Standard Stock Transfer Form
STOCK
TRANSFER
FORM
(abo ve this line for Registra rs only)
Cer tificat e lodged with the Registrar
Consideration Money £
(For completion by the Registrar/Stock Exchange)
Name of
Undertaking.
Description of
Security.
Words Figures
In the name(s) of
I/We hereby transfer the above security out of the name(s) aforesaid to the person(s) named
below or to the several persons named in Parts 2 of Brokers Transfer forms relating to the
above security:
Delete wo r ds in it alics except for sto ck exchange transactions.
Signature(s) of trans feror(s)
1. ........................................................................................................................................
2. ........................................................................................................................................
3. ........................................................................................................................................
4. ........................................................................................................................................
Bo dies cor p orate should execute under their co mmon seal.
Stamp of Selling Broker(s) or, for transactions
which are not stock exchange transactions, of
Agent(s), if any, ac ting for the Transferor(s).
Date
I/We request that such entries be made in the register as are necessary to give effect to this transfer.
Stamp of Buying Broker(s) if any Stamp or name and address of person lodging this form
if othe r than the B uying B r ok er ( s)
Number or amount of
Shares , Stock or other
security and, in figures
c olumn only, numbe r
and denominations of
units, if any
Name(s) of registered
holder(s) should be
give n in full; the
address should be given
where there is only one
holder.
If the transfer is not
made by the registered
hold e r(s ) insert also the
name(s) and capacity
(e. g., Executor(s)), of
the pers on(s) making
the transfer.
Full name(s) and full postal address
(es) (including County or, if
applicable, Post al Distr ict number)
of the perso n(s) to whom t he
security is t r ansferr ed.
Please stat e title, if any, or whet her
Mr., Mr s. or Miss.
Please complete in type writing or in
Blo ck Capit als.
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