CANCELLATION OF NOMINATION

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....t Full name with expanded initials and address of nominee Date of birth in Relation- case of minor Ship to holder/s [PART II SEC. 3(i)] Particulars Of bank account To be filled in case if nominee is minor: As.. on this date, I/We appoint Shri/Smt./Kumari the sole nominee above is a minor to receive the amount for the time being due to the above....

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....ll communication pertaining to change or cancellation of nomination. Date:.. Form 'E' Authorised Official.. I/We.. dated.. [See paragraph 16] CANCELLATION OF NOMINATION .(name and address) do here by cancel the nomination ..(date) vide Registration .made by me/us in respect of the following Stock certificate/Bond Ledger Account No., and registered by the Publ....

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....es) .noted vide our Date:.. ..Authorised Official.. I/We* Form 'F'[See paragraph 17] TRANSFER OF STOCK CERTIFICATES (transferor/s) do hereby assign and transfer my/our* interest or share in the inscribed of ………………………. percent Government Loan of ………………….. amounting to `............

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....ansferred to him/them*, the aforesaid stock certificate to the extent it has not been transferred to him/them*may be renewed in my/our*name(s). As witness, our hand the day of.. ......... two thousand and. Signed by the above-named transferor In the presence of**. Signed by the above-named transferee In the presence**. Signature of transferor... Address:.. Si....