(a) By all the holders together or the surviving holder/s.
(In case of joint account) (b) By either of the holder/s, or the surviving depositor/s,
14. My/our specimen signatures 1………………………… 2……………………………. 3.,…………………………… (Name)………………………………………………………… 1…………………… 2……………………………..3……………………………..
(Name)………………………………………………………… 1……………………….. 2…………………………… 3……………………………..
(Name)………………………………………………………… 1……………………….. 2…………………………… 3……………………………..
(Name)………………………………………………………… I hereby undertake to abide by the scheme provisions and Government Savings Promotion rules- 2018 applicable on the Scheme and amendments issued thereto from time to time.
Signature or thumb impression of account holder(s)/guardian Date:…………………… Nomination
16. I/we…………………………………………..hereby nominate the person(s) mentioned below to whom to the exclusion of all other persons in the event of my death the amount standing to my credit in Kisan Vikas Patra Scheme at the time of my death would be payable.
S.No. Name(s) of the nominee(s) and relationship Full address (s) Aadhaar number of nominee(optional) Date of birth of nominee in case of minor Share of entitlement Nature of entitlement (Trustee or owner) 1 2 3 4 ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 141 As the nominee(s) at Serial No.(s)…………………………………….specified above is/are minor(s), I appoint Shri/Smt/Kumari………………………………………………..S/o,D/o,W/o………………………………… ………………………………………..Address………………………………………………………………… …………………………………………………………………………………………….to receive the sum due under the said account in the event of my death during the minority of the nominee(s).
1. Signature of witness…………………………………….
Name and Address……………………………………………..
2. Signature of witness…………………………………….
Name and Address……………………………………………..
Signature or thumb impression of account holder(s)/guardian Place:
Date:
For use of Post Office/Bank The account has been opened in the name of…………………………………on……………………..with initial deposit of Rs……………………………………….under………………………………………(name of the scheme) vide Account No.__________________________ dated______________________________.
Customer identification Number………………………………..
Nomination has been registered vide No……………………………dated………………………………… Signature and seal of competent authority.
FORM - 2 [See sub-paragraph (1) of paragraph 5] (Application for closure of account) Name of Post Office/Bank__________________________ Date___________________ Account Number___________________________
1. I/we hereby submit pass book/deposit receipt and apply for closure of my/our above mentioned account matured on_________________.
2. Please credit the amount of eligible balance in my matured account to my SB Account no.________________________ standing at______________________(Name of account office).
or Please issue a Demand Draft/account payee cheque or Please pay in cash (applicable if the amount is below permissible limit).
142 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] *Certified, that the amount held in the account is required for the use of ………………………who is alive and still a minor.
Signature or thumb impression of account holder(s)/guardian (Thumb impression should be attested by a person known to accounts office) Payment Order (For office use only) Date ................................
Payment detail Principal amount Rs.____________________________________________ (+) Interest due Rs. _____________________________________________ (-) Recovery of overpaid interest Rs._______________________________________________________ Deduction if any Rs_____________________________________________ Total amount due Rs_____________________________________________ Pay Rs.____________________(in figurers)_____________________________________(in words) Place:
Date :
Signature of Postmaster/Manager Acquittance (to be filled by depositor) Received Rs ._____________(In figures)______________________ (in words) By cash/cheque/DD bearing no…………………………………….dated…………………./by transfer to Account No. ..............................
Date: Signature/thumb impression of account holder(s)/guardian ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 143 FORM - 3 [See sub-paragraph (1) of paragraph 6] (Application for premature closure of account) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir,
1. I/we wish to prematurely close my/our Account No________________________ having balance of ____________________(Rupees______________________ Only) opened under Kisan Vikas Patra Scheme and request you to pay the amount after deduction of applicable penalty as per details given below:- Please credit the amount to my SB Account No.________________________ standing at___________________________________(Name of account office).
or Please issue a Demand Draft/account payee cheque or Please pay in cash (applicable if the amount is below permissible limit)
3. I/We hereby declare that the conditions under which the account can be closed before maturity under the Kisan Vikas Patra Scheme have been complied with.
*Certified, that the amount held in the account is required for the use of …...……………………who is alive and still a minor.
Date:- Signature or thumb impression of account holder(s)/guardian (Thumb impression of the depositor should be attested by a person known to the accounts office) For office use only Payment detail Eligible balance in account ` ._______________________________________ Less penalty amount `._____________________________________________ Total amount to be paid ` .________________________________(In figures) (In words)________________________________________________________ Date Stamp Signature of Postmaster/Manager ------------------------------------------------- Acquittance (to be filled by account holder/ messenger) Received Rs ._____________(In figures)______________________ (in words) By cash/cheque/DD bearing No.)__________________dated_____________/by transfer to Account No.______________________________________________.
Place :
Date : Signature/thumb impression of account holder(s)/guardian 144 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] FORM - 4 [See paragraph 7] (Application for pledging of account) To The Postmaster/Manager ……………………………………… Sir,
1. I/We …………………………………………………..…. am/are required to deposit an amount of Rs. ……………………………. as security with …………………………………… (official designation of the gazetted officer of the Government or name of the Reserve Bank of India or a Scheduled Bank, Cooperative Bank, Registered Cooperative Society, Corporation, A Government company or Local Authority). I/We therefore request you to transfer the deposit in Account Number_____________________ under Kisan Vikas Patra Scheme as security in favour of ……………………………………………………..
(Official designation of the officer or name of the Branch etc to whom the account is being pledged as security.)
2. I/We agree that the account(s) can be encashed by the pledgee when the security has been forfeited.
Nomination vide registration number.............................in the account stands cancelled.
Particulars of Account Account number Date Name of Account office Amount The authority mentioned above has agreed to accept the pledge. A pledge acceptance duly signed by the competent authority as pledgee is attached.
Date : ………………………………… Signature of account holder(s)/guardian Address ...........…………………………… For office use only Account number__________________ has been pledged vide registration no....................................
dated....................... and necessary entries have been marked in the record. Passbook/deposit receipt/statement of account has also been marked with pledge and returned to the account holder.
Signature of Post Master/Manager Seal अिधसूचना अिधसूचना अिधसूचना अिधसूचना नई �द� ली, 12 �दस बर, 2019 सासासासा....काकाकाका....िन.िन.िन.िन. 999921212121(अ).(अ).(अ).(अ).———— के� �ीय सरकार, सरकारी बचत संवध�न अिधिनयम, 1873 (1873 का 5) �ारा �द� त शि� तय� का �योग करते "ए, िन निलिखत $क�म बनाती ह,ै अथा�त:- 1. संि�� नाम और �ारंभ:1. संि�� नाम और �ारंभ:1. संि�� नाम और �ारंभ:1. संि�� नाम और �ारंभ: (1) इस $क�म का संि0F नाम डाकघर बचत खाता $क�म, 2019 ह।ै