Shri/ Shrimati/ Messar's ....................... who was the member of the ......................... Co-operative Housing Society Ltd., having address at .......................... holding ten. Shares of Rs. Fifty each and the Flat No .........................died on His/her death certificate is enclosed. He /She had nominated Shri/Shrimati.......................... who is minor/ He had not made nomination. His /Her heir Shri/ Shrimati ............................ is a minor.

I, Shri/Shrimati........................ being his/her natural guardian/ guardian appointed by the deceased member/ legal representative hereby make an application on behalf of the said minor for Membership of the.............................Co- operative Housing Society Ltd., having Address ........................ and for transfer of shares and interest of the deceased member in the capital/ property of the society to me on behalf of the minor nominee/ heir as provided under Rule 20 of the Maharashtra Co-operative Society Rules, 1961. The share certificate held by the deceased member is enclosed.

An entrance fee of Rs. 100/- is sent herewith.

The particulars of the plot/ flat/ house in the area of operation of the society owned by the minor nominee heir or any of the membership of the minor's

Family or the person dependent on the minor are given below:-

Sr. no.	Name of the minor nominee or heir of his/her family member or the person dependent on the minor.	minor's family or the person dependent on the minor	Place where plot/flat/house situated
1	2	3	4

My particulars for the purpose of consideration of this application are as under:
Age:- ..........................
Occupation:- .........................
Office Address:- .........................
Monthly Income:- .........................

I undertake to discharge all the present and future liabilities to the society on behalf of the minor. I hereby declare that there is no plot/ flat/ house in the area of operation of the society, of the ownership of said minor person or his family member or the person dependent on him. As I have no independent source of income, I enclose herewith undertaking from the person on whom I am dependent in the prescribed form, to the effect that he will discharge all the present and future liability to society on my behalf.

I enclose the undertaking in the prescribed form (Appendix - 3) to use the flat on behalf of the minor for the purpose for which it was held/ acquired by the deceased member and that any change of user will be made with prior approval of the society.

I enclose herewith an undertaking in prescribed form regarding sale of plot/ flat/ house of the minor person or his family member of the person dependent on the minor person.

I also enclose herewith the undertaking in the prescribed form on behalf of the minor about registration 59 of the transfer of the flat to the minor's name through me under Section 269 AB of the Income - Tax Act (Appendix - 26.)

I have gone through the registered bye-laws of the society and undertake to abide by the same with any modification the Registering Authority may make in them.

I undertake to discharge all outstanding liabilities against the deceased member and also pay the charges of the society in future on behalf of the minor.

I also hereby undertake to convey the property on the "attainment of age of majority" by the minor on whose behalf I am holding membership. I also declare that I shall be ceased to hold the membership on behalf of the said minor, as soon as he attains age of majority.

I declare that I will take all actions as a member of the society on behalf of the minor in his/ her interest only.

On behalf of the minor, I request you to admit me as a member of the society.

Place:
Date:

Note:
The undertaking about registration of the transfer of the flat is not necessary where the minor is related to the deceased member within the meaning of Section 2(41) of the Income-Tax Act.

*Strike out whichever is not applicable.