Above this line for Registrars use only 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the company where you hold shares in the designated field.
3. Next, provide the certificate number of the lost certificate in the 'Certificate Number(s)' section.
4. Indicate the amount and class of securities you are reporting as lost, such as 'Ordinary' shares.
5. Fill in your full name and address in the 'Name and Address of Shareholder' section. If applicable, include your previous address if you have changed it.
6. Date the form by selecting the appropriate day, month, and year.
7. Ensure all joint holders sign where indicated. This is crucial for processing your request.
8. Finally, return the completed indemnity form along with a cheque for £24.00 to Share Registrars Limited at the specified address.

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