KBL - Format of Affidavit Cum NOC

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FORMAT OF AFFIDAVIT CUM NO OBJECTION CERTIFICATE FROM OTHER - LEGAL

HEIR(S) FOR TRANSMISSION OF SHARES IN THE NAME OF THE APPLICANT/S WHERE


THERE IS NO PROBATE / SUCCESSION CERTIFICATE / LETTERS OF ADMINISTRATION
/ WILL / COURT DECREE.

(This Declaration is to be executed on Non- Judicial Stamp Paper of Rs.100/- and should be
duly attested either by S.E.M. or Oaths Commissioner or Notary.

AFFIDAVIT CUM NO OBJECTION CERTIFICATE

I/we, below named is/are son/daughter/spouse/legal heir(s) of _________(name of deceased)

Sr.No. Name of Legal Heir(s) Age Residential Relationship


and address with deceased

do hereby solemnly affirm and declare as under:

1. That __________, the deceased, was holding _____ shares in Kirloskar Brothers Limited
covered under Folio No. _______ and Share Certificate No(s). ___________, bearing
Distinctive Nos. ________ to __________ of the face value of Rs. 2/- each.

2. That (name of the shareholder), the deceased expired on __________ (date of death) at
(place of death)

3. Shri./Smt. (name of the deceased) expired on (date of death) at (place of death) leaving
behind him/her all the following legal heirs:

Sr. No. Name of all the legal heir(s) Age Relation with the deceased

1.
2.
3.

4. The person(s) mentioned hereinabove is/are the only heir(s) of the deceased. They are
entitled to inherit solely/jointly the aforesaid shares held by the deceased.

5. I/we’ am/are entitled to inherit solely/jointly the aforesaid shares covered under Folio
No. ______ held by the deceased.

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6. I/we do not desire to make any claim of title of the said securities held by the deceased.
I/we hereby agree to renounce all my/our rights existing as well as they may accrue to
me/us in future in respect of the aforesaid securities.

7. I/we declare that I/we have no objection whatsoever in transmitting the said securities in
the name of the applicant(s), _________ and thereafter making payment in his/her
favour, unclaimed dividend, if any, covered under folio…………..for last 7 years based
on the related documents submitted for transmission of shares.

I /we am/are executing this declaration to be submitted to the concerned authorities of the
Company.

VERIFICATION

I /we hereby state that whatever is stated herein above are true to the best of my/our
knowledge.

Solemnly affirmed at ________ On this ____ day of ______ 20__

(Name and Signature of the Legal heir/s)

1.

2.

3.

Deponent/s

Identified by me Before Me
Advocate S.E.M./ Oaths

NOTES:

1. This Affidavit cum NOC is to be executed by all the Legal heir(s) who are
not claiming the shares.
2. Affidavit should be on Non-judicial stamp paper of Rs.100/-.
3. Please fill up the details as per the documents you are annexing. Please do not just
type this format as it is.
4. Affidavit should be attested by Notary/S.E.M/ Oath

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