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Form Aslass-6

SCHEDULE   FOR DEPOSIT IN PORD ACCOUNT and 10/15 YEAR CTD ACCOUNTS.

N.B: Separate proforma should be used for each Category of 10/15 years CTD and for 5-year PO RD Account

Authority No. of the MPKBY Agent:...................................................

Date:................................................



No. Name & Address of the Depositor Amount Deposited Whether Deposited in New Account

If to be Deposited in old Account
No.of Accounts

ASLASS-5
Card No.
Remarks if any
(1) (2) (3) (4) (5) (6) (7)
1                                                                                                    
2
3
4
5
6
7
8
9
10
11
12
13
14
15

16

17
18
19
20
21
22
23
24
25
Signature of MPKBY Agent   ...................................
It is certified that a total sum of Rs. .................  (Rupees ........................................................) has been received and deposited/credited as shown above in the PO CTD/ PO RD Account Pass Books of the investor's concerned.
 

Signature of the Postmaster

Date:

                               Place

Seal of the Post Office