NOMINATION FORM FOR ELECTION OF DIRECTORS ON THE CENTRAL BOARD OF STATE BANK OF INDIA

Similar documents
Name of the applicant: Address of the Registered Office. Address for Communication. Telephone No. Mobile No. Fax No. .

NOTIFICATION. 15/11/2013upto 5.00P.M.

APPLICATION FORM FOR REGISTRATION WITH RBI UNDER SECTION 45-IA OF THE RBI ACT, 1934

INSOLVENCY PROFESSIONAL AGENCY OF INSTITUTE OF COST ACCOUNTANTS OF INDIA

THE TELANGANA STATE CO-OPERATIVE APEX BANK LTD., HEAD OFFICE, TROOP BAZAR, HYDERABAD

(To be filled by Participant)

APPLICATION FORM FOR REGISTRATION WITH RBI UNDER SECTION 45-IA OF THE RBI ACT, 1934

Master Circular- Housing Finance Companies Approval of Acquisition or Transfer of Control (NHB) Directions, 2016

SECOND SCHEDULE [FORM A] Under Regulation 6 of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016]

7. in the principle rules, after Form no. INC-31, the following shall be inserted, namely:-

Affix recent passport size photograph duly signed by the candidate. APPLICATION FOR THE POST OF (in Block letters) Advertisement No.

NATIONAL COMMODITY & DERIVATIVES EXCHANGE LIMITED Circular to all trading and clearing members of the Exchange

FORM 1A [Pursuant to sections 20 and 21 of the Companies Act, 1956]

WOCKHARDT LIMITED. Booklet on Shareholders Frequently Asked Questions (FAQs) Registered Office: D-4, MIDC, Chikalthana Aurangabad

K PART I - KNOW YOUR CLIENT (KYC) APPLICATION FORM

RBI/ /122 DNBR (PD) CC.No. 065/ / July 09, All Non-Banking Financial Companies (excluding Primary Dealers)

COMBINED APPLICATION FORM FOR GENERAL PROVIDENT FUND FINAL CLOSURE AND PENSION

HDFC Standard Life Insurance Company Limited

Name: CHECKLIST FOR INDIVIDUAL CLIENTS (MANDATORY)

COMPOSITE APPLICATION FORM FOR SUBSCRIBER REGISTRATION

Sponsorship Form for Specified Persons

FORM 1 [See Rule 53 (1)]

Know Your Client (KYC) Application Form (For Individuals Only)

RBI/ /26 DNBR (PD) CC.No.061/ / July 01, 2015 (As amended up to August 04, 2015)

FORM OF APPLICATION FOR CERTIFICATE OF REGISTRATION TO COMMENCE THE BUSINESS OF A MORTGAGE GUARANTEE COMPANY

Hindi. 5. * Name of the office of the Registrar of Companies in which the proposed company is to be registered

FORM - IRDA AF [See Regulation 3(1)] APPLICATION FOR A LICENCE TO ACT AS SURVEYOR AND LOSS ASSESSOR (INDIVIDUAL)

Application for no objection certificate from the Government of Tamil Nadu for

Handbook for NSDL Depository Operations Module Core Services

Format for applying final withdrawal and advances from GPF

HOW TO APPLY (INSTRUCTIONS TO CANDIDATES) (Detach this page while submitting the application form)

FORM FC 3 [See rule 9 (1) (a)]

Name of Examination Year and month in which. Examination was held. Serial No. in Merit list. 1. The holder of this card, Shri/Smti/Kumari

CHANDIGARH HOUSING BOARD

Listing Requirements Secondary Listing- Exclusively Listed on Regional Stock Exchange

KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals) Annexure 1

HOW TO APPLY (INSTRUCTIONS TO CANDIDATES) this page while submitting the application form)

FORM-FOR ENROLLMENT AS PRIMARY MEMBER AND EDUCATIONAL COURSE OF ICAI RVO (See sub-rule (1) 1 ST proviso to of rule (5)

Application for Consumer Finance License

PROCESS FOR TRANSFER OF SHARES. Following documents are required to be submitted to us for transfer of shares:

NCT Check List for CRMF Unit

Passport size photograph of the Applicant

PRE-QUALIFICATION FORMS

(To be filled by Participant)

MINISTRY OF CORPORATE AFFAIRS NOTIFICATION. New Delhi, the 29th December, 2016

APPLICATION FOR OPENING AN ACCOUNT

NCT Check List for Religare Unit

3. In the Principal rules, in rule 10, the words, letters and figure Form No.INC-7 shall be omitted. 4. In the principal rules, for rule 12, the follo

Formation & Conversion of LLP

Proforma for application

DEMATERIALISATION / REMATERIALISATION OF SHARES

Annexure UOS-S1 Page 1. To affix recent Coloured photograph (3.5 cm 2.5 cm) Receipt No. Permanent Retirement Account Number : Sir/Madam,

Directions regarding Registration and Operations of NBFC - Account Aggregators under section 45-IA of the Reserve Bank of India Act, 1934

INVESTMENT ADVISORS REGULATIONS, 2011

GOVERNMENT OF INDIA MINISTRY OF FINANCE DEPARTMENT OF REVENUE CENTRAL BOARD OF DIRECT TAXES. Notification

Customer Declaration (Sole Proprietorship)

DEPARTMENT OF COMMUNICATION, Central Office, S.B.S.Marg, Mumbai

PART A (To be completed by the Nominee /Legal Heirs in case of Nomination not done)

This Circular is issued in terms of Regulation 18.1 of the Exchange Regulations.

CENTRAL SECTOR SCHEME OF SCHOLARSHIP FOR COLLEGE AND UNIVERSITY STUDENTS DATA SHEET. 3. Sex: Male Female

NOTICE OF EXTRAORDINARY GENERAL MEETING

Area Code AO Type Range Code AO No. Date(s) of. SCHEDULE III (Details of the sums given by the declarant on interest)

Membership Application Trading Member (TM)

Request for converting Resident Indian Savings Bank (SB) account into NRO SB account

High Court of Judicature at Allahabad, Lucknow NOTICE

Ref. No. P&S/F.2/OR/198/ Date:

Recruitment of Executive Director (IT) in BSNL through immediate absorption basis.

HINDALCO INDUSTRIES LIMITED

MODEL FORMAT RELATED TO RRB (EMPLOYEES ) PENSION SCHEME, 2018 OF CENTRAL MADHYA PRDESH GRAMIN BANK

INDO ALUSYS INDUSTRIES LIMITED

(2) They shall come into force on the date of their publication in the Official Gazette.

INSTRUCTIONS FOR FILLING THE APPLICATION FOR MEMBERSHIP REGISTRATION ON BSE INTERNATIONAL CLEARING CORPORATION (IFSC) LIMITED

Attestation Packet Instructions and Reference

THE GREAT EASTERN SHIPPING COMPANY LIMITED

Section A Subscriber s Personal Details:

To The Secretary to the Government of India, Ministry of Home Affairs, Jaisalmer House, 26, Mansingh Road, New Delhi

NOTICE. LIFE INSURANCE CORPORATION OF INDIA. Central Zonal Office Bhopal. Engagement of Financial Service Executives,

Annexure UOS-S1 Page 1

Service Tax Voluntary Compliance Encouragement Scheme, 2013

TO BE PUBLISHED IN THE GAZETTE OF INDIA, EXTRAORDINARY PART II SECTION 3 AND SUB-SECTION (i)

ipam INSOLVENCY PRACTITIONERS ASSOCIATION OF MALAYSIA (PERSATUAN PENGAMAL INSOLVENSI MALAYSIA) APPLICATION FOR ADMISSION

Form DVAT 04 Cover Page

Government of India Ministry of Finance Department of Economic Affairs. Notification

SWAVALAMBAN National Pension System (NPS)

POLARIS CONSULTING & SERVICES LIMITED (FORMERLY KNOWN AS POLARIS FINANCIAL TECHNOLOGY LIMITED) CIN: L65993TN1993PLC024142

COMMON APPLICATION FORM

Net worth certificate along with computation sheet duly certified by CA

Employees Provident Fund Organization

INVITATION FOR APPLICATIONS FOR PROFESSIONAL CLEARING MEMBERSHIP OF NATIONAL COMMODITY & DERIVATIVES EXCHANGE LTD

HIGH COURT OF GUJARAT, Sola, Ahmedabad :

Form 103-GD Page 1 National Pension System (NPS)

RALLIS CHEMISTRY EXPORTS LIMITED

(23 December 2015 to date) DEBT COLLECTORS ACT 114 OF 1998

Sub: Updation of PAN, Bank account details, address of Shareholders of the Company:

APPLICATION FORM (For Bonds / Debentures / PTCs)

Net worth certificate along with computation sheet duly certified by CA

SUB: EMPANELMENT OF ADVOCATES. Page-1

Commodity Checklist - CORPORATE

IPAS Limited INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) of (ADDRESS)

Arranger s Stamp / Direct

Transcription:

NOMINATION FORM FOR ELECTION OF DIRECTORS ON THE CENTRAL BOARD OF STATE BANK OF INDIA ANNEXURE II A With reference to the Notice dated 02.05.2017 issued by State Bank of India for election of directors on the Central Board of the Bank, we, the undersigned, duly registered shareholders of the State Bank of India, in the Register of Shareholders of the Bank holding not less than 50 shares in our own right, either as sole holder or as first named holder when jointly held, for a minimum period of 3 months immediately preceding the scheduled date of the General Meeting (i.e. 15.06.2017) and continue to be the shareholders in the above Register with minimum 50 shares as on date, as detailed in table (1) and (2) below and will continue to hold these shares to remain entitled to vote in the aforesaid General Meeting, do hereby nominate Shri/Smt./Ms......... son/daughter/wife of Shri......residing at, as a candidate for being elected as a Director on the Central Board of the State Bank of India representing the shareholders of the Bank as provided in Section 19 (c) of the State Bank of India Act, 1955. (1) Name of the Shareholder: No. of shares held as on 14.03.2017, either as sole holder or as first named holder when jointly held : No. of shares held as on date of the Nomination, either as sole holder or as first named holder when jointly held: Folio No. (if shares are in physical Form) or DP ID and Client ID No. (if shares are in demat form): Place: Signature: (2) Name of the Shareholder: No. of shares held as on 14.03.2017, either as sole holder or as first named holder when jointly held :

No. of shares held as on date of the Nomination, either as sole holder or as first named holder when jointly held: Folio No. (if shares are in physical Form) or DP ID and Client ID No. (if shares are in demat form): Place: Signature: 2. I, hereby declare that I accept the nomination and I am willing to contest for election of Director on the Central Board of State Bank of India. I hereby confirm that I am holding not less than 5000 unencumbered shares of State Bank of India registered in my own right, *as sole holder or as first named holder when jointly held, as detailed in the table below and that I am not disqualified from being a director on the Central Board of the State Bank of India under the provision of Sections 19A and 22 of the State Bank of India Act 1955 and Section 20 of the Banking Regulation Act, 1949. (*delete whichever is not applicable) No. of shares : Folio No. (if shares are in physical Form) or DP ID and Client ID No. (if shares are in demat form) I confirm that my above personal details and those furnished in the enclosed Declaration & Undertaking are to the best of my knowledge and belief true, correct and complete. Place: Signature of the Candidate The above declaration is signed before me.

Signature of the Official Official Seal Full Name of the Official... Designation... Address... Note : (i) The person before whom the declaration is signed must be a Judge/ Magistrate/ Justice of Peace/ Registrar or Sub-Registrar of Assurances or any other Government Gazetted Officer or an Officer of the State Bank of India. The aforesaid Official must state his full name, address and designation and affix his Official Seal. ii) Signature of the shareholders should match with the specimen signature in the records available with the Bank s Registrar.

STATE BANK OF INDIA DECLARATION & UNDERTAKING ANNEXURE- II B (To be given by candidate alongwith his Nomination. All details must be filled in block letters and candidate must put his/her Name and full signature with date on all pages) 1 Personal details of candidate a) Full name b) Name of Father/Husband c) Whether belongs to SC/ST/OBC /Minority communities? If yes, please specify and copy of certificate to be attached d) Date of Birth (DD/MM/YY) e) Educational Qualifications f) Relevant Background and Experience g) Permanent Address h) Present Address i) E-mail Address, Telephone and Mobile Number j) Permanent Account Number under the Income Tax Act and name and address of Income Tax circle. (Copy of the PAN card to be attached) k) Aadhar Card No. (Copy to be attached) i) Director Identification No. (DIN), if any, allotted to candidate by the Ministry of Corporate Affairs (MCA), Govt. of India.

l) Passport No. (copy of the Passport to be attached) m) Relevant knowledge and experiences as indicated in Section 19A (1) of SBI Act, 1955) (Attach self attested copies of testimonials, if any, evidencing the knowledge and experience) Note: (Extract of Section referred above is given in the Annexure to this form - Important information & extract of relevant Acts ). n) Any other information relevant to his nomination for directorship in the Bank. 2 Relevant Relationship of candidate a) Name of the listed companies in which the Candidate is or has been a Director (giving details with period during/for which such office was held / is being held by him and the name of the Stock Exchange(s) where such company(s) is/are listed) b) Name of the unlisted Companies in which the Candidate is presently a Director (giving details of with period during/for which such office was held / is being held by him) c) List of entities, other than those mentioned in (a) and (b) above, if any in which he/she is considered as being interested (Refer Section 299(3)(a) and Section 300 of the Companies Act, 1956/ *Section 184 of the Companies Act, 2013) Note :

Extract of Section referred above is given in the Annexure to this form - Important information & extract of relevant Acts. d) List of entities in which he/she is considered as holding substantial interest within the meaning of Section 5(ne) of the Banking Regulation Act, 1949 proposed and existing.note :Extract of Section referred above is given in the Annexure to this form - Important information & extract of relevant Acts. e) (i) Details of loans and advances, if any, presently availed of by the candidate or the entities mentioned under Section 20 of Banking Regulations Act, 1949 from State Bank of India. (ii) Whether candidate has given any Guarantee in respect of any fund based ornon-fund based facility given by State Bank of India? If yes, please give details. Note : Extract of Section referred above is given in the Annexure to this form - Important information & extract of relevant Acts. f) Details of Fund and non-fund facilities, if any, other than those mentioned in (e) above, presently availed of by the candidate and/or by entities listed in 2(a) to (d) above from State Bank of India. g) Cases, if any, where the director or entities listed in 2 (a) to (d) above are in default or have been in default in the past in respect of credit facilities

obtained from the State Bank of India or any other Bank. (ii) Cases, if any, where the director or entities listed in 2 (a) to (d) above have compounded (including OTS) with his creditors, State Bank of India or any other Bank. h) List of Relatives if any who are connected with the Bank (Refer Section 6 and Schedule 1A of the Companies Act, 1956/*section 2 (77) of the Companies Act, 2013) Note :Extract of Section referred above is given in the Annexure to this form - Important information & extract of relevant Acts. i) Name of Bank(s) in which he/she is or has been a member of the board (giving details of period during which such office was held) 3 Records of professional achievements/director a) Professional achievements relevant 4 Proceedings, if any, against the candidate /director a) If the candidate is a member of a professional association/body, details of disciplinary action, if any, pending or commenced or resulting in conviction in the past against him/her or whether he/she has been banned from entry of at any profession/occupation at any time. b) Details of prosecution, if any, pending or commenced or resulting in conviction in the past against the candidate and/oragainst any of the entities listed in2(a) to (d) above for violation of economic laws and regulations.

c) Details of criminal prosecution, if any, pending or commenced or resulting in conviction in the past against the candidate. d) Whether the candidate attracts any of the disqualifications envisaged under Section 274 of the Company's Act 1956/*Section 164 of the Companies Act, 2013) Note: Extract of Section referred above is given in the Annexure to this form - Important information & extract of relevant Acts. e) Has the candidate or any of the entities at 2(a) to (d) above been subject to any investigation at the instance of Government department or agency? f) Has the candidate at any time been found guilty of violation of rules/ regulations/ legislative requirements by customs/ excise /income tax/foreign exchange /other revenue authorities, if so give particulars. g) Whether the candidate at any time come to the adverse notice of a regulator such as RBI, SEBI, IRDA, MCA, Enforcement Directorate, Income Tax Dept #. 5 Any other explanation / information in regard to above items and any other information considered relevant for judging the fit and proper status

UNDERTAKING I confirm that the above information is to the best of my knowledge and belief true and complete. I undertake to keep the Bank fully informed, as soon as possible, of all events which take place subsequent to my election which are relevant to the information provided above and in case there is no change in the information provided above, submit a declaration, to that effect, as on 31 st March every year. I also undertake to execute the deed of covenant required to be executed by all directors of the Bank annually. Place : Signature of the candidate : ( Space given below must be left blank by the candidate for the use of Nomination Committee) Remark REMARKS OF THE NOMINATION COMMITTEE Place : Members of the Nomination Committee * Companies Act, 1956 has been amended and introduced as Companies Act, 2013.(Published in Gazette of India, Extraordinary, Part II, Section1, No.27 dated 30.08.2013) # please indicated Yes or No, if yes, please provide details thereof.