Date Family Transfer Form Messrs Securities Depository CenterPlease transfer the securities as specified Table Issuer's Name Security Type No. of Securities To be Transfered/ Number No. of Securities To be Transfered/ Written Operations Issuer's Name Security Type - Select -SharesBondsSubscription rightsIslamic bonds No. of Securities To be Transfered/ Number No. of Securities To be Transfered/ Written Transferor’s Information Name of the Securities’ Owner SDC No. Nationality Relationship Signature Agency Information Agent’s Name SDC No. Nationality Signature Transferee’s Information Name SDC No. Nationality Relationship Signature Agency Information Agency Type - Choose -AgentCaretakerCustodian Agent’s Name SDC No. Nationality 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 DepositoryCenter. The transferor and the transferee acknowledge that all matters including financial matters have been settled without holding the Securities Depository Center responsible thereto. Theparties stated above acknowledge that the data and information stated above are correct, accurate and complete and assume the full responsibility arising therefrom without holding theSecurities 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 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.
