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SOCEITY NOMINATION FORM

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									                                   NOMINATION FORM



To,

The Secretary,

Dear Sir,



I am the owner of Flat No. _________, shown in the layout plan of _________ _________, built
on plot No. _________, known as _________ against Membership No._________.

I wish to appoint _________ signed through its KARTA _________ S/O SHRI _________ & (2)
SMT. _________W/O _________ BOTH R/O _________ as my nominee in respect of the
aforesaid Flat. You are requested to change my name with my nominee's name in your under
intimation to me.



Thanking you,



Yours faithfully,

								
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