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Click ‘Get Form’ to open the lost share certificate indemnity form in our editor.
Begin by filling in the 'Particulars of Certificate(s) Lost or Destroyed' section. Provide details about the original certificate, including its number and any relevant information regarding the securities.
In the 'Amount & class of Securities' field, specify the total amount and type of securities associated with the lost certificate.
Enter the date in the format specified on the form, ensuring accuracy for record-keeping purposes.
Complete the 'In favour of' section by entering your name or entity that is entitled to receive a duplicate certificate.
Sign and date at the bottom of the form. If applicable, ensure that any additional parties join in signing as indicated.
Review all entered information for accuracy before submitting your request through our platform.

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form j16a

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