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SAMPLE APPLICATION FOR TRANSFER OF SHARES



APPLICATION FOR TRANSFER OF SHARES (EQTRADE)

Name of Client: Client Code:  
Address:

I/We hereby instruct (name of stockbrokerage) to transfer (EQTRADE) the following shares to my/our account with the broker(s) named hereunder:

Name of Security No. of Shares Transfer to
    AB Capital Securities, Inc.
     

I/We hereby agree that the charges of Php____ per stock will be borne by me/us and authorize (name of your existing stockbrokerage) to debit my/our account for said charges.

  ______________ _________
  Signature of Client Date