Nomination Form

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.... bearing number(s) ................................... of M/s ........................................ wish to make a nomination and do hereby nominate the following person(s) in whom all rights of transfer and/or amount payable in respect of IDRs shall vest in the event of my or our death. Name(s) and address(es) of nominee(s) Name: ....................................................... Addre....

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.......................................... Address: ................................................ ............................................................. Date ......................... Signature: ......................... Name: .................................................. Address: ................................................ .......................................................