{SOCIETY_NAME}

REGN. NO: {SOCIETY_REGISTRATION_NUMBER}
{ADDRESS LINE 1}
{ADDRESS LINE 2}

No. {NOMINATION_ID} / ORIGINAL
FORM OF NOMINATION
(Under the Bye-Law Nos.32)
TO BE FURNISHED IN DUPLICATE (APPLICABLE FOR SINGLE / MORE THAN ONE NOMINEES AND MINOR NOMINEES / Form No. 14

To,
The Secretary,
{SOCIETY_NAME}
{ADDRESS LINE 1}
{ADDRESS LINE 2}

Sir/Madam,

  1. I {OWNER_NAME}, am the member of the {SOCIETY_NAME}, having address at {ADDRESS LINE 1},{ADDRESS LINE 2}.
  2. I hold the Share Certificate No. {SHARE_SERIAL_NUMBER} dated {SHARE_ISSUE_DATE} fully paid up shares of Rupees {SHARE_PER_AMOUNT} each, bearing number from {SHARE_START_NUMBER} to {SHARE_END_NUMBER} (both inclusive), issued by the said society to me.
  3. I also hold the {FLAT_NAME} admeasuring {TOTAL_AREA} in the said Society.
  4. As provided under Rule 25 of the Maharashtra Co-op. Societies Rules, 1961, I hereby nominate the person/s whose particulars are as given below :

Sr / Name/s of the Nominee/s / Permanent Addresses of the Nominee/s / Relationship with Nominator / Share of each Nominee (Percentage) / Date of Birth of Nominee/s if the Nominee/s is a minor

As provided under Section 30 of the Maharashtra Co-operative Societies Act, 1960, and the Bye-Laws No. 34 of the Society, I state that on my death the share mentioned above and my interest in the flat, the details of which are given above, should be transferred to {FIRST_NOMINEE_MR_MRS} {FIRST_NOMINEE_NAME} the first named nominee, on his/her complying with the provisions of the Bye-laws of the Society regarding requirements of admission to membership and on furnishing -Indemnity Bond, alongwith the application for membership, indemnifying the society against any claims made to the said shares and my interest in the said flat by the other nominee/nominees.

* Indemnity Bond is not required to be furnish in case of a single nominee.

Witness
1. / {WITNESS_NAME_1}
{WITNESS_ADDRESS_1} / Signature of Witness
2. / {WITNESS_NAME_2}
{WITNESS_ADDRESS_2} / Signature of Witness

Place: {SOCIETY_NAME}
Received the Nomination in Duplicate
Hon. Secretary