TRANSMISSION FORM
To The Registrar
C B MANAGEMENT SERVICES (P) LIMITED
P-22, BONDEL ROAD, KOLKATA-700 019
Doc.No.
APPLICATION FORM FOR TRANSMISSION/TRANSPOSITION/CONSOLIDATION OF FOLIOS
PLEASE READ INSTRUTION ON REVERSE
UNIT:
A) TYPE OF REQUEST (Tick relevant box)
PLEASE FILL UP IN CLEAR BLOCK LETTERS
1) TRANSMISSION
2) TRANSPOSITION
(3) CONSOLIDATION OF FOLIOS

4) CHANGE OF NAME /SURNAME
(B) REGISTERED FOLIO NO.
(The
5) DELETION
folio is mentioned on the front/reverse of the certificate)
(C) NAME OF THE HOLDER(S) (As endorsed on certificate(s)
FULL NAMES OF HOLDERS
(1) ……………………………………………………………………………….
(2)
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(3)
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(D) PARTICULARS OF SHARE (if space provided is insufficient, then continue reverse)
CERTIFICATE NO.
DISTINCTIVE NOS.
NO.OF SHARES
(E) TOTAL NO.OF SHARES
(F) TO BE TRANSMITTED/TRANSPOSED IN FAVOUR OF (In case of consolidation, do not fill up this column)
NAME
OCCUPATION
F/H NAME
(1)
(2 )
(3 )
(G) FULL ADDRESS OF FIRST HOLDER
(H) BANK DETAILS & PAN/ GIR
1) Name & Address of Bank
………………………………………………………,….
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2) Type of A/c –SB/CA/OD/NRI/NER
………………………………PIN CODE
3) A/C NO.
4) PAN/ GIR
(I) SIGNATURE ( Duly attested by Manager of Bank with
SB a/c no. )
J) BUYER REG.FOLIO
(1)
FOR OFFICE USE ONLY
DOC.Regn. no.
Date of Regn.
5) …………………………………………
(2) 6)
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(3) 7)
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Witness Name:
Address
:
Occupation
:
INSTRUCTIONS
(1)
IN CASE OF TRANSMISSION
1)
In a Joint Account no names can be deleted APART from the name of the deceased nor can any fresh names be added.
2)
Request for Transmission CANNOT be put through in case of shares standing in the singly name of the deceased
merely on the basis of death Certificate. Proper legal documents are required to be submitted.
(II)
IN CASE OF TRANSPOSITION
1)
(III)
IN CASE OF CONSOLIDATION OF FOLIOS
1)
2)
3)
4)
(IV)
Request for Transposition of names can be made for full holdings only.
Consolidation of folios can be done only if order of names are identical in both the accounts.
Only one form is required to be filled up if more than one folio is to be consolidated.
There is no need to fill up column no.F
Mention Register Folio No. in which the shares are to be consolidated.
PARTICULARS OF SHARE CERTIFICATE(S) (continued from front):
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