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Post office Box .member of Hazina Sacco Society ltd; being M/no. , P/no . (Employer) ..hereby nominate the following nominee(s) to inherit my shares/ deposits in the said society in the following manner. Name of nominee(s) Relationship % Of Shares/deposits 1 2 3 4 5 6 7 Given under my hand this day of 20 Signature.

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