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E-Dividend Mandate Diamond Registrars
E-Dividend Mandate Diamond Registrars
SHAREHOLDER REQUEST
Please take this as authority to credit my under-mentioned account(s) with any dividend payment(s) due on my
shareholdings, which are stated below from the date hereof:
Contact address
City
E-mail address
Shareholders Signature
Date
State
Completed forms should be returned to Diamond Registrars Limited 59, Ogunlana Drive, Surulere, Lagos. For further
information call us on 01-2710574 or email customercare@diamond-registrars.com.
To implement this for your holdings in other companies we manage, kindly tick as appropriate
Date________________
Action taken_________________________________________________________________________
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Date_______________
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