THE DELHI CO-OPERATIVE SOCIETIES RULES, 2007
FORM - 17
(See sub-rule (1) of rule 91)
Form of Nomination
(To be furnished in triplicate)
To
The secretary
____________ Cooperative House Building Society Ltd.
____________Cooperative Group House Society Ltd
___________________
___________________ Pin _______________
Sub: Application for Nomination for transfer of Share and interest after death.
Sir,
I, Shri/Smt/Ms________________ S/o,W/o,D/o______________________________________
resident of __________________________________________________________________
Pin______.membership No.__ am a member of the ______________Cooperative
House Building Society Ltd./_______________ Cooperative Group Housing Society Ltd.
2. I hold Share Certificate No. ____ dated___ fully paid up share numbering___ of the value of
Rupees____ each, bearing numbers from __ to __ (both inclusive) issued by the said
cooperative housing society.
3. I also hold the Plot No.____/Flat No.___ measuring an area of __sq meter/covered area of
____ sq meter/ in the Society's complex popularly known as_______ at_____ and
numbered___ in block/pocket/street_____ at____________ Pin_________.
4. As provided in section 78 read with rule 91 of the Delhi Cooperative Societies Rules, 2007, I
hereby, nominate the person(s) within the blood relation as per provisions of the Perpetual
Lease of land whose particulars are as shown below to whom my share or interest in the capital
of the______________Cooperative House Building Society Ltd./_____________ Cooperative
Group
Housing Society Ltd shall be transferred in the event of my death.
[Link] Name of the Permanent Relationship with Share of each Date of birth of the
Nominee(s)along address of the the nominee nominee(s) Nominee(s) if the
with Father's nominee(s) with (percentage) nominee(s) is a
/Husband's name Pin Code along minor
with PAN No. if
any
1.
2.
3.
4.
5. I hereby, state that Sh/Smt/Ms_______________________ S/o,D/o,Ms___________________
aged___ years, the first named nominee shall apply for claim of share and interest in respect of
the said plot/flat in the cooperative housing society and other nominee(s) shall be joined as a
joint member(s). All the nominees shall have to give an indemnity bond with application for claim
indemnifying the cooperative housing society against any claims made in respect of my said
share(s) and interest in the plot/flat by the nominee(s).
6. As the nominee Sh____________________at serial No_______ is minor, I, hereby appoint
Sh/Smt/Ms______________________S/o./W/o./D/o___________________________________
resident of_________________________________ Pin_________ as guardian/legal
representative of the minor to represent the minor nominee in matter connected with the
nomination.
7. This may be deemed my last Will in respect of above property only. In witness whereof, my
hand, this day of____________ two thousand___________
Yours faithfully,
Name & Signature of Nominator Member
Address__________________________
Photo
Nominator
Pin___________
Phone : Mobile:- :
Witnesses .
We hereby confirm and state that the above nomination has been made by the Nominator / Member Sh. /
Smt. / Ms. __________________ in our presence in full sense and good health.
Name and address of witness
1) S/o……………./R/o-……………………….…Pin
2) S/o……………….. R/o.-……………………….Pin
The nomination was placed in the meeting of the committee of the cooperative housing society held on
____ for being recorded in its minutes at page No.
The nomination has been recorded in the Nomination Register at Sr. No.______
Secretary/Authorised Person ___________ Cooperative House
Building/Group Housing Society Ltd.
Received the duplicate copy of Nomination.
Date: Nominator
Member
