FORM O-11

[See rule 2(9) of Schedules III]

Certificate of quoted shares/debentures of a company

1. This certificate relates to the period of one year ending on the 31st
day of March, 19 .
2. Name of the company with address of registered office
3. Nature of the instrument, whether it is a preference or equity
share or a debenture
4. Number of occasions the share/debenture has been transacted
during the year in ordinary course of business of the stock
exchange
5. Value if the share/debenture as quoted on the 31st day of March of
the year
6. If the share/debnenture is not quoted on the date mentioned in
column 5, the value as quuuoted on a date immediatly preceding
the date mentioned in the that column
1. Signature and name of the office bearer.
2. Official address
Seal of the stock Exchange]