Stock Holding Corporation of India Limited

Registered office : 301, Centre Point, Dr. Babasaheb Ambedkar Road, Parel, M mbai ! "0001#
$isit s at :

www.shcilestamp.com

2,R 4.$ 5##$##

e-Stamping Application Form

A%%lication Date Doc ment Descri%tion & &#0 ' (ick an) one*

Registerable

q
+tam% D t) Amo nt

Non-Registerable

Article
Property escription

Indian Rupees only

!not e"ceeding #$$ characters%

Consideration of Pro%ert)

&irst Party etails !name not e"ceeding '$ characters%

,ame Address Phone ,ame Address Phone PA, Pin Code PA, Pin Code !name not e"ceeding '$ characters%

Second Party etails

Stamp
+tam% D t) P rchased b) +tam% D t) Paid b) ' (ick* Che)(e * Bank ,ame

(ty Payment etails !name not e"ceeding '$ characters%

1st Part)

#nd Part)

()%e of Pa)ment etails

q q

Cash R(2+

q Cheq Acco
Deno.

DD

Pa)./rder

q
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,01(

nt to Acco nt (ransfer Cash eposit

* Pay-+rder * N,&- * R-.S * /cco(nt Branch ,ame

Che- e &DD &P/ &3(R &R01&Acco nt ,o.

Pieces

1000 4 500 4 100 4 50 4 #0 4 10 4 5 4 R %ees ' in 6ords * : # 4 1 4 -otal

1. Please s bmit the d l) filled and signed form along 7ith stam% d t) amo nt at the e.+tam%ing co nter #. +tam% D t) amo nt sho ld be ro nded off to the nearest R %ee 3. (he correctness of Article t)%e and +tam% D t) amo nt cannot be confirmed at the e.+tam%ing co nter ". /nce the e.+tam% is generated no modifications&changes are %ossible, so caref ll) check the %re8ie7 of the e.+tam% and onl) then sign the %re8ie7 5. /nce the e.+tam% has been generated, %a)ment cannot be cancelled or ref nded b) +9C:;. 1or cancellation )o need to get in to ch 7ith the Com%etent A thorit) at the +tam% /ffice a%%ointed b) the +tate 2o8ernment <. Cancellation charges are a%%licable as le8ied b) the +tate 2o8ernment

: ha8e read and nderstood the abo8e instr ctions and the :nformation gi8en b) me in this form is tr e to the best of m) kno7ledge and belief. ,ame of the Part)& Re%resentati8e: !&or +ffice (se only% I 0erify that the /pplication &orm is in order -o be filled by 1S,R -o be filled by S1P,R2IS+R Certificate , mber +ignat re ,ame: +ignat re: +ignat re:

S13IN
+ignat re +tam% Certificate recei8ed b)

IN

-----------------------------------------"--------------------------------------------------"-------------------------------------SHCIL E-Stamping
+tam% D t) P rchased B) +tam% D t) Amo nt ` ()%e of Pa)ment

Receipt
+tam% D t) Paid b) q 1st Part)

(To be filled in by the client)

q #nd Part) q ,01(

q Cash q Che- e q DD q Pa)./rder q R(2+ q Acco nt to Acco nt (ransfer Date: Branch ,ame & &#0

Che- e& DD& P/& 3(R& R01&Acco nt ,o. Bank ,ame Co nter +ignat re 7ith +eal