Form No. Sh-14 - Cancellation Or Variation Of Nomination

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Form No. SH-14
Cancellation or Variation of Nomination
[Pursuant to sub-section (3) of Section 72 of the Companies Act, 2013 and rule 19(9) of the Companies
(Share Capital and Debentures) Rules 2014]
Name of the Company
:
Registered Address of the Company :
I/We hereby cancel the nomination(s) made by me/us in favour of ______________ (name(s) and address of the
nominee) in respect of the below mentioned securities.
Or
I/We hereby nominate the following person in place of ________________________as nominee in respect of the
below mentioned securities in whom shall vest all 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 cancelled / varied)
Nature of
Folio No.
No. of
Certificate No.
Distinctive No.
securities
securities
(2) (a) PARTICULARS OF THE NEW NOMINEE/S
i.
Name :
ii.
Date of Birth:
iii.
Father’s / Mother’s / Spouse’s name:
iv.
Occupation:
v.
Nationality:
vi.
Address:
vii.
E-mail Id. & Telephone No. :
viii.
Relationship with the security holder:
(b) IN CASE NEW NOMINEE IS A MINOR
i.
Date of birth:
ii.
Date of attaining majority :
iii.
Name of guardian:
iv.
Address of guardian :
(3) PARTICULARS OF NOMINEE IN CASE MINOR NOMINEE DIES BEFORE ATTAINING AGE OF MAJORITY --
(a) Name :
(b) Date of Birth :
(c) Father’s / Mother’s / Spouse’s name:
(d) Occupation :
(e) Nationality :
(f) Address :
(g) E-mail id. & Telephone No. :
(h) Relationship with the security holder(s) :
(i) Relationship with the minor nominee :
Name(s) and Address of Security holder(s)
Signature(s)
Name and Address of Witness
Signature

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