CENTRAL SECURITIES CLEARING SYSTEM LTD.

Transcription

1 CSCS R005 CENTRAL SECURITIES CLEARING SYSTEM LTD. (THE CLEARING HOUSE) PARTICULARS OF SHAREHOLDERS RISL CURRENT DATE: ROSTRUM INVESTMENT AND SECURITIES LIMITED MEMBER CODE: INDIVIDUAL MEMBER NAME: SHAREHOLDER S TYPE: CLEARING HOUSE NUMBER (CIIN): BIRTHDAY: SHAREHOLDER S NAME (SURNAME): OTHERNAMES: MOTHER S MAIDEN NAME: CONTACT (IF CORPORATE:

2 SHAREHOLDER S ADDRESS: CITY COUNTRY POSTAL CODE PHONE FAX REFERENCE NO. COUNTRY OF ORIGIN (FOR STATISTICAL PURPOSES) PAGE 1 OF 2 WAIVER I OF A National of am (are) a prospective

3 Shareholder(s) in. Plc and I (we) hereby FREELY state that being aware of my (our) right to be issued with a share certificate(s) under sections 146 and 147 of the Companies and Allied Matters Degree 1990 and the Memorandum and Articles of Association of the said company for my (our) sole benefit and private purposes do hereby waive the said right and also DECLARE that I (we) shall accept as sufficient certification of my (our) shareholding any memorandum to that effect delivered to me (us) by the said PLC or the CENTRAL SECURITIES CLEARING SYSTEM LIMITED acting on behalf of same as satisfaction of my said right under the sections and Memorandum and Articles of Association aforementioned. Dated this this day SIGNED SEALED (Coy) Rostrum Investment and Securities Limited (Member of the Nigeria Stock Exchange)

4 CSCS R005 CENTRAL SECURITIES CLEARING SYSTEM LTD. (THE CLEARING HOUSE) PARTICULARS OF SHAREHOLDERS C URRENT DATE: M EMBER CODE: CORPORATE MEMBER NAME: SHAREHOLDER S TYPE: CLEARING HOUSE NUMBER (CIIN): BIRTHDAY: SHAREHOLDER S NAME (SURNAME): OTHERNAMES: MOTHER S MAIDEN NAME:

5 CONTACT (IF CORPORATE: SHAREHOLDER S ADDRESS: CITY COUNTRY POSTAL CODE PHONE FAX REFERENCE NO. COUNTRY OF ORIGIN (FOR STATISTICAL PURPOSES) PAGE 1 OF 2 WAIVER I/WE OF

6 A National of am (are) a prospective Shareholder(s) in. PLC and I (we) hereby FREELY state that being aware of my (our) right to be issued with a share certificate(s) under sections 146 and 147 of the Companies and Allied Matters Degree 1990 and the Memorandum and Articles of Association of the said company for my (our) sole benefit and private purposes do hereby waive the said right and also DECLARE that I (we) shall accept as sufficient certification of my (our) shareholding any memorandum to that effect delivered to me (us) by the said PLC or the CENTRAL SECURITIES CLEARING SYSTEM LIMITED acting on behalf of same as satisfaction of my said right under the sections and Memorandum and Articles of Association aforementioned. Dated this this day SIGNED SEALED (Coy) Rostrum Investment and Securities Limited (Member of the Nigeria Stock Exchange)

7 MANDATE FORM TO. DATE: ROSTRUM INVESTMENT AND SECURITIES LIMITED 88B, ISALE EKO AVENUE, DOLPHIN ESTATE, IKOYI LAGOS. Dear Sir, MANDATE TO BUY You are hereby authorized to buy on my/our behalf the following securities stated below: S/NO SECURITIES QUANTITY PRICE LIMIT In making this order, I/we consent to and understand that

8 1. All purchase orders must be backed up by deposits. 2. All orders subject to statutory charges. 3. Orders effected with this mandate cannot be revoked on commencement of execution. 4. Share certificate (s) deposited cannot be retrieved. Account NO Signature.. Tel/Mobile No.... Name in full.. Address. Account Officer (must be known to Rostrum Staff) MANDATE FORM TO. DATE: ROSTRUM INVESTMENT AND SECURITIES LIMITED 88B, ISALE EKO AVENUE, DOLPHIN ESTATE, IKOYI LAGOS. Dear Sir, MANDATE TO SELL You are hereby authorized to sell on my/our behalf the following securities stated below: S/NO SECURITIES QUANTITY PRICE LIMIT

9 In making this order, I/we consent to and understand that 1. All Sales orders must be properly filled. 2. All orders subject to statutory charges. 3. Orders effected with this mandate cannot be revoked on commencement of execution. 4. Share certificate (s) deposited cannot be retrieved. Account NO Signature.. Tel/Mobile No. Name in full Address Account Officer (must be known to Rostrum Staff) PLEASE INSTRUCTS US: Do You Want The Sales Proceeds Re-invested? Do You Want The Sales Proceeds Paid?. Amount =N=.. PLEASE NOTE THAT ALL PAYMENTS ARE MADE IN CROSSED CHEQUE IN FAVOUR OF THE ACCOUNT NAME. THANKS FOR YOUR PATRONAGE

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