Date Inheritance Transfer Form Messrs Securities Depository Center Please transfer the securities registered in the name of the deceased SDC No. specified here under to the inheritors in accordance with No. Date Ref Table Sequence Issuer's Name No. of Securities Number No. of Securities written Shareholder No. Operations Sequence Issuer's Name No. of Securities Number No. of Securities written Shareholder No. For the Applicant Name SDC No. Signature Agency Information Agency Type Caretaker Custodian Agent Other Agent's Name SDC No. Signature Important Notice: I, the signatory above, acknowledge that the documents data and information presented in this application are correct, accurate and complete and I assume the full responsibility arising therefrom without holding the Securities Depository Center responsible for the invalidity, inaccuracy and/or incompleteness of the said documents, data and information. For Securities Depository use For Securities Depository 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.
