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POST OFFICE SAVINGS ACCOUNT

APPLICATION FOR OPENING AN 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 ........................................
    Applicant’s relationship …………………………………………………..........................

# 2. Introducer’s (i) Name and 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 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.

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* 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 Sub-Postmaster





Signature of Head  Postmaster





Date stamp





Date stamp





Date stamp