{SOCIETY_NAME}

REGN. NO: {SOCIETY_REGISTRATION_NUMBER}

{ADDRESS LINE 1}
{ADDRESS LINE 2}

No.
{NOMINATION_ID} ORIGINAL Form No. 14

FORM OF NOMINATION
(Under the Bye-Law Nos.32)
TO BE FURNISHED IN DUPLICATE
(APPLICABLE FOR SINGLE / MORE THAN ONE
NOMINEES AND MINOR NOMINEES
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 Permanent Relationship Share of Date of

Nominee/s Addresses of the with each Birth of
Nominee/s Nominator Nominee Nominee/s
(Percentage) 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