Sharekhan Limited
A 206, Phoenix House, Phoenix Mill Compound, S. B. Marg,
Lower parel, Mumbai- 13, Tele: 91-22 5662 1111. Fax: 91-22 2498 8321,
DP ID : IN 300513 email: dpcall@sharekhan.com
ADDITION / CANCELLATION OF NOMINATION
(To be filled in by individual applying singly of jointly)
I / We ________________________________________________ and ___________________________________
the holder of beneficiary owner account bearing Cline ID No. ________________________________________held
with Sharekhan Limited a NSDL Depository Participant bearing DP ID - IN 300513 wish to * make a nomination /
cancel the nomination dated ___________________ and do hereby *nominate / cancel the nomination made by me
/ us on the ______________ day of _____________ the following person in whom all right of transfer and / or
amount payable in respect of securities held in the Depository by me / us in the said beneficiary owner account
shall vest in the event of my/our death/* and consequently all rights and liabilities in respect of beneficiary
ownership in the securities held by me/us in the said account shall vest in me/us.
(* Strike out whichever is not applicable)
Nominee Details :
Name :
Address :
Photograph of the
Date of Birth **:
Nominee
(incase Nominee is minor)
Signature
** Guardian Details (in case Nominee is minor):
Name :
Address :
Photograph of the
Gaurdian
Signature
Signature with date of Sole/First holder Signature with date of Second holder
Name and Address of Witness Signature of Witness with date
1. 1.
2.
2.
Instructions:
1. The nomination can be made only by individuals holding beneficiary owner accounts on their own behalf singly or
jointly. Non-individuals including society, trusty, body corporate, partnership firm, karta of Hindu Undivided Family,
holder of power of attorney cannot nominate. If the account is held jointly all joint holders will sign the nomination
form.
2. A minor can be nominated. In that event, the name and address of the Guardian of the minor nominee shall be
provided by the beneficial owner.
3. The nominee shall not be a trust, society, body corporate, partnership firm, karta of Hindu Undivided Family or a
power of attorney holder. A non
-resident Indian can be a nominee, subject to the exchange controls in force, from time to time.
4. Nomination in respect of the beneficiary owner account stands rescinded uponclosure of the beneficiary owner
account. Similary, the nomination in respect of the securities shall stand terminated upon transfer of the securities.
5. Transfer of securities in favour of a Nominee shall be valid discharge by the depository against the legal heir.
6. The cancellation of nomination can be made by individuals only holding beneficiary owner account s on their
behalf singly or jointly by the same persons who made the original nomination. Non-individuals including society,
trust, body corporate, partnership firm, karta of Hindu Undivided Family, holder of power of attorney cannot
cancel the Nominations. If the beneficiary owner account is held joint holders will sign the cancellation from.
7. On cancellation of the nomination, the nomination shall stand rescinded and the depository shall not be under any
obligation to transfer the securities in favour of the Nominee.
Branch HO
Inward Stamp Inward Stamp