Delphi Automotive PLC Ordinary Share Certificate and Transfer Form

Contract Categories: Business Finance Stock Agreements
Summary

This document certifies that the named holder owns a specified number of fully paid ordinary shares in Delphi Automotive PLC, subject to the company's Articles of Association. It also includes instructions and forms for transferring ownership of these shares, requiring proper signatures and compliance with company and registrar procedures. The document is issued by Delphi Automotive PLC and managed by Computershare Investor Services (Jersey) Limited.

EX-4.1 3 d191007dex41.htm FORM OF ORDINARY SHARE CERTIFICATE Form of Ordinary Share Certificate

Exhibit 4.1

DELPHI Delphi Automotive PLC Computershare All correspondence to: Computershare Investor Services (Jersey) Limited Queensway House Hilgrove Street St Helier Jersey JE1 1ES Shareholder Helpline: + 44 (0 ###-###-#### You can check your holding at www.investorcentre.co.uk Shareholder Reference Number ###-###-#### X X X CUSIP XXX Stock Class XXX 00000XXX/000000/000000 11UOLG P02 ORD Share Certificate - Ordinary Shares of US$0.01 each DELPHI Delphi Automotive PLC (Incorporated under the Companies (Jersey) Law 1991 in Jersey with registered number 108188) Number of Shares ******* Issued DD MMMMM YYYY This is to certify that is/are the Registered Holder(s) of ******* ordinary shares of US$0.01 each, fully paid and non-assessable, of Delphi Automotive PLC (the “Company”) subject to the Articles of Association of the Company. For and on behalf of the Company, Chief Executive Officer Vice President, General Counsel, and President Secretary and Chief Compliance Officer Certificate Class ORD Certificate No. XXXXXXXX This certificate must be surrendered before any transfer of the whole or part of the shares herein mentioned can be registered, to Computershare Investor Services (Jersey) Limited, Queensway House, Hilgrove Street, St Helier, Jersey, JE1 1ES, Shareholder Helpline: + 44 (0 ###-###-####. You can check your holding at: www.investorcentre.co.uk SG161


Change of Address Please check that your address details printed overleaf are correct. If you need to make any alterations or you are planning to move, you can let us know by registering with Investor Centre at www.investorcentre.co.uk/je Once registered you can select the “Change of Address” option to amend your address details. Alternatively you can complete and sign the form below. Kindly Note: This form is issued only to the addressee(s) and is specific to the class of security and the unique designated account printed hereon. This personalised form is not transferable between different (i) account holders; (ii) classes of security; or (iii) uniquely designated accounts. The Company and Computershare Investor Services (Jersey) Limited accept no liability for any instruction that does not comply with these conditions. House Number Post Code (BLOCK Street/Road Name CAPITALS) (BLOCK Town/City CAPITALS) (BLOCK County CAPITALS) Computershare Registered Investor Office: Queensway Services (Jersey) House, Limited Hilgrove is Street, registered St Helier, in Jersey, JE1 No 1ES. 75005, Computershare Investor Services (Jersey) Limited is regulated by the Jersey Financial Services Commission. Please Sign In the case of joint holders ALL must sign. In the case of a corporation this form should be signed by two authorised signatories (e.g. Director & Company Secretary) stating their capacity. Alternatively, this form can be signed by a director of the company in the presence of a witness who attests the signature or under its common seal. Date / / Signature (1) Signature (2) Signature (3) Signature (4) H 2 9 0 ###-###-#### 00000XXX/000000/000000 11UOLG P02 Reference No. ###-###-#### Transfer No. Certificate No. XXXXXXXX TRNFR Number of Shares **XXXXX** XXXXXXXXXX STOCK TRANSFER FORM (Above this line for Registrars only) Certifi cate lodged with the Registrar (For completion by the Registrar/Stock Exchange) Please enter NIL if not applicable Consideration Money £ Full name of Undertaking Full description of Security Number or amount of Shares, Words Figures Stock or other security and, in figures column only, number and denomination of units, if any ( units of ) Name(s) of registered holder(s) In the name(s) of Account Designation (if any) should be given in full, the address should be given where there is only one holder. A/C If the transfer is not made by the registered holder(s) insert also the name(s) and capacity (e.g.Executor(s) of the person(s) making the transfer I/We hereby transfer the above security out of the name(s) aforesaid to the person(s) named below or to the Stamp of Selling Broker(s) or, for transactions which are not exchange transactions, of several persons named in Parts 2 of Brokers Transfer Forms relating to the above security: Agent(s), if any acting for the Transferor Delete words in italics except for stock exchange transactions Signature(s) of transferor(s) 1 2 3 4 Bodies corporate should execute under their common seal or otherwise in accordance Date with their constitutional documents. Full name(s) and full postal Account Designation (if any) address(es) (including County or, if applicable, Postal District A/C number) of the person(s) to whom the security is transferred. Please state title, if any, or whether Mr., Mrs., or Miss. Please complete in typewriting or in Block Capitals. I / We request that such entries be made on the register as are necessary to give effect to this transfer. Stamp of Buying Broker(s) (if any) Stamp or name and address of person lodging this form (if other than the Buying Broker(s)) Name and address to whom the share certificate is to be sent Computershare Investor Services (Jersey) Limited is registered in Jersey, No 75005, Registered Office: Queensway House, Hilgrove Street, St Helier, JE1 1ES. Computershare Investor Services (Jersey) Limited is regulated by the Jersey Financial Services Commission.