Date____________

Abacus Securities Corporation

2904-A, East Tower, Philippine Stock Exchange Centre
Exchange Road, Ortigas Center, Pasig City

Subject: Request for Upliftment of Stock Certificate/s

I/we hereby request upliftment /issuance of street certificate/s in my/our name:

Name of Stock Issue Stock Code No. of Shares

The related expenses/transfer fee will be paid by: ( ) Enclosed Cash/Check

( ) Debiting my/our account

I/we understand that the request for the issuance of stock certificate/s in my/our name, otherwise known as an”
Upliftment Request”, would necessitate the pullout of a street named stock position from my/our online account
with MyTrade for processing. The stock certificate/s shall be available for pick-up at the offices of MyTrade at least
thirty (30) days from the date this request is received.

To ensure that stock position relative to this request is not sold or reduced while the new certificate/s is/are being
process, MyTrade is allowed to tag stock position “out” from my/our online account.

Thank you.

_________________________________
Customer’s Signature over Printed Name

MyTrade Account No.___________

_____________________________________________________________________________________

AUTHORIZATION FOR REPRESENTATIVE

I/we hereby authorize my/our representative whose name and specimen signature appear below, to pick-
up/receive the stock certificate/s in my/our behalf.

____________________ ______________________ _____________________

Customer’s Signature Name of Representative Specimen Signature of
Representative

Note: Valid identification from both the customer and herein named representative are required for the release of
the stock certificate/s.