوقيع This application is considered a notice for the Securities Depository Center to transfer the above mentioned securities and shall be effected upon its acceptance by the Securities Depository Center. The transferor and the transferee acknowledge that all matters including financial matters have been settled without holding the Securities Depository Center responsible thereto. The parties stated above acknowledge that the data and information stated above are correct, accurate and complete and assume the full responsibility arising therefrom without holding the Securities Depository Center responsible for the invalidity, inaccuracy and/or incompleteness of the said data and information. For Securities Depository Center’s Use For Securities Depository Center’s Use Operation Name Signature Date Entry Name Signature Date Audit Name Signature Date Approval Name Signature Date Signed Before. Name Signature Date Document of Securities’ Ownership The transferor’s shares must be deposited in the central registry, and in case the shares are in the transferor’s account maintained by the broker, they should be transferred to the central registry before conducting the transfer. Transferor/Transferee’s Data & Documents The following valid identification documents must be attached to this form:Natural Persons:· For Jordanians: Passport, Family Book or Identity Card issued by the Civil Status and Passport Department, provided that it contains the National Number.· For Non- Jordanians: Passport.Judicial Entities:· For Jordanians:1. Registration certificate at the official competent authorities.2. The document that proves that the person authorized to sign on behalf of the judicial entity is authorized to do so.· For non-Jordanians:1. Certificate of registration, duly certified.2. The document that proves that the person authorized to sign on behalf of the judicial entity is authorized to do so, it shall be duly certified.In the case where a power of attorney is used, the power of attorney must authorize the act to be done and the original, duly organized and certified power of attorney must be submitted to the Securities Depository Center. If the power of attorney is issued outside the Jordan, it must be certified by the following entities:1. The competent authorities in the country where the power of attorney was organized including the Foreign Ministry of that country.2. The representative of the Hashemite Kingdom of Jordan in the state which the power of attorney was organized in or the embassy of that state in the Hashemite Kingdom of Jordan.3. The Jordanian Foreign Ministry.4. The Jordanian Ministry of Justice. Required documents please attach Required documents One file only.300 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. CAPTCHA Get new captcha! What code is in the image? Enter the characters shown in the image. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
