Form SH-13.

Nomination Form — accessible edition. Complete it here, print it or save it as a PDF, then sign it and send it to us.

How this form works.

Complete the fields below. The wording is the same as the printed form.
Select Print or save as PDF at the end of the form.
Sign by hand where the printout asks for a signature, and attach any documents the form lists.
Send it to us as you would the printed form.

Nothing you enter leaves your browser. RCMC does not receive or store it until you send us the signed copy.

Need help completing this form? Call Investor Services on +91 11 35020465, email investor.services@rcmcdelhi.com, or ask for digital accessibility assistance.

Download Form SH-13 as a PDF Alternate format — the printed form, to fill in by hand. PDF

Name of the company:

Address of the company:

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

(2) PARTICULARS OF NOMINEE/S —

(a) Name:

(b) Date of Birth:

(d) Occupation:

(e) Nationality:

(f) Address:

(g) E-mail id:

(h) Relationship with the security holder:

(3) IN CASE NOMINEE IS A MINOR--

(a) Date of birth:

(b) Date of attaining majority

(d) Address of guardian:

Name:

Address:

Name of the Security Holder (s)

SignatureSign here by hand after printing.

Witness with name and addressSign here by hand after printing.