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FORM 2B
NOMINATION FORM
(See Rules 4CCC and 5D)

I / We ______________________ and ____________________________ the shareholders of M/s. Sundaram Brake Linings Limited, Chennai - 600 050 holding shares in physical mode, as per the details furnished below, 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 shares shall vest in the event of my / our death

Particulars of Shares held
Folio No Cert. No(s) Distinctive Nos. No.of Face Value
From
To
From
To
Shares
(Rs.)
             
             
             
             
             
Name and Address of Nominee
Name :  
Address




:  
Date of Birth *
(* - to be furnished in case the nominee is minor)
:  
** - If Nominee is minor whose
Guardian is :  
Address of the Guardian




:  
 
Sole / First Holder
Joint Holder1
Joint Holder2
Name

     
Address



     
Signature

     
Date

     
Signature of Witnesses
Witness 1
Witness 2
Name & Address




   
Signature with Date

   

Instructions :

1. The Nomination can be made by individuals only. Non-individuals including society, trust, body corporate, partnership firm, Karta of Hindu Undivided Family, holder of power of attorney cannot nomiante. If the shares are held jointly all joint holders have to sign the nomination form

2. A minor can be nominated by a holder of shares and in that event the name and address of the Guardian shall be given by the shareholder

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 on re-patriable basis

4. Nomination stand rescinded upon transfer of share(s)

 
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