To,
The Secretary,
____________________________________________ Co-operative Housing Society Ltd.
____________________________________________________________________
Sir/Madam,
1. I, Shri/Smt. _________________________________________________, am the nominee of late Shri/Smt. _________________________________________________, who was a Member of the Society holding Share Certificate No. _______ for _______ fully paid-up shares in respect of Flat/Unit No. _______ in the building known as ____________________________, and who expired on __________, as evidenced by the Death Certificate enclosed.
2. I was nominated by the said deceased Member vide Nomination dated __________, recorded in the Register of Nominations at Sr. No. _______.
3. Where there is more than one nominee: We, the nominees named in the said Nomination, have by joint Affidavit/Declaration enclosed herewith, authorised Shri/Smt.
_________________________________________________ to be admitted as the Provisional Member on our behalf.
4. I/We hereby apply, in accordance with Rule 106C-6(1)(a), to be admitted as a Provisional Member of the Society, till the legal heirs of the deceased Member are brought on record, and enclose an Indemnity Bond (Form No. 17) indemnifying the Society against any future claims in respect of the shares and interest of the deceased Member.
5. I acknowledge that my admission as a Provisional Member shall not confer any ownership, title or beneficial interest in the flat/unit, that my name shall not be entered on the Share Certificate, and that it shall not affect the rights of the legal heirs or any other person claiming through the deceased Member.
Enclosures :
(1) Certified copy of the Death Certificate
(2) Certified copy of the recorded Nomination
(3) Joint Affidavit/Declaration of nominees authorising the applicant (where more than one nominee)
(4) Indemnity Bond (Form No. 17)
Yours faithfully,
_________________________________
(Signature of Applicant/Nominee)
Place : ______________
Date : ______________
Admitted as Provisional Member vide Committee Resolution No. _______ dated _______, pending admission of legal heir(s) as Member. Entered in the Register of Provisional Members at Sr. No. _______.
Signature of Secretary : _________________________
