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No. Form No. 14 ORIGINAL - FORM OF NOMINATION le [Unger Bye-law No. 32) TO BE FURNISHED IN TRIPLICATE (APPLICABLE FOR SINGLE / MORE NOMINEES THAN ONE AND MINOR NOMINEE/S) To, The Secretary, Co-operative Housing Society Lt. si 1 eee the Member ofthe Co-operative Housing Society Ltd. having address at, 2. Iholdthe share certificateNo, _____dated fully paid up Ten shares of Rupees Fifty each, bearing number from to both inclusive), issued by the said society tome 3. | alsoholdthe FlatNo,___________ admeasuring ________ sq. meters, ‘in the building of he said society, known*/ numbered as. 4, Asprovided under Rule 25 of the Maharashtra Co-op Societies Rules, 1961, hereby nominate the person/s whose particulars are as given below: Sr, Namels of the Permanent Relationship Share of Date of Birth No Nominees. Adcresses of with the each of Nominees. Nominees/s Nominator Nominee if he Nominee’ (percentage) isa minor 1 2 3 4 5 6 5. As provided under Section 30 of the Maharashtra Co-operative Societies Act, 1960, and the Bye-Law No. 34 of the Society, | state that on my death the shares mentioned above ‘and my interest in the tenement / flat the details of which are given above, should be transferred to ShrifShrimati 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 aginst any claims made to the said shares and my interest in the said tenement / flat by the other nominee/nominees (PTO) 6 — Asthenominee atS.No.___________ isthe minor, hereby appoint Shri/Shrimati as the guardian*/Legal representative of the minor to represent the minor nominee in matters. connected with this nomination Pi lace Signature of the Nominator Member Date Witnesses Name and Addresses of Witnesses (1) ShriShrimat, Address (1) Signature of the Witness (2) Shri/Shrimati Address ———— (2) Signature of the Witness Place Date ‘The nomination was placed in the meeting of the managing Committee of the Society held on for being recorded in its minutes. The nomination has been recordediin the Nomination Register at Sr. No Date Hon. Secretary Co. ap. Housing Society Lid Received the duplicate copy of the nomination. Nominator-Memoer Date “Strike out which is not applicable For Member Co-operative Housing Societies Only Printed by The Mumbai District Co-operative Housing Federation Limited 103, Vikas Premises, 1st Floor, 11, G. N, Vaidya Marg, Fort, Mumbai - 400 001 Telephone No. 2266 0066 / 2266 1043 Jyoti Enterprises » Nov. /2017 -25.000 Copies Form No. 14 IPL eOE ee To be delivered to FORM OF NOMINATION | Member ate {Under Bye-taw No. 32] Zemin TO BE FURNISHED IN TRIPLICATE (APPLICABLE FOR SINGLE / MORE NOMINEES THAN ONE ‘AND MINOR NOMINEE/S) To, The Secretary, Co-operative Housing Society Ltd. Sir, 1 |, Shri/Shrimati ___am the Memberofthe Co-operative Housing Society Ltd. having address at, 2 Iholdthe sharecertificateNo, _________dated fully paid up Ten. shares of Rupees Fifty each, bearing number from to both inclusive), issued by the said society to me. 3, | alsohold the Flat No. admeasuring sq. meters, in the building of the said society, known*/numbered as 4. As provided under Rule 25 of the Maharashtra Co-op. Societies Rules, 1961, hereby nominate the person/s whose particulars areas given below Sr. Namels of the Permanent Relationship Share of Date of Birth No, Nominees Addresses of "with the each _ of Nominee/s Nominees/s Nominator Nominee _ if the Nominee/s (percentage) is a minor 1 2 3 4 5 6 2) 3) 4) 5) 5. As provided under Section 30 of the Maharashtra Co-operative Societies Act, 1960. and the Bye-Law No. 34 of the Society, | state that on my death the shares mentioned above and my interest in the tenement / fiat the details of which are given above, should be transferred to Shri'Shrimati the first named nominee, on his/her comalying 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 tenement / flat by the other nominee/nominees. (PT.O.) 8 AsthenomineeatSr.No.—___________igthe minor, Inereby appoint ShrilShrimati as the guardian*/Legal representative of the minor to represent the minor nominee in matters connected with this nomination. Place Signature of the Nominator Member Date Witnesses Name and Addresses of Witnesses (1) ShriShrimat, Apiaregss (1) Signature of the Witness ———————————— ee ee (2). ShrifShrimati Adah (2) Signature of the Witness Place Date The nomination was placed in the meeting of the managing Committee of the Society held on for being recorded in its minutes. ‘The nomination has been recorded in the Nomination Register at Sr. No. Date Hon. Secretary Co. op. Housing Society Lis Date *Strike out which is not applicable For Member Co-operative Housing Societies Only Printed by The Mumbai District Co-operative Housing Federation Limited 103, Vikas Premises, 1st Floor, 11, G. N. Vaidya Marg, Fort, Mumbai - 400 001 Telephone No. 2266 0066 / 2268 1043 Jyoti Enterprises : Nov. /2017 -25,000 Copies Form No. 14 TRIPLICATE FORM OF NOMINATION | “ckn2Wledament copy [Under Byeaw No, 32 TO BE FURNISHED IN TRIPLICATE (APPLICABLE FOR SINGLE / MORE NOMINEES THAN ONE AND MINOR NOMINEE/S) To, ‘The Secretary, Co-operative Housing Society Ltd. Sir, 1 WShei/ Shrimati— tam the Member ofthe _________________ Cooperative Housing Society Lid. having address at. 2, tholdtheshare certificate No dated fully paid up Ten shares of Rupees Fifty each, bearing number from to both inclusive), issued by the saic society to me. 3. | alsoholdthe Flat No. admeasuring _________sq. meters, in the building of the said society, known*/ numbered as 4. Asprovided under Rule 25 ofthe Maharashtra Co-op Societies Rules, 1961, hereby nominate the person/s whose particulars are as given below Sr. Namels of the Permanent Relationship Share of Date of Birth No. Nominees Addresses of with the each of Nomineeis Nominees/s Nominator Nominee if the Nominee/s (percentage) is a minor, 5 6 1 1) 2) 3) 4) 5) sy 5. As provided under Section 30 of the Maharashtra Co-operative Societies Act, 1960, and the Bye-Law No, 34 of the Society, | state that on my death the shares mentioned above and my interest in the tenement / fiat the details of which are given above, should be transferred to ShrifShrimati the first named nominee, on his/her comnlying with the provisions of the Bye-aws 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 tenement / flat by the other nominee/nominees. (PTO. 6 Asthe nominee at Sr. No. ‘ShrifShrimati is the minor, | hereby appoint as the guardian*/Legal representative of the minor to represent the minor nominee in matters connected with this nomination. Place ‘Signature of the Nominator Member Date Witnesses: Name and Addresses of Witnesses (1) Shri/Shrimati A (1) Signature of the Witness (2) Shri/Shrimati, i (2) Signature of the Witness Place Date Received the nomination in duplicate Hon, Secretary Co. op. Housing Society Ltd Date: *Strike out which is not applicable For Member Co-operative Housing Societies Only Printed by The Mumbai District Co-operative Housing Federation Limited 103, Vikas Premises, 1st Floor, 11, G. N. Vaidya Marg, Fort, Mumbai - 400 001 Telephone No. 2266 0086 / 2266 1043 dyoti Enterprises : Nov, /2017 - 25,000 Copies

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