Gabriel India : Cancellation or Variation of Nomination

Form No. SH-14

Cancellation or Variation of Nomination

[Pursuant to sub-section (3) of section 72 of the Companies Act, 2013 and rule 19(9) of the Companies (Share Capital and Debentures) Rules 2014]

Name of the company:

I/We hereby cancel the nomination(s) made by me/us in favor of……………..(name and address of the nominee) in respect of the below

mentioned securities.

or

I/We hereby nominate the following person in place of

…………………………. as nominee in respect of the below mentioned

securities in whom shall vest all rights in respect of such securities in the event of my/our death.

1. PARTICULARS OF THE SECURITIES (in respect of which nomination is being cancelled / varied )

1. (a) PARTICULARS OF THE NEW NOMINEE:
2. 1. Name:
   2. Date of Birth:
   3. Father's/Mother's/Spouse's name:
   4. Nationality:
   5. Address:
   6. E-mailid:

1. 1. Relationship with the Security holder:
2. IN CASE NEW NOMINEE IS A MINOR--

1. Date of Birth:
2. Date of attaining majority
3. Name of guardian:
4. Address of guardian:

Signature

Name of the Security

Holder (s)

Witness with name and address