Form D

REPUBLIC OF KENYA

THE STAMP DUTY ACT

(Cap 480)

The Collector of Stamp Duties

P.O BOX 30089
Nairobi.

CERTIFICATE ON TRANSFER OF CERTAIN

MARKETABLE SECURITIES

I hereby certify that to the best of my knowledge and belief:

a) The transaction effected by the transfer of …………………….

ordinary/preference shares
in ......................................................................................
…………………………….dated…………………. between
…………………………………………………………… and
……………………………………………………………… represents a
bona fide sale between a willing vendor and willing purchaser.

b) The value of one ordinary/preference share in….

……………………………….
on the ………………….. was …………………………..

Date……………………………………

Signature of Company Auditor

……………………………………………
 Name (IN BLOCK CAPITALS):
………………………………………….. .

Postal address:
………………………………………………

………………………………………………

………………………………………………