For exchange control purposes Form CM 42

A PROPER INSTRUMENT OF TRANSFER IN TERMS

OF SECTION 51(6)(a)OF COMPANIES ACT
NO 71 OF 2008 AS AMENDED BY COMPANIES
AMENDMENT ACT, NO.3 OF 2011

FULL NAME OF ISSUER OF SECURITY AS SHOWN ON CERTIFICATE

A

Figures Words
Quantity and full
description of Description
securities to be
transferred
Certificate(s) No.(s) Distinctive number(s) (if any)
[that is, the person(s) in whose name(s) the securities are at present registered].

*
THIS PORTION TO BE COMPLETED BY THE TRANSFEROR(S)

TRANSFER (in block letters insert the full name(s)

FROM of the present registered holder(s)

[transferor(s)]
Certification, if any, by issuer of security.

I/we the undersigned hereby transfer the above securities from the
name(s) aforesaid to the person(s) named below or to the several
persons named in Part B of the Broker’s Transfer forms (CM 41)
relating to the above security.

Date of signature
(Commissioner of Oaths Stamp)

TRANSFER (in block letters insert the full name(s) of the postal *
B
TO address(es) of the person(s) into whose name(s) the
THIS PORTION TO BE COMPLETED BY THE TRANSFEREE(S) [that is, the
person(s) in whose name(s) the securities are to be registered]. OR AGENT, EXCEPT

securities are to be transferred)

[transferee(s)]
WHERE BROKER’S TRANSFER FORMS ARE USED.

CONSIDERATION – State the amount (in figures) paid for the

securities. If no consideration was paid, the market value of the
securities at the date of transaction must be stated. R…………………
….
I/We request that such entries be made in the register as are necessary to give effect to this
transfer.
LODGED FOR CERTIFICATION BY:

Name and address or stamp of person lodging this form or stamp of buying broker (if any)

EXEMPTION (h) * FOR USE IN REGISTERING OFFICE

Exemption in terms of section 8 (1)(h) of the Securities Transfer Tax Act, 2007
This constitutes a transfer from a deceased estate to an heir or legatee.

Executor/s…………………………..signed.