_{Folio No. : _________________}

_{No.of Shares: _________________}

FORM 2B

NOMINATION FORM

(To be filled in by individual(s) applying singly or jointly)

I/We ................................... and ......................................and........................................ the holders of Equity
Shares bearing distinctive No(s). ...................….......to. ........................…….of HB Portfolio Ltd. wish to make a nomination and do here by nominate the following person in whom all rights of transfer and /or amount payable in respect of Shares shall vest in the event of my or our death.

Name, Address and Signature of Nominee

Name	:	........................................................................................................…………………
Address	:	........................................................................................................…………………
Signature	:	........................................................................................................…………………
Date of Birth*	:	........................................................................................................…………………
(*To be furnished in the case the nominee is a minor) ** The Nominee is a minor whose guardian is
Name	:	........................................................................................................…………………
Address	:	........................................................................................................………………… ........................................................................................................…………………
Signature	:	........................................................................................................…………………
**To be deleted if not applicable

1.	Signature	:	........................................................................................................…………………
	Name	:	........................................................................................................…………………
	Address	:	........................................................................................................…………………
	Date	:	........................................................................................................…………………
2.	Signature	:	........................................................................................................…………………
	Name	:	........................................................................................................…………………
	Address	:	........................................................................................................…………………
	Date	:	........................................................................................................…………………
3.	Signature	:	........................................................................................................…………………
	Name	:	........................................................................................................…………………
	Address	:	........................................................................................................…………………
	Date	:	........................................................................................................…………………

Name, Address and Signatures of two Witnesses
	Name and Address	Signature with date
1.
2.

Instructions:

1.	The Nomination can be made by individuals only holding Shares on their own behalf singly or jointly. Non-individuals including society, trust, body corporate, partnership firm, Karta of Hindu Undivided Family, power of attorney holder cannot nominate. If the Shares are held jointly, all joint holders are required to sign the nomination form. Space is provided as a specimen, if there are more joint holders more sheets can be added for signatures of holders of Shares and witnesses.
2.	A minor can be nominated by a holder of Shares and in that event the name, address and signature of the guardian shall be given by the holder.
3.	The nominee shall not be a trust, society, body corporate, partnership firm, Karta of Hindu Undivided Family or a power of attorney holder. A non-resident Indian can be a nominee on repatriable basis.
4.	Nomination stand rescinded upon transfer of Shares.
5.	Transfer of Shares in favour of a nominee shall be a valid discharge by the Company against the legal heir.
6.	Nomination form, duly completed, should be sent to the Company Registar & Share Transfer Agent RCMC SHARE REGISTRY PVT. LTD., B-106, Sector-2, Noida-201301.

FOR OFFICE USE ONLY

Nomination Registration Number

Date of Registration

Checked by (Name and Signature)