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For use of applicant



DEPARTMENT OF POSTS, INDIA


APPLICATION FOR TRANSFER OF SAVINGS CERTIFICATE(S) FROM ONE POST OFFICE TO ANOTHER
To

               The Postmaster,
               .....................................................
 

                I/We…………………………………………………..request that following Certificate/ duplicate Certificate(s) held by me/us/Shri./Smt./Kum………..................................................... (minor)  member of the Co-operative Society/Bank*  which stands registered as your office be transferred to…………………………… Post office


*  delete whichever is not applicable

 
Full Name of Series-Sl.No.
 Denomination

 Date of issue Sl.No.of Identity slip, if issued

 

 If purchased on behalf of minor
Date of birth of minor Name of guardian authorized to encash
1 2 3 4 5a 5b

 

 

 

          



Signature (not thumb impression) of authorized guardian(s)




Signature (or thumb impression * if illiterate) of applicant
 

 

 ......................... ..........................................

Address
          ……………………………....................
          ........................................................
          ........................................................
         ……………………………………...........
 

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

             * Should be attested by a witness known to  the Post Office

 

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