The Director

__________________________ (Name of Company Shares)

_______________________________________________

FOLIO NO. _________________________

INDEMNITY FOR DUPLICATE SHARES

FROM LEGAL HEIR OF DECEASED SHAREHOLDER

I the undersigned (Successor of the deceased shareholder) _____________S/o W/o D/o ____________
having CNIC No._____________ of ____________(give full residential address) ___________declare
that certificate No(s).___________________to ____________for _____________ Shares of
Rs._________ each fully paid and numbered from _____________________ to ____________________
all Numbers inclusive in _________________________________ Company / Modaraba which were
allotted / transferred to Mr._______________________________(deceased) by the Company /
Modaraba have been lost.

I am confirm that original share certificate (s) standing in the name of Mr._________________________
(deceased is /are not in my possession nor delivered to any person for any reason. I request that new
Certificate (s) be issued in the name of Mr. ______________________ (deceased) against this indemnity
for subsequent transmission in my name.

I ________________________________ (Name of Guarantor) having CNIC No. ___________________

resident of __________________________(fully residential address) and ________________ (successor)
do jointly and severally undertake and agree with you and your Registrar that if __________
Shares/Modaraba (Certificate/s) issued in the name of above deceased shareholder subsequent
transmission in the name of legal heir and then there is any claim against this indemnity on the subject
for issue of duplicate certificate/s, we will indemnify and save you and your Registrar Harmless from
against all action, proceeding, losses, charges, expanse, claims and demands which you and your
Registrar shall to may sustain and or be put to be reason of your issuing above mentioned
shares/Modaraba certificate(s).

I (Guarantor) ______________________________and __________________________(Successor of

deceased shareholder) undertake and agree with you and your Registrar to deliver to you original
Shares/Modaraba certificate(s) if they are at any time found.
SUCCESSOR’S PROTION

1. MALE WITNESS ONLY SUCCESSOR

Signature __________________________ Signature ________________________

Name (capital letter) ___________________ Name (capital letter) ___________________

Complete Address _____________________ Complete Address _____________________

________________________________________ ____________________________________

CNIC No. _________________________________ CNIC No. _____________________________

Occupation _______________________________ Occupation ____________________________

2. MALE WITNESS ONLY

Signature _____________________________

Name (capital letter) _____________________

Complete Address _______________________

______________________________________

CNIC No. _________________________________

Occupation _______________________________

VERIFICATION OF SUCCESSOR’S SIGNATURE BY BANK MANGER

Successor’s IBAN Number (24 digits) _______________________________________________________

Verifying Manger’s name _______________________________________________Code No. _________

Branch Code ________________ Branch Phone No. _________________

Bank & Manger’s Stamp & Signature _____________________ Verification Date: __________________
GUARANTOR’S

1. MALE WITNESS ONLY GUARANTOR

Signature __________________________ Signature ____________________________

Name (capital letter) ___________________ Name (capital letter) __________________

Complete Address _____________________ Complete Address _____________________

________________________________________ _____________________________________

CNIC No. _________________________________ CNIC No. ___________________________

Occupation _______________________________ Occupation ___________________________

Offical Stamp with name & Designation_____

Contact No(s). _________________________

2. MALE WITNESS ONLY

Signature _____________________________

Name (capital letter) _____________________

Complete Address _______________________

______________________________________

CNIC No. _________________________________

Occupation _______________________________

VERIFICATION OF GUARANTOR’S SIGNATURE BY BANK MANGER

Guarant’s IBAN Number (24 digits) _______________________________________________________

Verifying Manger’s name _______________________________________________Code No. ________

Branch Code ________________ Branch Phone No. _________________

Bank & Manger’s Stamp & Signature _____________________ Verification Date: __________________