POST OFFICE SAVINGS
ACCOUNT |
| Name of the Post Office | Account No. |
| * Please open a in my/our names |
Savings |
CTD/RD Denomination Rs. |
Time Deposit 1/2/3/5 Year |
Account |
| **(i) | ................................ | |
| ................................ | ||
| Name(s) and | (ii) | ................................ |
| Address(es) | ................................ | |
| (iii) | ................................ | |
| ................................ |
** If minor, date of birth ............................ date of majority ........................................ |
| Applicants
relationship
.......................... |
| # 2. | Introducers | (i) | Name and address | . |
|
. . . . |
||||
(ii) |
Signature |
. |
| 3. | The account will be operated |
|
| 4. | I/We hereby undertake to keep the balances in
all my/ our SAVINGS/ CTD Accounts, single or joint at any time within the limits specified
in the relevant Rule, and also furnish on demand from the Post Office Savings Account,
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. |
| -------------------------------------------------------------------------------------------------------------------------------------- |
|
| * Strike out portions not applicable. |
|
| # To be filled only for savings accounts
with cheque facility. |
|
| 6. | I/We nominate the person(s) named below under
Section 4 or the Government Savings Bank, Act.1873 (5 of 1873) To be the sole
recipients),in the event of my our death of the amount standing at the credit of the
account. |
If nominee is minor |
||
| ---------------------------------------------------------- | ||
| Name and address of nominee(s) |
Date of Birth | Name and address of person who
may receive the said amount during the minority of nominees |
| ............................................ | ||
| ............................................ | ||
| ............................................ | ||
| ............................................ | ||
| ............................................ | ||
| ............................................ | ||
| * The name(s) of nominee(s) may not be entered in the Pass Book. |
||
Witness: Signature .................... |
|
| Name and address ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ |
Signature(s) or thumb impression(s) if illiterate, of applicant(s) |
* Strike out if not required |
| 7. | Specimen signature | Account No. |
| Name | Specimen signatures | |
| 1. | ... .......................... | |
| 2. | ... .......................... | |
| 3. | ... .......................... | |
Signature of Branch Postmaster |
|
Signature of Head Postmaster |
|
|
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