ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
ةقفصلل رخأ�تم ديكأ�ت Late Confirmation ةيلام ةقرو ةيكلم لقن بلط جذومن
Securities Ownership Transfer Form
م / / قفاوملا ـه / / خ�يراتلا
ةيلاملا قارولأا عاديإ زكرم ةكرش / ىلإ ةيلاملا قارولأا ةيكلم لقنب مرك�تلا لمأن :اهتانايب يتلآا تامولعملل اقفو To: Securities Depository Center Company
Please transfer the securities according to the following details
Bi-Lateral Payment Details فارطلاا ةيقافتا ليصافت (لقتسملا ظفحلا وضع)
(Independent Custody Member) (قوسلا وضع)
(Exchange Member)
)Transferee)
هيلإ لوقنم)Transferor)
لقان)Transferee)
هيلإ لوقنم)Transferor)
لقانرمث�تسملا مسا Investor’s Name :ضفرلا باسح مسا
Exchange Member’s Rejection Account Name
:ةيوهلا مقر ID Number:
:ةيوهلا مقر ID Number:
زكرملا باسح مقر:
Center Account’s No.:
:ضفرلا باسح مقر Rejection Account
Number:
لقتسملا ظفحلا وضع زمر:
Independent Custody Member’s Code:
:قوسلا وضع زمر Exchange Member’s
Code:
:ناونعلا address:
:ناونعلا address:
:فتاهلا phone:
:فتاهلا phone:
لقنلا ةقفص ةميق Transferred Trade Value ةعوفدملا موسرلا ةميق
Paid Fees Amount
Request details بلطلا ليصافت
ةيلاملا ةقرولا عون Security type مهسأ
Equities نيد تاودأ
Debt instruments :(ديدحتلا ءاجرلا) ىرخأ�
Others (please specify):
...
...
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
ردصملا زمر Symbol
code ةقفصلل يعجرملا مقرلا
:ةضوفرملا Rejected Trade Reference Number ذيفنت خ�يرات
ةقفصلا Trade Execution Date ةقرولا مسا
ةيلاملا Security
Name ةباتك ددعلا
Quantity (written) امقر ددعلا
Quantity (number)
.1 .2 .3 .4 .5 .6 .7 .8 .10 .9
مسلاا عيقوتلا Name
Signature ذيفنتلا خ�يرات
Execution date
لقنلا رمألخدم
Entry
لقنلا رمأ ققدم
Verification
لقنلا رمأ دمتعم
Approval .ةقفرملا ماكحلأاو طورشلا ىلع مهتقفاومب هليكوو لقانلا رقي ،جذومنلا اذه نم ةخسن ملاتساب *
By receiving a copy of this form, the transferor and its attorney agrees on the attached terms and conditions.لقانلا مادختسلا The use for Transferor هيلإ لوقنملا مادختسلا
The use for Transferee
:ضوفملا صخشلا Authorized Person:
:ضوفملا صخشلا Authorized Person:
:عيقوتلا Signature:
Date
خ�يراتلا :عيقوتلا
Signature:
Date
خ�يراتلا
(يمسرلا متخلا) عيقاوتلا ةحص ىلع لقتسملا ظفحلا وضع ةقداصم Independent Custody Member authentication of
signature(Official Stamp) (يمسرلا متخلا) عيقاوتلا ةحص ىلع قوسلا وضع ةقداصم
Exchange Member authentication of signature (Official Stamp)
For Securities Depository Centre internal use only. ةيلاملا قارولأا عاديإ زكرم ىدل يلخادلا مادختسلال
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
:ماكحلأاو طورشلا
وــضعو لقتــسملا ظــفحلا وــضع لــبق نــم ًارارــقإ -ةــقفصلل رــخأ�تم دــيكأ�ت- ةــيلام ةــقرو ةــيكلم لــقن بــلطب مدــقتلا ّدــ َعُي -1 هذــه ّدــ َعُتو ،)»ماكــحلأاو طورــشلا«( ماكــحلأاو طورــشلا هذــهب .»بــلطلا مدــقم« ـــب ًاــقحلا اــمهيلإ راــشي( قوــسلا
.اــمهنم ًلاك اــهيلع قــفاو يــتلا ةــيوضعلا ماكــحأو طورــشل ةــلمكم ماكــحلأاو طورــشلا تادنتــسملا عــيمج )»عادــيلإا زــكرم«( ةــيلاملا قارولأا عادــيإ زــكرم ةكرــش ىــلإ مدــقي نأ بــلطلا مدــقم ىــلع بــجي -2 دــعاوقو ،ةــيذيفنتلا هــحئاولو ةــيلاملا قوــسلا ماــظنو ،اذــه بــلطلا جذوــمن يــف اــهيلع صوــصنملا قــئاثولاو
.)»حــئاوللاو ةــمظنلأا«( اــهيلع أرــطت دــق تلاــيدعت يأو ،ةــيلاملا قارولأا عادــيإ زــكرم دــعاوقو ،قوــسلا مــل اــم حــئاوللاو ةــمظنلأا يــف اــهل ةــحضوملا يــناعملا ماكــحلأاو طورــشلا يــف ةدراوــلا تاراــبعلاو تاــملكلاب دــصقُي -3 ةــيكلم لــقن بــلط جذوــمن )»بــلطلا«( ةــملكب دــصقُي ماكــحلأاو طورــشلا هذــه ضارــغلأو ،كــلذ رــغب صــنلا قايــس ضــقي عادــيلإا زــكرم اــهددحي يــتلا ،هــل ةــقفارملا تادنتــسملاو هــيف ةدراوــلا تاــنايبلاو -ةــقفصلل رــخأ�تم دــيكأ�ت- ةــيلام ةــقرو .رــخلآ تــقو نــم .اهب مازتللااو حئاوللاو ةمظنلأا ىلع علاطلااب بلطلا مدقم دهعتي -4 بــلطلا اذــه يــف ةدراوــلا عــيقاوتلاو ماــقرلأاو تاــنايبلاو تاــمولعملا ةــحص مدــع ةيلوؤــسم عادــيلإا زــكرم لــمحتي لا -5 وأ تاــعبت يأو كــلذ نــع ةيلوؤــسملا لــماك هدــحو بــلطلا مدــقم لــمحتيو ،اــهلامتكا مدــع وأ اهتملاــس وأ اــهتقد وأ تافورصملاو رارــضلأاو رئاــسخلا عــيمج نــع عادــيلإا زــكرم ضــيوعتب بــلطلا مدــقم مزــتلي كــلذك .هــنع جــتنت ةــينوناق راــثآ يــف ةدراوــلا تاــميلعتلل عادــيلإا زــكرم ذــيفنتل ةــجيتن ةئــشانلاو اــياضقلاو تاءاــعدلااو تايلوؤــسملاو فــيلاك�تلاو هــيفظومو هــيريدمو هــترادإ ســلجمو عادــيلإا زــكرم ةيلوؤــسم بــلطلا مدــقم يــلخيو ،اــهتعيبط تــناك ًاــيأ بــلطلا وأ ىواــعد وأ تاــضيوعت وأ رئاــسخ وأ تاــبلاطم وأ رارــضأ يأ نــع هــل ةــعباتلا تاكرــشلا وأ اــهعبتي يــتلا تاكرــشلاو .بــلطلا ذــيفنت ةــجيتن رــشابم رــغ وأ رــشابم لكــشب أــشنت ،ةــهج وأ صخــش يأ هاــجت ةيلوؤــسم
.عاديلإا زكرم هددحي رخآ دنتسم يأ ميدقتب بلطلا مدقم دهعتي -6 ةــقداصملاو بــلطلا ىــلع عــيقوتلا ًاــماظن هــيلإ ضَّوــفم بــلطلا ىــلع عــقوملا فــظوملا نأــب بــلطلا مدــقم دــهعتي -7 ةــمئاق ىــلع أرــطي ثــيدحت يأــب عادــيلإا زــكرم راــطخإب بــلطلا مدــقم دــهعتي اــمك ،هــيف ةدراوــلا تاــنايبلا ةــحص ىــلع
.نــضوفملا صاخــشلاا .بلطلا ذيفنت نع عاديلإا زكرم هددحي يذلا يلاملا لباقملا دادسب بلطلا مدقم دهعتي -8 قــلعت�ت اــهرغ وأ ماــقرأ وأ عــيقاوت وأ تاــمولعم وأ تاــنايب وأ تادنتــسم يأ ظــفح نــع ًلاوؤــسم عادــيلإا زــكرم ّدــ َعُي لا -9
.ةدرــفنملا هــتدارلإ ًاــقفو اــهب ظاــفتحلاا يــف عادــيلإا زــكرم قــحب للاــخلإا نود كــلذو ،بــلطلاب دــيدحت عادــيلإا زــكرملو ،عادــيلإا زــكرم ىــلإ هــلبق نــم اــهيلع ًاــقدصم بــلطلا نــم ةــيلصأ ةخــسن بــلطلا مدــقم مدــقي -10 كــلذو عادــيلإا زــكرم ىدــل ةــلوبقم ىرــخأ ةــقيرط يأ مأ ًاــينوتركلإ مأ ًاــيودي تــناكأ ءاوــس بــلطلا لابقتــسا ةليــسو
.بــلطلا يــف ةدراوــلا تاــميلعتلا ذــيفنت لامك�تــسلا يذــلا راعــشلإا ّدــ َعُي ماكــحلأاو طورــشلا هذــه ضارــغلأو ،عادــيلإا زــكرمل ةيمــسرلا لــمعلا ماــيأ للاــخ بــلطلا ملــست نوــكي -11 يــف ملــست هــنأ ىــلع لــمعلا ماــيأ رــغ يــف وأ يمــسرلا لــمعلا تــقو نــم نتعاــس رــخآ للاــخ عادــيلإا زــكرم هملــستي
.ةيمــسرلا لــمعلا ماــيأ نــم قــحلالا موــيلا لوــقنملا ىــلإ لــقانلا نــم هلاــعأ اــهليصافت ةــحضوملا ةــيلاملا قارولأا ةــيكلم ىــلع ةــبتترملا قوــقحلا ةــفاك لــقتنت -12
.ةــينمزلا ةيوــستلا ةدــم قــفو هــيلإ لوــقنملا باــسح ىــلإ لــقانلا باــسح نــم ةــيلاملا ةــقرولا لــقن روــف هــيلإ ةــيئارجلإا تاــميلعتلل ًاــقفوو ةــحيحص هـــل ةــلمكملا قــئاثولاو تاــنايبلا عــيمج نــك�ت مــل اــم ًلاــمتكم بــلطلا نوــكي لا -13 يوتحي بــلط يأ لوــبق مدــع -هرــيدقتل ًاــقفو- عادــيلإا زــكرملو ،رــخلآ تــقو نــم ددــجت�ت دــق يــتلا عادــيلإا زــكرمل ةــينفلاو
.ةــحضاو رــغ وأ ،ةءورــقم رــغ تاــنايب وأ ،بطــش ىــلع .ةكلمملاب ةصتخملا ةيئاضقلا ةهجلل ماكحلأاو طورشلا قيبطت ءارج نم أشني عازن يأ عضخي -14 يــتلا بابــسلأا نــم يلأ هــضفر وأ ًاــتقؤم بــلطلا ذــيفنت قــيلعت – هــيلع ةيلوؤــسم ىــندأ نود – عادــيلإا زــكرمل قــحي -15 وأ عادــيلإا زــكرم ةزــهجأ نــم يأ ةــنايص وأ لــيدعت وأ ر�ــيوطت ءاــنثأ وأ يــنفلا لــطعلا تلااــح كــلذ يــف اــمب ةبــسانم اــهاري رــخأ�تلا اذــه ناك اذإ ،بــلطلا ذــيفنت يــف لــطعت وأ رــخأ�ت يأ ةيلوؤــسم عادــيلإا زــكرم لــمحتي لا هــيلعو ،ةــيللآا هــتمظنأ .عادــيلإا زــكرم ةدارإ نــع ًاــجراخ لــطعتلا وأ .اهل عضختو ةيراسلا ةيدوعسلا ةي�برعلا ةكلمملا نناوقو ةمظنلأ ًاقبط ماكحلأاو طورشلا هذه ر َّسفت -16
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
ﺔـــﻴﻟﺎﻤﻟا قاروﻷا عاﺪــــﻳإ ﺰــﻛﺮﻣ ﺔﻛﺮﺷ Securities Depository Center Company
Terms and Conditions:
1. The submission of the Transfer of Securities Ownership Form – Late Confirmation- shall be deemed as an acknowledgement from Independent Custody Member and Exchange Member hereinafter referred to as (“Applicant”) of these Terms and Conditions (“Terms and Conditions”). these Terms and Conditions shall be considered complementary to the Membership Terms and Conditions accepted by both of them.
2. The Applicant shall submit to the Securities Depository Center Company (“Depository Center”) all documents provided in this Application form, the Capital Market Law, its implementing regulations, Exchange rules, Securities Depository Center rules, and any amendments to the aforementioned (“Laws and Regulations”).
3. Terms and phrases used in the Terms and Conditions shall have the meanings given thereto in the Laws and Regulations unless the context requires otherwise, and for the purposes of these Terms and Conditions, the word “Application” shall mean the Transfer of Securities Ownership Form – Late Confirmations-, information contained therein, and documents attached thereto as the Depository Center determines from time to time.
4. Applicant undertakes to review Laws and Regulations and abide thereby.
5. Depository Center shall assume no responsibility for inaccuracy of information, data, numbers, and signatures provided in this Application, nor for the truthfulness, integrity or completion thereof; the Applicant shall solely be responsible for this in full as well as for any resulting legal consequences. The Applicant shall also undertake to indemnify Depository Center against all losses, damages, expenses, costs, liabilities, claims, and legal actions resulting from the execution by the Depository Center of the instructions provided in the Application notwithstanding the nature thereof. The Applicant discharges the Depository Center, its board of directors, directors, officers, mother companies, and subsidiaries thereof form any liability, claims, losses, compensations, actions, or liability towards any person or entity, resulting directly or indirectly from the execution of the Application.
6. Applicant undertakes to provide the Depository Center with any documents specified by the Depository Center.
7. The Applicant undertakes that the employee signing the Application is duly authorized to sign on such application and rectify the information provided therein; the Center Member shall also notify the Depository Center of any update on the delegated persons list.
8. Applicant shall pay the fees specified by the Depository Center for the execution of the Application.
9. Depository Center shall not be responsible for keeping any documents, data, information, signatures, numbers, or other items relevant to the Application, all without prejudice to the right of the Depository Center to keep those as per the sole discretion thereof.
10. The Application should be received during official Business Days of the Depository Center, and for the purposes of these Terms and Conditions, notice received by the Depository Center during the last two hours of official working hours or other than during Business Days shall be considered to have been received in the subsequent official Business Day.
11. The Application should be received during official Business Days of the Depository Center, and for the purposes of these Terms and Conditions, notice received by the Depository Center during the last two hours of official working hours or other than during Business Days shall be considered to have been received in the subsequent official Business Day.
12. All rights resulting from ownership of securities, the details of which are provided above, shall pass from the transferor to the transferee upon transferring the security from the account of the transferor to the account of the transferee as per the settlement period
13. Application may not be deemed complete unless all complementary information and documents are correct as per the procedural and technical instructions of the Depository Center, which may be subject to revision from time to time, and the Depository Center may, upon its discretion, refuse to accept any Application containing any strike-offs, non-legible, or unclear information.
14. Any dispute arising out of the application of these Terms and Conditions shall be referred to the competent judicial authority in the Kingdom.
15. Depository Center may, without any liability thereon, withhold the execution of the Application temporarily or decline it for any reason it deems appropriate, including technical faults or during upgrading, modifying, or maintaining any hardware or automatic systems of the Depository Center; therefore, the Depository Center shall bear no responsibility for delay or inability to execute such application in case the delay or inability is beyond the well of the Depository Center.
16. These Terms and Conditions shall be construed and applied in accordance with the laws and regulations of the Kingdom of Saudi Arabia.