annexure – xiii - Deepak Fertilisers and Petrochemicals Corporation

ANNEXURE – XIII
To be obtained from the buyer under provisions of section 108 of the Companies
Act, 1956.
To
The Board of Directors
Deepak Fertilisers And Petrochemicals Corporation Ltd
Opp. Golf Course, Shastri Nagar
Yerawada
Pune 411 006.
Dear Sir,
Sub : Issue of Duplicate Share/Debenture certificates misplaced/lost in transit
and transfer thereof.
I/We had purchased from the market through………………………Stock and share Broker
and Member of ……………..(Stock Exchange) …………………….. Equity Shares/ Debentures
of Rs……………………. Each of Deepak Fertilisers And Petrochemicals Corporation Limited
vide Brokers Bill No…………….. dated C.N. / ………………( Copy enclosed). I / We had
made payments to the said Broker vide cheque No …………….. dated …………drawn on
…………….(Bank) for Rs……………………. which stand paid , as confirmed by broker vide
his letter dated …………..…( copy enclosed)
Folio
No.
Name
Certificate
No.
Distinctive Nos.
From
To
The loss of the above certificate(s) were duly advertised in the news paper and I / We have
also executed an Indemnity Bond for issue of duplicate Certificate(s) in the name of the
Registered Holder(s). I / We hereby, request the Board of Directors to transfer in my/ our
name of the above securities covered by duplicate certificates so issued by the Company and
delivered them to me/us. The necessary stamp required for the instrument of transfer in
my/our name amounting to Rs. ……………….is affixed.
Yours faithfully,
……………………………..
Signature of applicant
Name ……………………………
Address ……………………………

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