Draft Affidavit for Name Change Correction in Share Certificate

In case a shareholder wants to change his name in the share certificate and thereby update the same in the records of the company where he holds the shares, he will have to submit certain documents to the company or its RTA for this purpose.

One of such documents is an affidavit to be signed and submitted by the shareholder on a non-judicial stamp paper or franked or special adhesive stamps needs to be affixed for a value of stamp duty as applicable in the respective states.

The date of execution of affidavit should be within 6 months from the date of purchase of the stamp paper. The date of execution should be the same as the date of attestation by the magistrate or notary. 

Here is a template of such an affidavit for change of name of the shareholder(s) of a company.

SAMPLE

AFFIDAVIT

I/We, (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name) and (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name), presently residing at (residential address) do hereby solemnly affirm and declare in favour of ................. Limited, whose registered office is situated at ....................., as under:

1. That I/we am/are the registered sole/joint-holder of ...... number of equity shares/ debentures bonds/units (hereinafter referred to as "securities") in .................... Limited ("the company") as per the details given hereunder:

Folio No. | Share Certificate No. | Distinctive No. | No. of Shares

............... | .................................. | ........................ | ......................

............... | .................................. | ........................ | ......................

2. That the aforesaid securities were acquired by me/us out of my/our own funds/investment against allotment in Public/Rights Issue or acquired from the market in the year(s) .............

3. That I/we am/are presently residing at the address mentioned hereinabove and have not changed my/our address in the past three years/ have changed from the earlier address of ....................... which is the registered address in the records of the company.

4. That (Old/Erroneous Name of the Shareholder on the company's record) and (New/Correct Name of the Shareholder to be changed to) are names of one and the same person.

5. That my real name i.e. ........................ has been shown/ mistakenly written as ......................... in the company’s records and that I have changed my name to .................

6. That copies of my PAN card and Passport/ Aadhar Card/ Voter Id card which is displaying my name is submitted to the company along with the application letter for verification purposes.

7. That I/We hereby affirm that I/we shall not hold the company or its agent(s) anyway responsible for any consequences that might occur directly or indirectly on account of the company or its agent(s) acting on my/our request herein stated by changing my/our name(s) in the company’s records and for the consequential acts/deeds by the company/its agent(s).

8. That I/We hereby further affirm that the Transfer Deeds for sale of securities bearing my/our name(s) as appended herein below can be taken as validly executed by me/us for all purposes and intents of transferring the ownership of aforesaid securities held by me/us.

9. That the Affidavit is executed in favour of the company / its agent on my/our own volition and is in the form as required by the company / its agent forwarded to me/us vide its letter No. ............ dated ............

10. That I/We, therefore, request that the my/our name(s) registered in the records of the company be changed to my/our new/correct name(s) as provided herein above and the same be taken on record.

   signature

(Name of the first holder)

DEPONENT

   signature

(Name of the second holder)

DEPONENT

VERIFICATION

I/We, (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name) and (Name of the Shareholder), age ... years, son/ daughter/ husband of (Name), resident of (address) do hereby solemnly affirm that the statements made in the above affidavit are true and correct to the best of my/our knowledge, information and belief and that nothing material has been concealed therefrom.

Solemnly declared and affirmed at ................. on this ...th day of (Month), 20xx.

Name in company's records: .................................

Name to be changed to/ corrected: ........................

   signature

(Name of the first holder)    [Photograph]

DEPONENT

   signature

(Name of the second holder)    [Photograph]

DEPONENT

............................................

Name, Address & Signature

of the Witnesses

signature

Before the Executive

Magistrate or Notary Public