Request Letter for Deletion of name

(Fill up this form & send original share certificate it may be noted that total holding under one folio will be considered for deletion of name.) TO BEETAL FINANCIAL & COMPUTER SERVICES PVT LIMITED BEETAL HOUSE, 99, MADANGIR BEHIND LOCAL SHOPPING CENTRE NEAR DADA HARSUKHDAS MANDIR, NEW DELHI-110062

Unit : ______(Company Name)

Subject : DELETION OF NAME

Folio No. : - ______

Dear Sirs,

I/We the undersigned being the joint holder(s) with Mr./Mrs./Miss ______( deceased) who expired on ______hereby request you to delete his/her name from Register of Members of the company in respect of ______Shares which are sent herewith for the purpose alongwith the Death Certificate. I/We give here under particulars regarding surviving jointholders(s) as would be required by you for your record.

Details of the share certificates enclosed S.No. Folio No. Distinctive Nos Share Certificate No of Shares From To No. 1 2 3 4 5

Total No of certificates ______No of Shares ______

Name(s) of Survivors

1. ______

2. ______

3. ______Father/Husband Name of the First Signatures of the Survived Shareholder(s) Holder(survivor) 1.

Occupation of the First Holder 2.

3.

Date ______Place ______

TO BE FILLED IN BY THE REGISTRAR Inward No. Transmission No. New Folio No. Date

Note : Please enclose all share certificates for the folios mentioned above. Also enclose copy of the death certificate of the deceased duly attested.