|
1. |
Name
of the Post Office |
|
Account
No. |
|
|
|
|
|
|
|
|
|
Please
open In my/our Names |
Savings |
CTD/RD
Denomination/Rs. |
Time
Deposit 1/2/3/5 years |
Acount |
|
|
Name(s)
and Address(es) |
(i)
...
(ii)
.
(iii)
|
|
|
If
minor date of birth
.. |
Date
of majority
...
|
|
|
Applicant's
relationship |
..
|
|
2. |
Introducer's(i)
Name &
Address
..
(ii) Signature
|
|
3. |
The
account will be operated |
JOINTLY/SEVERALLY
|
|
4. |
I/
We hereby undertake to keep the balances in all my/our SAVINGS/CTD
accounts single or jointly at any time within the limits specified
in the relevant rule and also furnish on demand from the Post
Office Savings Bank particulars of all such accounts.
|
|
5. |
I/We
agree to abide by such rules framed by the Central Government as
may be applicable to the account from time to time.
|
|
6. |
I/We
nominate the person(s) named below under Section 4 of the
Government Savings Bank Account 1873(5 of 1873) to be the sole
recipient (s) in the event of my/our death of the amount standing
at the credit of the account.
|
| |
Name
and address of nominee(s) |
Date
of birth |
If
nominee is minor, name and address of Person who may receive the
said amount during the minority of nominee
|
| |
|
|
|
| |
The
name(s) of nominee(s) may not be entered in this passbook.
|
| |
Witness
Signature.
|
| |
Name
and address
Strike
out if not required. |
Signature(s)
or thumb impression(s) If illiterate of applicant. |
| |
|
|
|
7. |
Specimen
Signature |
|
Account
No. |
|
|
|
|
|
|
|
|
|
Name |
Specimen
Signature |
|
|
1.
. |
. |
. |
. |
|
|
|
2
.. |
. |
. |
. |
|
|
|
3.
. |
. |
. |
. |
|
|
Sign.
Of Branch Postmaster |
Sign.
Of Sub-Postmaster. |
Sign.
Of Head Postmaster. |
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
