Indemnity Form
Lost Certificate Indemnity Form
Counter
Select Counter
FBC Holdings
Econet Wireless
CBZ Holdings
Holdings
Select Holding
123347
567843
5743278
Share Certificate Number(s)
Share Certificate Number(s)
123453
566775
1234
Number of Shares
Physical Address
Suburb/City
Country
Zimbabwe
Botswana
South Africa
Next
Commissioner of Oaths signature
Attach a copy of Commissioner of Oaths signature
Previous
Next
Filled Information Verification
Shareholder Full Name
Holder Number
Counter
Share Certificate Number(s)
Number of Shares
Physical Address
Suburb/City
Country
Download Filled PDF Form
Previous
Submit Form