FORM O-11

FORM O-11

[See rule 2(9) of Schedules III]

Certificate of quoted shares/debentures of a company

This certificate relates to the period of one year ending on the 31st day of March, 19 .
Name of the company with address of registered office
Nature of the instrument, whether it is a preference or equity share or a debenture
Number of occasions the share/debenture has been transacted during the year in ordinary course of business of the stock exchange
Value if the share/debenture as quoted on the 31st day of March of the year
If the share/debnenture is not quoted on the date mentioned in column 5, the value as quuuoted on a date immediatly preceding the date mentioned in the that column

1. Signature and name of the office bearer.

2. Official address

Seal of the stock Exchange]

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FORM O-11 (English)

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