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Affidavit for Change of Signature of Shareholder (Format)

In case a shareholder has changed his signature and wants to update the same in the records of the company where he holds the shares, he will be asked by the company or its RTA to produce certain documents to process his request for updation.

affidavit for change of signature for shares
Such documents are mainly the application letter from the shareholder for change of signature, identity and address proofs, affidavit duly executed before magistrate or notary, indemnity bond, copies of share certificates, bank verification letter, etc.

Here is a template of such an affidavit for change of signature of the shareholder(s) of a company. Do necessary changes in it as needed.

SAMPLE

AFFIDAVIT

I/We, (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name) and (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name), presently residing at (residential address) do hereby solemnly affirm and declare in favour of ................. Limited, which is having registered office at ....................., as under:

1. That I/we am/are the registered sole/joint-holder of ...... number of equity shares/ debentures bonds/units (hereinafter referred to as "securities") in .................... Limited ("the company") as per the details given hereunder:

Folio No.  |  Share Certificate No.  |  Distinctive No.  |  No. of Shares
...............  |  ..................................  |  ........................  |  ......................
...............  |  ..................................  |  ........................  |  ......................

2. That I/we am/are presently residing at the address mentioned hereinabove and have not changed my/our address in the past three years/ have changed from the earlier address of ....................... which is the registered address in the records of the company.

3. That the aforesaid securities were acquired by me/us out of my/our own funds/investment against allotment in Public/Rights Issue or acquired from the market in the year(s) .............

4. That my/our signature(s) might have changed/altered by passing of time and that my/our specimen signature(s) given hereinbelow be taken on record in respect of my/our holdings of aforesaid securities in the company in place of my/our existing signature(s) in the records of the company.

5. That I/We hereby affirm that I/we shall not hold the company or its agent(s) anyway responsible for any consequences that might occur directly or indirectly on account of the company or its agent(s) acting on my/our request herein stated by replacing the signature(s) in the company’s records and for the consequential acts/deeds by the company/its agent(s).

6. That I/We hereby further affirm that the Transfer Deeds for sale of securities bearing my/our signature(s) as appended herein below can be taken as validly executed by me/us for all purposes and intents of transferring the ownership of aforesaid securities held by me/us.

7. That the Affidavit is executed in favour of the company / its agent on my/our own volition and is in the form as required by the company / its agent forwarded to me/us vide its letter No. ............ dated .............

8. That I/We, therefore, request that the specimen signature(s) registered in the records of the company be cancelled against my new specimen signature(s) as provided herein below and the same be taken on record.


VERIFICATION

I/We, (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name) and (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name), resident of (address) do hereby solemnly affirm that the statements made in the above affidavit are true and correct to the best of my/our knowledge, information and belief and that nothing material has been concealed therefrom.


Solemnly declared and affirmed at ................. on this ...th day of (Month), 20xx.

1. Specimen new signature of the first holder: ...........................  [Photograph of the first holder]
2. Specimen new signature of the second holder: ......................  [Photograph of the second holder]
3. Specimen new signature of the third holder: ..........................  [Photograph of the third holder]

............................................
Name, Address & Signature
of the Witnesses

  signature
Before the Executive
Magistrate or Notary Public

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