PPF FORM

		PPF FORM - A Serial No……………….
.…………………………………………. BANK ………………….……………………………… APPLICATION FOR OPENING A PUBLIC PROVIDENT FUND ACCOUNT UNDER THE PUBLIC PROVIDENT FUND SCHEME, 1968
To The Branch Manager, ...................………….. ………………………….
I ……………………………………………………………………….. hereby apply for opening an account under the Public Provident Fund Scheme 1968, in my name / in the name of Shri./Smt./Kumari………………………………………………………………… …………………… ……………… of whom I am the guardian and tender herewith Rs…………. (Rupees ………… …………………………………………………………………………) in cash /cheque as the initial subscription.
PERMANENT ADDRESS OF SUBSCRIBER/GUARDIAN
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I agree to abide by the provisions of the Public Provident Scheme, 1968, and Amendments issued thereto from time to time.
ACCOUNT IN THE NAME OF A MINOR
Date of Birth of Minor ………… Applicant’s relationship

with minor, if any…………………..............	SIGNATURE OF THUMB IMPRESSION OF SUBSCRIBER/GUARDIAN ADDITIONAL SPECIMEN
	……………………………….........................
Date: ………………………………
	………………………………........................ .
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FOR THE USE OF ACCOUNTS OFFICE
The account has been opened on ……………..with Rs…………........................ Under Public Provident Fund Account No……………………….
Pass Book No…………………………has been issued.
Date:	Accounts officer
Code No. 2365.