SAURASHTRA KUTCH STOCK EXCHANGE LIMITED

Saurashtra Kutch Stock Exchange Ltd.
( Erstwhile ) was incorporated in the month of July 1989 and got recognition from the Govt. of India. The recognition have been renewed from time to time by the Central Government and SEBI.

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Complaint Form

Investor Complaint Format Note: Use separate forms for each company / complaint. Please tick the appropriate item and complete all columns in Capital Letters.
To, SAURASHTRA KUTCH STOCK EXCHANGE LIMITED Popatbhai Sorathia Bhavan, Sadar Bazar, RAJKOT - 360 001

Dear Sirs, Kindly take up the matter with the company for immediate redress of my complaint, particulars of which are as under:

1. Investor Name*
Address of the Investor*
2. Name of the Company*
Address of the Company*
3. Email Address
4. Name of the Registrar & Transfer Agent (if any)
5. Stock Exchange Acknowledgement Reference No. (in case of reminder)
Reminder Description (in case of acknowledgement ref.no.)
6. Nature of Complaint Type/Category
(i) Issue/Offers - non-receipt of	Refund Order / Allotment Advice Revalidation of Refund Order (RO) Duplicate RO for correct amount Duplicate RO after Indemnity Cancelled Stock Invest (S.I.) RO after details furnished Copy of encashed RO Duplicate RO for correct bank details Allot against encashed S.I. Duplicate RO after correction Short Refund

(ii) Dividend - non-receipt of	Dividend

(iii) Shares - non-receipt of certificates in/after	Exchange of allotment letter Conversion Splitting Transfer Endorsement Bonus Transmission Consolidation Duplicate on submission of indemnity bond

(iv) Debentures/Bond - non-receipt of certificates in/after	Interest Transfer Consolidation Redemption Amount Transmission Splitting Exchange of Allotment Letter Endorsement Duplicate on submission of indemnity bond Interest on delayed interest payment Interest on delayed redemption amount

(v) Miscellaneous - non-receipt of	Interest on delayed refund payment Offer for Rights Any other (specify below)

(vi) Collective Investment - schemes	Non Receipt of investment & returns thereon Any other (specify below)
7. Particulars of the application/securities held
a) Full name of first applicant/ security holder
b) Application form No./Folio No. (Seller's in case of Transfer)
c) No. of Securities applied/held
d) Kind of Security
e) Mode of payment details
	No. Dated
	Drawn On
f) Application deposited at
g) Bank serial No.
h) Original refund order No. (in case of revalidation/duplicate)
i) Period on/for which dividend/interest/maturity amount/redemption amount due
j) Date on which securities were forwarded to Company/Registrars
k) Indemnity Bond sent for issue of duplicate	If Yes, Date
8. Other details if any, in brief
9. Dates of earlier correspondence with the Company/Registrars

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