INSTRUCTIONS

Fill out the form on the next page and send the originally signed form to the COL FINANCIAL GROUP, INC. at
2401-B East Tower PSE Centre, Exchange Road, Ortigas Center, Pasig City.

You will also need to submit a signature card per company to complete this request (you can secure signature
cards from COL's business center). The upliftment process can take up to 30 days to 3 months to generate the
certificate.

When withdrawing your stocks from your COLFinancial account, here is what you need to do:

STEPS ACTION DETAIL

1 Fill up the necessary request form Form: Upliftment of Stock Certificates
Acquire a signature card from our
One (1) Signature card per stock,
2 business center. Sign the card twice
regardless of number of shares
and attach it to your upliftment form
Prepare a copy of 2 valid government
3 issued IDs for submission to the Picture and signature should be clear.
transfer office
Submit the form and signature card to Processing time will take 1-3 months
4
our business center depending on the transfer agent
Sometimes personal appearance may The transfer office will notify us of your
*
be requested by the transfer office need for personal appearance
A processing fee will be charged:
P50 if the transfer agent is a bank This can be charged to your COLFinancial
*
P162 if the transfer agent is a non-bank account provided it has sufficient cash.
(This is per certificate)
Date ___________________

COL Financial Group, Inc.

Operations Department
2401-B East Tower, Philippine Stock Exchange Centre,
Exchange Road, Ortigas Center,
Pasig City 1605 Philippines
Tel. No. 636-5411 to 24 loc. 164
Fax No. 634-6958

Subject: REQUEST FOR UPLIFTMENT OF STOCK CERTIFICATE(S)

Please uplift or convert the following issues into stock certificates in my/our name:

Name of Security Stock Code Number of Shares

Payment of the related transfer fee will be settled by:

[ ] Enclosed Cash/Check
[ ] Debiting my account

I/We understand that an order made for a stock certificate, otherwise known as an ‘Upliftment’ request,
would entail the pullout of a ‘street’ named stock position to be converted and issued ‘In Name’ of the
account holder. The stock certificates shall be available for pick-up at the offices of COL Financial
Group, Inc.at least thirty (30) days from the date of receipt of this request.

I further understand that an upliftment request will allow COL Financial Group, Inc. to earmark ‘out’ a
stock position from my/our online portfolio to ensure that such a position is not sold or reduced while
waiting for the new certificate.

Thank you.

_________________________________
Customer’s Signature over Printed Name

COL Account No. ___________ -_____________

AUTHORIZATION FOR REPRESENTATIVE

I/We hereby authorize my/our representative whose printed name and specimen signature appears
below, to pick-up the certificate(s) in my/our behalf.

_________________________ ______________________________ ____________________________

Representative’s Printed Name Representative’s Specimen Signature Customer’s Signature
Note: Valid identification from both the customer and his representative is required.

*COL Financial Group, Inc. is a PSE Trading Participant and Member of SCCP and SIPF.