To,
The Secretary,
____________________________________________ Co-operative Housing Society Ltd.
____________________________________________________________________
Sir/Madam,
1. I, Shri/Smt. _________________________________________________, Member/Joint Member of the Society holding Flat/Unit No. _______, had earlier made a nomination dated __________ in favour of Shri/Smt. _________________________________________________.
2. I hereby revoke the said nomination in its entirety / vary the said nomination as set out in the fresh Nomination Form (Form No. 13) enclosed herewith (strike out whichever is not applicable).
3. I enclose herewith the prescribed fee of Rs. 100/- for this subsequent nomination/revocation/variation.
Yours faithfully,
_________________________________
(Signature of Nominator)
Place : ______________
Date : ______________
Revocation/variation recorded on _______. Earlier nomination dated _______ stands revoked/varied to the extent stated. Register of Nominations updated at Sr. No. _______.
Signature of Secretary : _________________________