Drafted from the Cooperative Commissioner's consultation draft of the Model Bye-laws 2026 — not yet finally notified. Verify the bye-law/rule number against the gazetted text once issued.
Application for Provisional Membership by Nominee (Official Form Y-4)
Draft 2026 Bye-law / Rule No.: 30(a) / 106C-6(1)(a)
When to Use This Form
Use this form when the nominee of a deceased member wants to be admitted as a Provisional Member of the society while the deceased member's legal heirs are being finally settled.
Information You Will Need
- Deceased member's Share Certificate No., shares and Flat/Unit No.
- Date of death and death certificate
- Date and Sr. No. of the recorded nomination
- Indemnity Bond (Form No. 17)
How to Submit
Generate PDF
Click "Generate This Form" → fill in your details → download the PDF.
Print the form
Print on plain A4 paper.
Sign & attach
Sign with pen at all required signature places, and attach any enclosures listed above.
Submit to Society
Hand over the signed form to the Society Secretary with the required enclosures listed above.
Do you need more than just this form?
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Use Bulk Wizard — Tell us your transactionRelated Forms You May Also Need
Public Notice — No Nomination (Invitation of Claims from Legal Heirs)
Form 16 · Bye-law 30(b) / 106C-6(1)(b)
Indemnity Bond (Nominee(s)/Legal Heir(s))
Form 17 · Bye-law 30 / 106C-6
Application for Membership via Family Arrangement
Form 18 · Bye-law 31 / Rule 106C-6(2)(b)
Public Notice — Family Arrangement (Invitation of Claims/Objections)
Form 19 · Bye-law 31(c)
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