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Isr 3

Form ISR-3 is a declaration for holders of physical securities in listed companies to opt-out of nomination. The form requires details of the securities and acknowledges the implications of not having a nominee, including the need for legal documentation by heirs in case of the holder's death. Signatures of the holders and a witness are necessary for validation.

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0% found this document useful (0 votes)
29 views1 page

Isr 3

Form ISR-3 is a declaration for holders of physical securities in listed companies to opt-out of nomination. The form requires details of the securities and acknowledges the implications of not having a nominee, including the need for legal documentation by heirs in case of the holder's death. Signatures of the holders and a witness are necessary for validation.

Uploaded by

Ameeth Vorra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Form ISR - 3

Declaration Form for Opting-out of Nomination


by Holders of Physical Securities in Listed Companies
(SEBI/HO/MIRSD/POD-1/P/CIR/2024/37 dated May 07,2024)
To, Date: / /

Name of the Company : --------------------------------------------------------------------------------------


Address of the Company : ---------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------

PARTICULARS OF THE SECURITIES (in respect of which nomination is being opted out)

Distinctive No(s)
Nature of Securities Folio No. No. of Securities * Certificate No.
( From – To )
Tick as relevant

Equity / Debentures

I / We the holder(s) of the securities particulars of which are given hereinabove, do not wish to nominate any
person(s) in whom shall vest, all the rights in respect of such securities in the event of my /our death.

I/ We understand the issues involved in non-appointment of nominee(s) and further are aware that in case of
my / our death, my / our legal heir(s) / representative(s) are required to furnish the requisite documents /
details, including, Will or documents issued by the Court like Decree or Succession Certificate or Letter of
Administration / Probate of Will or any other document as may be prescribed by the competent authority, for
claiming my / our aforesaid securities.

Signature(s) as per Specimen recorded with the Company. **


First Holder Joint Holder -1 Joint Holder -2 Joint Holder -3
Signature
Name

Witness Details:
Name of Witness
Signature
____________________________________________________
Address of Witness ____________________________________________________
_______________________________________Pin:_________
Date

* Use of ISR-3 (i.e. to Opt-Out of Nomination OR if “No_Nomination” is required by the investor ) will be applied for the entire securities against the said Folio.

** Signature of the witness, along with name and address is required, if the account holder affixes a thumb impression, instead of the signature.

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