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Dividend Mandate Form Interloop

This document is a dividend mandate form from Interloop Limited requesting shareholder bank account information. It informs shareholders that under relevant regulations, listed companies must pay cash dividends electronically by depositing directly into shareholders' designated bank accounts. Shareholders are requested to provide their 24-digit IBAN number and bank account details to receive dividends electronically. The form also notes shareholders must sign and return this form with a copy of their CNIC to update their bank account information.

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Waqas Murtaza
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71 views

Dividend Mandate Form Interloop

This document is a dividend mandate form from Interloop Limited requesting shareholder bank account information. It informs shareholders that under relevant regulations, listed companies must pay cash dividends electronically by depositing directly into shareholders' designated bank accounts. Shareholders are requested to provide their 24-digit IBAN number and bank account details to receive dividends electronically. The form also notes shareholders must sign and return this form with a copy of their CNIC to update their bank account information.

Uploaded by

Waqas Murtaza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INTERLOOP LIMITED

DIVIDEND MANDATE FORM

Dear Shareholder,

Electronic Credit Mandate (Mandatory)


This is to inform you that in accordance with Section 242 of the Companies Act, 2017 and Regulation
4 of the Companies (Distribution of Dividends) Regulations, 2017, it is mandatory for a listed
company to pay cash dividend to its shareholders only through electronic mode by remitting directly
into the designated bank account (“the Bank Account”) as provided by the entitled shareholders.
In order to receive your dividends directly into your Bank Account, please provide 24 digits,
International Bank Account Number (IBAN) together with the particulars as mentioned below. Please
return this letter duly signed along with a copy of your valid CNIC to the Share Registrar of Interloop
Limited (“the Company”) M/s Central Depository Company of Pakistan Limited, Share Registrar
Department, CDC House, 99-B, Block ‘B’, S.M.C.H.S., Main Shahrah-e-Faisal, Karachi-74400.
If you are maintaining CDC account(s) then you are also requested to submit your E-Dividend Mandate
directly to your broker (participant)/CDC, with whom the account is being maintained. If you already
have it updated, then no further action is required, since the mandate is recorded for each CDC account
once and not separately for each Company.
This is a computer generated letter that does not require a signature.
…………………………………………………………………………………………………………………………………………………………….

Shareholder’s Information

Name of shareholder

Folio No. / CDC No.

CNIC No.

Passport No. (in case of Foreign Shareholders)

Land Line Phone No.

Cell Phone No.

Email Address of Shareholder

Mailing Address of Shareholder

CNIC No. / Passport Number (in case of


foreign shareholder) – Attach copy:

NTN (in case of corporate entity)


Bank Account Information

Title of Bank Account

Bank Account Number

IBAN No. (24 Digits)

Name of the Bank

Bank’s Branch Name & Code No.

Bank’s Branch Address

Notes: -

Kindly provide your accurate IBAN number after consulting with your bank branch, since
in case of any error or omission in given IBAN, the company will not be held responsible in
any manner for any loss or delay in your cash dividend payment

I, the undersigned hereby authorize Interloop Limited to deposit the cash dividend as and
when declared, directly into my above mentioned bank account.

I also state that the above mentioned information is correct, and that I will intimate the
changes, if any, to be made therein in future to the Company’s Share Registrar.

_________________________

Signature of the Shareholder


[As per specimen signature registered with ILP/Share Registrar]

Date:_____________________

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