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SHAREHOLDER’S RECORD UPDATE FORM Date: [DD]-[MM]-[YYYY]
1) PERSONAL INFORMATION Surname/Company Name
Other Names (Individual Shareholders)
Mailing Address
Contact Address
E-Mail Address
GSM Number 1 GSM Number 2
CSCS Clearing House Number Shareholder’s Account Number
2) BANK DETAILS (E-DIVIDEND PAYMENTS) I/We hereby request that henceforth all dividends due to me/us from all companies indicated in the box be credited into my/our
account with the following bank details.
Bank Name
Branch Address
Bank Account Number Bank Sort Code
BVN Number
Shareholder’s Signature Shareholder’s Signature AUTHORISED SIGNATURE & STAMP OF
BANKERS
Incorporation Number (Corporate Shareholder) RC
Company Seal
Kindly return the duly completed from to the Registrar; GTL Registrars Limited No 2, Burma Road Apapa, Lagos. Completed forms can be submitted electronically via email [email protected] or through any if our branches on our website: www.gtlregistrars.com. Note: Shareholders with outstanding dividend warrants should send a mail to [email protected], visit GTL Registrars Limited or call +234-(0)1-2917747, +234-(0)1-2793160-2.
“GTL REGISTRARS LIMITED hereby disclaims liability or responsibility for errors/omissions/misstatements in any document transmitted electronically.”
Passport Photograph
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Please tick as appropriate √
Abplast Products PLC
Aluminium Extrusion PLC
Cashew Nut Processing Industries PLC
Chellarams PLC
Christlieb PLC
DANA Group Of Companies Plc Series Tranche 1 & 2
DN Meyer PLC
DN Tyre & Rubber PLC
Ecobank Transnational Incorporated
Ekiti State Bond Tranche 1 & 2
EKOCORP PLC
Eterna Oil PLC
First Aluminium PLC
General Telecoms PLC
GlaxoSmithKline Nigeria PLC
Global Biofuels Nigeria Limited
Great Nigeria Insurance PLC
Ikeja Hotels PLC
Impresit Bakolori PLC
Industrial &General Insurance PLC
IPWA PLC
John Holts PLC
Julius Berger Nigeria PLC
Kajola Integrated &Investment Company PLC
Lennards Nigeria PLC
Local Contractors Receivables Bond
Tranche 1,2 & 3
Mobil Oil Nigeria PLC
Nestle Nigeria PLC
Nigeria Cement Company PLC
Nigeria Reinsurance
Nigerian Enamelware Company PLC
Nigerian Lamps Industries
Nigerian Wire & Cable PLC
Okitipupa Oil Palm PLC
Oluwa Glass COMPANY
Seven-Up Bottling Company PLC
The Tourist Company of Nigeria PLC
Tripple Gee & Company PLC
UBA Fixed N20 Billion Bond Series 1 Bond
UBN Property Limited
Unilever Nigeria PLC
Union Assurance Company Limited (NOW Ensure Insurance)
Union Bank of Nigeria PLC
Union Homes REITS
Union Homes Savings & Loans PLC
University Press PLC
WEMA Bank PLC
PLEASE NOTE THAT THE SECTION FOR YOUR BANK ACCOUNT DETAILS HAS TO BE COMPLETED BY YOUR BANK I/We confirm that all the information supplied is to the best of my/our
knowledge correct and hereby indemnify GTL Registrars Limited against any
loss that may arise from their adoption of the details supplied.
