Exhibit (a)(1)(D)
Form No. SH-4 - Securities Transfer Form
Pursuant to Section 56 of the Companies Act, 2013 and sub-rule (1) of Rule 11 of the Companies
(Share Capital and Debentures) Rules 2014
Date of execution: / /
FOR THE CONSIDERATION stated below the “Transferor(s)” named do hereby transfer to the “Transferee(s)” named the securities specified below subject to the conditions on which the said securities are now held by the Transferor(s) and the Transferee(s) do hereby agree to accept and hold the said securities subject to the conditions aforesaid.
CIN: | L | 8 | 5 | 1 | 1 | 0 | K | A | 1 | 9 | 8 | 1 | P | L | C | 0 | 1 | 3 | 1 | 1 | 5 |
Name of the company (in full): | Infosys Limited | |
Name of the Stock Exchange where the company is listed, (if any): | BSE and NSE | |
DESCRIPTION OF SECURITIES |
Kind/Class of securities (1) | Nominal value of each unit of security (2) | Amount called up Per unit of security (3) | Amount paid up per unit of security (4) | |||
Equity Share | ₹ 5/- | ₹ 5/- | ₹ 5/- |
No. of Securities being Transferred | Consideration received (₹) | |||||||||||
In Figures | In words | In words | In Figures | |||||||||
Distinctive Number
| From
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To
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Corresponding Certificate Nos. |
Transferor’s Particulars
| ||
Registered Folio Number |
Name(s) in Full | Signature(s) | |||||
1.
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2.
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3.
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I hereby confirm that the transferor has signed before me.
Signature of the Witness | : | |||
Name of the Witness | : | |||
Address of the Witness | : | |||
Pin Code |
Transferee’s Particulars
Name in full (1) | Father’s/Mother’s /Spouse Name (2) | Address & E-mail Id (3) | ||
1. | 1. | |||
2. | 2. | |||
3. | 3. | |||
Pin Code | ||||
Email Id: |
Occupation (4) | Existing Folio No., if any (5) | Signature (6) | ||
1. | 1. | |||
2. | 2. | |||
3. | 3. |
Folio No. of Transferee
Value of stamp affixed:
Enclosures:
1. Certificate of shares or debentures or other securities
2. If no certificate is issued, Letter of allotment
3. Copy of PAN Card of all the Transferees (For all listed Cos.)
4. Others, Specify,______________________________________
For Office Use Only
Checked by __________________________________________________________
Signature Tallied by ___________________________________________________
Entered in the Register of Transfer on ___________________________________
__________________________________________ vide Transfer no ____________
Approval Date ________________________________________________________
Power of attorney / Probate / Death Certificate / Letter of Administration
Registered on ______________________________________________________at
No ___________________________________________________________________
Specimen Signature of Transferee(s)
1. |
2. |
3. |
STAMPS