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APPENDIX – 15

(Under the Bye-law No. 34)

The Form of application for Membership by the Nominee / Nominees

To,

The Secretary,

___________________________________________ Co-operative Housing Society Ltd.

___________________________________________

___________________________________________

Sir,

I/We, Shri / Shrimati _______________________________________________________________

hereby make an application for membership of the ___________________________ Co-operative

Housing Society Ltd., ____________________________________________ and for transfer of
shares and interest of Shri/Shrimati ________________________________________________,
Deceased member of the society, in the capital/property of the society.

Shri / Shrimati ____________________________________________________ was a member
of the society holding ______________________________________ Shares of Rs. Fiftyeach and Flat
No. _______________________________________ in the society’s building.

Shri / Shrimati ____________________________________________________ the
deceased member of the society died on __________________________________ A copy of the death
certificate of the said member is enclosed.

The late Shri / Shrimati ____________________________________________________
the deceased member of the society died on ______________________________________ A copy of
the death certificate of the said member is enclosed.

The late Shri / Shrimati ____________________________________________________
the deceased member of the society had nominated me/us under Rule 25 of the Maharashtra
Co-operative Societies Rules 1961.

Being the only nominee/authorised nominees as per nomination filed with the society by the
deceased member, I/We am/are entitled to make an application for membership of the society and for transfer
of shares and interest of the deceased member in the capital/property of the society to my/our name.

I/We have executed the Indemnity Bond in favour of the society indemnifying it against any
claim made at any subsequent time by other nominee/nominees to the shares and interest of the
deceased member in the capital/property of the society. The said Indemnity Bond is enclosed herewith
[Appendix 18(1)]

I/We remit hereiwth an amount of RS. 100/- as entrance fee.

My particulars for the purpose of consideration of my application for membership of the society
are as under :

Age : ________________________________________________________________

Occupation : ________________________________________________________________

Monthly Income : Rs. _____________________________________________________________

Office Address : ________________________________________________________________

Residential Address : ________________________________________________________________

I give below the particulars of the plot/flat/house owned by me or any of the members of my

family/person dependent on me in the area of operation of the society.

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Sr. Name of Particulars of the plot/flat/house owned by me/the Location of the

No. the Person member of my family/the person dependent on me in the plot/flat/house

area of operation of the society.

——————————————————————————————————————————–—

1 2 3 4

———————————————————————————————————————————–

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I/We undertake to us ethe flat for the purpose for which it was allotted to or acquired by the
deceased member and that any change of user will be made with prior approval of the society. The undertaking in
the prescribed form to that effect is enclosed. (Appendix 3)

I/We enclosed herewith the undertaking and the declaration, in the prescribed forms, in respec tof
the registration of transfer of the resignation of transfer of the flat to my/our name under Section 269AB of
the Income-tax Act and about non-holding of immovable property in excess of 500 sq.mtrs. under the Urban
Land (Ceiling and Regulation) Act. (Appendix 25)

I/We undertake to discharge the present adn future liabilities to the society/ As I have no
independent source of income. I enclosed herewith the undertaking in the prescribed form (Appendix 4). from the person,
on whom I am dependent to the effect that he will discharge all the present and future liabilities to the society
on my behalf.

I/We have gone through the bye-laws of the society and undertake to abide by the same and any
modifications that the Registering Authority may make in them.

I/We request you to please admit me/us as a member of the society and transfer the shares and
interest of the deceased member in the capital/property of the society to my/our name. The share certificate held by
the deceased member is enclosed herewith.

Yours faithfully,

Place : _________________

Date : _________________

Note : (1) The expression “a member of a family” measn as defined under bye-law No. 3(xxv)

(2) The undertaking about registration of the flat is not necessary if the nominee is related to the

deceased member within the meaning of Section 2(41) of the Income-tax Act.