DEPARTMENT OF POSTS INDIA
APPLICATION FOR PURCHASE OF NATIONAL SAVINGS CERTIFICATE (VIII ISSUE)
To
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DEPARTMENT OF POSTS INDIA APPLICATION FOR PURCHASE OF NATIONAL SAVINGS CERTIFICATE (VIII ISSUE) |
| To |
| The Postmaster
……….................................. |
Post office
Serial No……….......... |
| 1.
|
I/We hereby tender Rs.
..................................( Rupees ............................................... .................................. only ) in cash/ by Cheque No………… ………….…. for purchase of National Savings Certificate (VIII Issue) of the type Single /Joint A / Joint B. |
(a) |
In the name(s) of………………………….. and…………………………............................... |
| (b) | In case of minor, his date of birth……………………encashable by the minor’s Parent/guardian Shri/Smt…………………………...................................................... |
| 2. |
I/We nominate the person(s) named below who shall, on my/our death, receive payment |
| Sl.No. 1 |
Name of Nominee 2 |
Full Address 3 |
Date of Birth of
Minor Nominee 4 |
| 3. | I/We hereby agree to abide by National Savings
Certificates (VIII Issue) Rules,1989. |
| 4. | The Certificates may be made over to my/our agent Shri/Smt............................................... ...................Authority No……………........ or messenger who presents the application. |
Signature/thumb impression of Investor |
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|
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Date .......................................... |
Signature and Address of witness to nomination |
Address …………………………….................... ........................................................ ........................................................ ……………………………………........... |
| Received the certificate(s) |
Signature of investor/messenger/authorised agent |
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Date ........................................ |
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| Delete whichever is not applicable | |
TO BE COMPLETED BY THE POST OFFICE |
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| Sl. No. of Certificates 1 |
Issue Price Rs. 2 |
Date of encashment 3 |
Initials of the Postmaster 4 |
Remarks like
transfer,issue of duplicate etc. with initials 5 |
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TOTAL |
Date: ..................................... |
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