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[Audio] Form No. SH-13 Nomination Form Pursuant to section 72 of the Companies Act, 2013 and rule 19(1) of the Companies (Share Capital and Debentures) Rules 2014] Date: _ _ To, Serial No:________________ Name of the Company : ---------------------------------------------------------------------------------- (As mentioned in KYC Form) Address of the Company: ---------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- I/We, the holder(s) of the securities particulars of which are given hereunder, wish to make nomination and do hereby nominate the following persons in whom shall vest, all the rights in respect of such securities in the event of my/our death. (1) PARTICULARS OF THE SECURITIES (in respect of which nomination is being made) : Nature of Securities Folio No. No. of Securities* Certificate No. Distinctive No(s) ( From – To ) Tick �as relevant Equity / Debs/ Bonds (2) PARTICULARS OF NOMINEE/S — [Use photocopies of this blank nomination form in case of additional Multiple Nominations in the same folio ] Name of Nominee Address of Nominee Date of Birth Father's/Mother's/ Spouse's name Occupation Relationship with the security holder Nationality E-mail_id Mobile No Date of Birth (3) IN CASE NOMINEE IS A MINOR — Name.
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[Audio] Form SH-13 - INSTRUCTIONS [Please follow the instructions given below very carefully while filling in your Nomination request.] 1. Nomination can be made only by individuals applying/holding securities on their own behalf, singly or jointly. Non-individuals including Society, Trust, Body Corporate, Partnership Firm, Karta of Hindu Undivided Family, holder of Power of Attorney cannot nominate. The nomination will be registered only when it is complete in all respects including the signature of (a) all registered holder(s) (as per specimen lodged with the Company) /RTA and (b) the complete details of the nominee and witness being furnished. 2. A minor can be nominated by a holder(s) of securities and in that event the name and address of the Guardian shall be furnished by the holder(s). 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 re-patriable basis provided RBI approval granted to the nominee is registered with the Company / RTA. 4. In case you have multiple folios, then you may take a photocopy of this Form. 5. Nomination request would be considered for securities held in physical form only. 6. The nomination will be valid, if the registration of Nomination is done before the demise of the holder. 7. The nomination stands rescinded whenever the securities in the given folio are transposed /transmitted/ amalgamated, in such a scenario a new Nomination Form will have to be filled by the security holder(s). 8. The Holder(s) can override (delete or change) an earlier nomination by executing a fresh Nomination Form SH-14 for which a fresh registration number will be allotted. The earlier nomination will automatically stand cancelled. 9. In case the holder(s) desires to nominate more than one person as nominee, the ratio shall be mentioned and separate form to be filled for each nominee. 10. Nomination registration number will be allotted upon successful registration. 11. The Company / RTA will entertain claims of registered nominees only. 12. The Nominee will be entitled to all the rights in the securities upon demise of all holders in the folio. 13. Kindly note that the nomination being a legal document the same should be dated by the security holder. Furthermore, the date of execution on the Nomination Form should match with the date of witness, witnessing the document. � For Office Use Only � Nomination Registration Number : � Date of Registration : � Checked and Signature of Employee :.