Application For Caliming of Unpaid Dividend
Application For Caliming of Unpaid Dividend
Application For Caliming of Unpaid Dividend
To
Arihant Superstructures Limited
Secretarial Dept.,
302, Persipolis Building
Plot No. 74, Sector – 17, Vashi,
Navi Mumbai – 400 703
Dear Sir,
Re: Issue of duplicate dividend Warrant(s)/credit the unclaimed dividend amount to my Bank
A/c. for/of Rs. _____________________for the Year__________ under DP ID/Folio
No.(s)______________________________________________ in respect of________________ Equity Shares
I/We also further confirm that said unclaimed dividend amount has/have not been credited to
my given bank a/c no.
I/We also undertake that if the aforesaid original dividend warrant(s) is / are hereafter found, I/
we shall return / surrender the said original dividend/ interest/ redemption warrant(s) to the
Company for cancellation.
I/We hereby request the Company to issue me/ us duplicate dividend warrant(s) in lieu of the
aforesaid original warrant(s)/ credit the said unclaimed dividend amount to my Bank A/c no.
and also undertake to reimburse the Company, all claims, demands, actions, liabilities and
expenses which may be made or incurred by the Company on account of issuing the said
duplicate dividend warrant(s) to me/us/crediting the said unclaimed dividend amount to my
bank a/c no.
2. In the event of the Company issuing the duplicate dividend warrant(s) to me/ us and if
thereafter the Company finds that the original dividend warrant(s) has/ have already got
encashed by me/ us, then I/we undertake to refund to the Company the amount of the original
warrant(s) together with an interest @ 18% p.a. by means of a Demand Draft issued in favour of
the Company payable at Navi Mumbai immediately within 7 (seven) days on hearing from the
Company and in case of default, I/we also hereby authorized the Company to adjust the said
sum from any future payments due to me/ us under the above DP ID(s)/Folio(s).
Kindly, issue the fresh dividend warrant in my/our favour /credit the unclaimed dividend amount
in my bank a/c no.:
Total
1. 1.
2. 2.
3. 3.
Note: To avoid the incidence of fraudulent encashment of the warrants/ to directly credit the
unclaimed dividend amount to the bank a/c of the Member/(s), the Members are requested to
intimate the Company under the signature of the sole/ first joint holder, the following information:
vi)9 Digit MICR Code appearing on the MICR Cheque issued by the Bank (please attach the
photocopy of a Cheque or a blank cancelled Cheque issued by your bank for verifying the
accuracy of the code number.