Form 02B - Nomination Form - Companies (Central Government’s) General Rules and Forms, 1956

[1] [Form 02B (See rules 4CCC and 5D) Nomination Form [to be filled in by individual(s) applying singly or jointly] I/We ..................................................... and ........................................ and ........................................ the holders of shares/Debentures/Deposit Receipt bearing number(s) ..................................................................................................... of M/s. ......................................................................... wish to make a nomination and do hereby nominate the following person(s) in whom all rights of transfer and/or amount payable in respect of shares or debentures or deposits shall vest in the event of my or our death. Name(s) and Address(es) of Nominee(s) Name: ...................................................................................... Address: .................................................................................... ................................................................................................ Date of Birth* ............................................................................ *(to be furnished in case the nominee is a minor) **The Nominee is a minor whose guardian is .............................., Name and Address ........................................................................................................................ (**To be deleted if not applicable) Signature ............................................. Name ............................................................................................................... Address: ............................................................................................................ ........................................................................................................................ Date: ............................................. Signature ............................................. Name ............................................................................................................... Address: ............................................................................................................ ........................................................................................................................ Date: ............................................. Signature ............................................. Name ............................................................................................................... Address: ............................................................................................................ ........................................................................................................................ Date: ............................................. Address, Name and Signature of witnesses: Name and Address Signature with date 1. 2. Instructions: 1. The Nomination can be made by individuals only applying/ holding shares/debentures on their own behalf singly or jointly. Non-individual including society, trust, body corporate, partnership firm, Karta of Hindu Undivided Family, holder of power of attorney cannot nominate. If the shares are held jointly, all joint holders will sign the nomination form. Space is provided as a specimen, if there are more joint holders more sheets can be added for signatures of holders of shares/debentures and witness. 2. A minor can be nominated by a holder of shares/debentures/ deposits and in that event the name and address of the Guardian shall be given by the holder. 3. The nominee shall not be a trust, society, body corporate, partnership firm, Karta of Hindu Undivided Family or a power of attorney holder. A non-resident Indian can be a nominee on repatriable basis. 4. Nomination stand rescinded upon transfer of share/debenture or repayment/renewal of deposits made. 5. Transfer of share/debenture in favour of a nominee and repayment of amount of deposit to nominee shall be a valid discharge by a company against the legal heir. 6. The intimation regarding Nomination/Nomination Form shall be filed in duplicate with Company/Registrar and Share Transfer Agents of the Company who will return one copy thereof to the share or debenture or deposits holder.] ------------------------------------------- Notes:- [1] Substituted by the Companies (Central Government's) General Rules Forms (Fourth Amendment) Rules, 2000, w.e.f. 24-10-2000.