Form No. SH-13 NOMINATION FORM
[Pursuant to section 72 of the Companies Act, 2013 and rule 19(1) of the Companies
(Share Capital and Debentures) Rules 2014]

To
SICGIL INDIA LIMITED, 
VI Floor, Dhun Building, 
84(Old No. 827), Anna Salai,
Chennai – 600 002.
I/ We  	 the holder(s) of the securities particulars  of which are given hereunder wish to make nomination and do hereby nominate the following persons in whom shall vest, all the rights in respect of such securities in the event of my/our death.
1)	PARTICULARS OF THE SECURITIES  (in respect of which nomination is being made)

Nature of securities	Folio No.	No. of securities	Certificate No.	Distinctive No.	
				From	To	

2)	PARTICULARS OF NOMINEE/S

Name:	Date of Birth: 	/ 	/ 		
Father’s/ Mother’s/ Spouse’s name:	Occupation:	Nationality:	
Address:		
	Pin code	
E-mail id:	Phone No :  	
 Relationship   with   the  security holder: 		
3)	IN CASE NOMINEE IS A MINOR

Date of birth: 	/ 	/ 		Date of attaining Majority:
 	/ 	/ 		Name of guardian:	
Address of guardian:   	
 	Pin code  		
4)	PARTICULARS OF NOMINEE IN CASE MINOR NOMINEE DIES BEFORE ATTAINING AGE OF MAJORITY
Name:	Date of Birth: 	/ 	/ 		
Father’s/ Mother’s/ Spouse’s name:	Occupation:		
Nationality:	Phone No.:		
Address:  		
Pin code	
E-mail id:	Relationship with the security holder:    	 Relationship with the Minor Nominee:   			

Name:	 Address:   		
Name of the Security Holder(s)	Signature	
1.		
2.		
3.		
Witness with Name & Address :  	Signature of Witness with date	
Address:  	

 	Pin code 			
Place:	Date: 	/ 	/ 			

Please fill this Nomination form in Duplicate after carefully reading the instructions given below:
1.	The Nomination can be made by individuals only holding shares singly or jointly. Non-individuals including Society, Trust, Body Corporate, Partnership firm, Karta of Hindu Undivided Family (HUF) and Power of Attorney holder cannot nominate.
2.	The nominee shall not be a Trust, Society, Body Corporate, Partnership firm, Karta of HUF and power of attorney holder.
3.	The shareholder [s] can nominate a minor as a nominee and in that event the name and address of the guardian shall be provided.
4.	The Shareholder(s) shall provide particulars of nominee in the event of death of minor nominee before attaining age of majority.
5.	As per section 72 of Companies Act 2013, if the shares are held by more than one person jointly, then the joint holders may together nominate a person to whom all the rights in the shares of the Company shall vest, in the event of death of all the joint holders.
6.	If the shares are held jointly, subsequent to the death of anyone of the holders, the shares would not be registered in favour of the nominee but would be transferred in the name of the surviving shareholders. 
7.	The nomination form duly filled in should be lodged with the company at: SICGIL INDIA LIMITED, 6th Floor, Dhun Building, 84(Old No. 827), Anna Salai, Chennai – 600 002.
8.	The Company will return one copy of the nomination form to the shareholder after registering the nomination. The registration number allotted will be furnished to the surviving shareholders.
9.	The shareholder[s] can delete or change an earlier nomination by executing Form No. SH-14 (Cancellation or Variation of Nomination form)
10.	Nomination stands cancelled whenever the shares in the given folio are transferred/ dematerialized. Also in case of change in folio due to consolidation/ transmission a new nomination has to be filed.
11.	The nomination made through Form No. SH-13 will be considered valid if the nomination made by the holder[s] of the shares is registered with the company before the death of the security holder[s] of the shares.
12.	Kindly note that the nomination being a legal document should be dated by the nominator and the witness should certify that the nominator has signed the form in their presence. Further, the date of execution on the Nomination Form should match with the date of witness, witnessing the document.
13.	A copy of photo identity proof (like PAN/Passport) of nominee is required.

To

Form No. SH-14
CANCELLATION OR VARIATION OF NOMINATION
[Pursuant to sub section (3) of section 72 of the Companies Act, 2013 and rule 19(9) of the Companies (Share Capital and Debentures) Rules 2014]

SICGIL INDIA LIMITED, 
VI Floor, Dhun Building, 
84(Old No. 827), Anna Salai,
Chennai – 600 002.

I/ We 	hereby
cancel the nomination(s) made by me/us in favor of 	________________________residing at
 	in respect of the below mentioned securities.
Or
I/ We 	hereby
nominate the following person in place of   	
 	 as  nominee  in  respect of the below mentioned securities in whom shall vest all rights in respect of such securities in the event of my/our death.

1)	PARTICULARS OF THE SECURITIES (in respect of which nomination is being cancelled/varied)
Nature of securities	Folio No.	No. of securities	Certificate No.	Distinctive No.	
				From	To	

2)	(a) PARTICULARS OF THE NEW NOMINEE
Name:	Date of Birth: 	/ 	/ 		
Father’s/ Mother’s/ Spouse’s name:	Nationality:	Phone No.:	
Address:		
 	 Pin code	
E-mail id:	
Relationship with the security holder:	
(b) IN CASE NEW NOMINEE IS A MINOR

Date of birth: 	/ 	/ 		Date of attaining Majority:
 	/ 	/ 		Name of guardian:	
Address of guardian: 	
 	Pin code 		
3)	PARTICULARS OF NOMINEE IN CASE MINOR NOMINEE DIES BEFORE ATTAINING AGE OF MAJORITY

Name:	Date of Birth: 	/ 	/ 		
Father’s/ Mother’s/ Spouse’s name:	Occupation:		
Nationality:	Phone No.:		
Address:   		
Pin code	
E-mail id:	Relationship with the security holder:     	 Relationship with the Minor Nominee:   			
Name of the Security Holder(s)	Signature	
1.		
2.		
3.		
Witness with Name and Address : 	Signature of Witness with date	
Address   	

 	Pin code 			
Place:	Date: 	/ 	/ 			

Please fill this Nomination form in Duplicate after carefully reading the instructions given below:
1.	The Nomination made earlier can be cancelled and new nomination can made either singly or jointly. Non- individuals including Society, Trust, Body Corporate, Partnership firm, Karta of Hindu Undivided Family (HUF) and Power of Attorney holder cannot nominate.
2.	The nominee shall not be a Trust, Society, Body Corporate, Partnership firm, Karta of HUF and power of attorney holder.
3.	The shareholder[s] can nominate a minor as a nominee and in that event the name and address of the guardian shall be provided.

4.	The Shareholder(s) shall provide particulars of nominee in the event of death of minor nominee before attaining age of majority.

5.	As per sub section (3) of section 72 of Companies Act 2013, if the shares are held by more than one person jointly, the joint holders may together nominate a person to whom all the rights in the securities of the Company shall vest, in the event of death of all the joint holders.
6.	If the shares are held jointly, subsequent to the death of anyone of the holders, the shares would not be registered in favour of the nominee but would be transferred in the name of the surviving shareholders.
7.	The nomination cancellation / variation form filled in “duplicate” should be lodged with the company at SICGIL INDIA LIMITED, 6th Floor, Dhun Building, 84(Old No. 827), Anna Salai, Chennai – 600 002. 
8.	The Company will return one copy of the cancelled / varied nomination form to the shareholder after taking note of the same. 
9.	Nomination stands cancelled whenever the shares in the given folio are transferred/ dematerialized. Also in case of change in folio due to consolidation / transmission, a new nomination has to be filed.
10.	Kindly note that the nomination being a legal document the same should be dated by the nominator and the witness should certify that the nominator has signed the form in their presence. Further, the date of execution on the Nomination Form should match with the date of witness, witnessing the document.
11.	A copy of photo identity proof (like PAN/Passport) of nominee is required.