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Form ‘A’

{See sub-regulation (1) of regulation 16A}


Nomination form

(Separate nomination form should be submitted for each folio by individual applying singly or jointly)
I/We..................................................................................................(1) and ..................................................(1) and
..........................................(1) the holders of shares under Folio number ...........................(2) of State Bank of
India wish to make a nomination and do hereby nominate the following person in whom all rights of transfer and
/ or amount payable in respect of the shares held under the aforesaid Folio No. shall vest in the event of my
death / death of all joint holders.

Name and address of nominee


Name (3) .......................................................................................
Address(4) : …...............................................................................
......................................................................................................
Date of birth* :................................................................................
[*To be furnished in case the nominee is a minor]

**The Nominee is a minor whose guardian is :


Name (5).........................................................................................
And Address .................................................................................
......................................................................................................
......................................................................................................
.................................................................................................,....
......................................................................................................
(** To be deleted if not applicable)

Signature of shareholder ..............................................................


(First/sole holder)
Name.............................................................................................
Address..........................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
Date...............................................................................................
Signature of shareholder (second holder) ....................................
Name.............................................................................................
Address.........................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
Date..............................................

Signature of shareholder (third holder)………………………………

Name..............................................................................................
Address...........................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
Date...................................................

Name, signature and address of two witnesses


Signature of first witness ................................................................
Name...............................................................................................
Address............................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
Date.......................................................

Signature of second witness...........................................................


Name.............................................................................................
Address..........................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
Date.........................................................

(1) Name of shareholder(s).


(2) Folio No.
(3) Full name of nominee in capital letters.
(4) Complete permanent address of nominee.
(5) Name and address of guardian of minor.
Form ‘B’

{See sub-regulation (6) of regulation 16A}


Form for variation or cancellation of nomination

I/We................................................................................................. (1) and............................................... (1) and


..........................................(1) the holders of shares under Folio number ........................... (2) of State Bank of
India wish to cancel the nomination and do hereby cancel the nomination made by me/us in favour of ------------
---------------------- (3) and nominate the following person in whom all rights of transfer and / or amount payable in
respect of shares held under the aforesaid Folio No. shall vest in the event of my death / death of all joint
holders.
Name and address of nominee
Name (4): ………................................................................................
Address(5) : …..................................................................................
...........................................................................................................
...........................................................................................................
Date of birth* :....................................................
[*To be furnished in case the nominee is a minor]

** The Nominee is a minor whose guardian is :

Name (6)............................................................................................
And Address ....................................................................................
..........................................................................................................
..........................................................................................................
..........................................................................................................
(** To be deleted if not applicable)

Signature of shareholder ...............................................................


(First/sole holder)
Name...............................................................................................
Address............................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
Date............................................

Signature of shareholder (second holder) .....................................


Name..............................................................................................
Address...........................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
Date................................................

Signature of shareholder (third holder) ..........................................


Name..............................................................................................
Address...........................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
Date.......................................................

Name, signature and address of two witnesses

Signature of first witness ............................................................


Name...........................................................................................
Address.......................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
Date................................................................

Signature of second witness ......................................................


Name...........................................................................................
Address.......................................................................................
.....................................................................................................
.....................................................................................................
.....................................................................................................
.....................................................................................................
Date...........................................................

(1) Name of shareholder(s).


(2) Folio No.
(3) Full name of the previous nominee.
(4) Full name of the new nominee in capital letters.
(5) Complete permanent address of new nominee.
(6) Name and address of guardian of minor.

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