KBL - Format of Affidavit Cum NOC
KBL - Format of Affidavit Cum NOC
KBL - Format of Affidavit Cum NOC
(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.
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.
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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