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Nomination Form

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..... .......................... 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 w .....

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..... .............................. (**To be deleted if not applicable) Signature ............................................. Name ............................................................................................................... Address: ............................................................................................................ ................................ .....

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..... ess: ............................................................................................................ ........................................................................................................................ Date: ............................................. Address, Name and Signature of witnesses: .....

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..... ntures 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 .....

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