1. |
Name
of the Post Office |
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Account
No. |
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Please
open In my/our Names |
Savings |
CTD/RD
Denomination/Rs. |
Time
Deposit 1/2/3/5 years |
Acount |
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Name(s) and Address(es) |
(i) ………………………...
(ii)
……………………….
(iii)
……………………… |
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If minor date of birth
………………….. |
Date of majority …………………...
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Applicant's relationship |
……………………………………………………..
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2. |
Introducer's(i) Name &
Address…………………………………………………..
(ii) Signature
………………………………………………………………………
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3. |
The account will be operated |
JOINTLY/SEVERALLY
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4. |
I/ We hereby undertake to keep the balances in all my/our
SAVINGS/CTD accounts single or jointly at any time within the limits specified in the
relevant rule and also furnish on demand from the Post Office Savings Bank particulars of
all such accounts.
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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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6. |
I/We nominate the person(s) named below under Section 4 of the
Government Savings Bank Account 1873(5 of 1873) to be the sole recipient (s) in the event
of my/our death of the amount standing at the credit of the account.
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Name and address of nominee(s) |
Date of birth |
If nominee is minor, name and
address of Person who may receive the said amount during the minority of nominee
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The name(s) of nominee(s) may not be entered in this passbook.
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Witness Signature.
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Name and address
……………………
Strike out if not required. |
Signature(s) or thumb impression(s) If illiterate of applicant. |
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7. |
Specimen Signature |
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Account No. |
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Name |
Specimen Signature |
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1.
………………. |
…………………. |
…………………. |
…………………. |
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2
……………….. |
…………………. |
…………………. |
…………………. |
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3.
………………. |
…………………. |
…………………. |
…………………. |
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Sign. Of Branch Postmaster |
Sign. Of Sub-Postmaster. |
Sign. Of Head
Postmaster. |
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