To,

The Secretary,
___________________________,
built on plot No. _________,
known as __________________.
NOMINATION FORM
Dear Sir,
I am the owner of Flat No. _________, shown in the layout plan of _________
_________, built on plot No. _________, known as _________
_________against Membership No._________.
I wish to appoint _________ signed through its KARTA _________ S/O SHRI
_________ & (2) SMT. _________W/O _________ BOTH R/O _________
_________ as my nominee in respect of the aforesaid Flat. You are requested to
change my name with my nominee's name in your under intimation to me.
Thanking you,
Youre faithfully,
____________________
(Shri/Shrimati/Kumari______)
Membership No. _________