FORM B
[See para 12]
10% RELIEF BONDS, 1993
FORM OF NOMINATION

1. I……….(Name and address) nominate the following person(s) who shall on my death have the right to the Bond/receive payment of the amount for the time being due on the Bond specified below:

10% Relief Bonds,1993				Nominee
Date of issue	Distinguishing number	Amount Rs.	Name	Address	Date of birth	Relationship of the depositor

2. * As…….........................…the sole nominee above is a minor on this date, I, nominee No appoint Shri/Smt./Kumari……….(Name & Address) to receive the bond/amount for the time being due on the above Bond in the event of my death during the minority of the said nominee
3. ** This nomination is in substitution of the nomination dated…………..made by me and registered in your books on the………..which shall stand cancelled on registration of this nomination.
Place: ……….                                                                    Signature/Thumb impression
Date: …………….                                                             of the holder

Signature and addresses of witnesses:
*Not to be filled in, unless nominee is a minor.
**This paragraph may be struck out when the nomination is not in substitution of one already made.