Model Affidavit for duplicate share certificate

AFFIDAVIT
(To be obtained from unregistered transferee that the share have not been sold by them before the issue of duplicate shares)
To
The Board of Directors
<name of the company>
<Registered Office>
I/We <>  S/o <>  aged<>  year<>  and <> S/o <> aged <> years residing at<> Solemnly Affirm and declare as follows:
That I/we am/are the sole/joint holder/s of <>No. of equity shares debentures/ bonds/ units in Maharashtra Seamless Limited, as detailed herein below.
Folio no		No of shares	Certi. No	Distinctive nos.
1.	That the above shares /debenture/bonds/units were acquired by me/us for valuableconsideration out of my/our own investment/ funds against allotment in Public Issue /allotment in Right Issue or acquired from the market in the year(s)
2.	The above certificate/s along with the Transfer Deed/s duly executed by the registeredholder(s) and by me/us which were sent by me/us to the company/its agent have been lost or misplaced in transit / has been lost from my/our end.
3.	I/we have not sold the above mentioned securities at anytime to any person nor havepledged these securities or acted upon in any manner so as to create any third party right/interests.
4.	That the stop transfer instructions given by me/us are not on the grounds of the nonpayment by my/our broker/sub-broker.
5.	That I/We have genuinely lost/misplaced the above mentioned securities with/ withoutvalidity executed transfer Deed (s).
6.	That I/We am/are solely responsible for any future liabilities in respect of the abovementioned securities.
This affidavit is executed in favour of the company on my/our own volition and is in the form as required by the company.
VERIFICATION
I/We solemnly affirm that the statement contained in the above paragraphs are true to the best of my/our knowledge, information and belief and that nothing material has been concealed from being disclosed.
					Deponent(s)
Verified at ________________ on this ________ day of ___________200

To be notarised