<p> Request Letter for Deletion of name</p><p>(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</p><p>Unit : ______(Company Name) </p><p>Subject : DELETION OF NAME</p><p>Folio No. : - ______</p><p>Dear Sirs,</p><p>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.</p><p>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</p><p>Total No of certificates ______No of Shares ______</p><p>Name(s) of Survivors </p><p>1. ______</p><p>2. ______</p><p>3. ______Father/Husband Name of the First Signatures of the Survived Shareholder(s) Holder(survivor) 1.</p><p>Occupation of the First Holder 2.</p><p>3.</p><p>Date ______Place ______</p><p>TO BE FILLED IN BY THE REGISTRAR Inward No. Transmission No. New Folio No. Date</p><p>Note : Please enclose all share certificates for the folios mentioned above. Also enclose copy of the death certificate of the deceased duly attested. </p>