Where the Central Government is satisfied that the operation of any of the provisions of this Scheme causes undue hardship to the account holder, it may, by order, for reasons to be recorded in writing, relax the requirements of that provision or provisions in a manner not inconsistent with the provisions of the Act.
[F. No. 2/2/2018-NS (Pt. I)] RAJAT KUMAR MISHRA, Jt. Secy.
FORM -1 [See sub-paragraph (1) of paragraph 3] (Application for opening an account) To The Postmaster/Manager ………………………………………………… ………………………………………………… Sir, I/We ………………………..(account holder(s)/guardian) hereby apply for opening of an account under National Savings Recurring Deposit Scheme in your Post Office/Bank.
I/We tender herewith Rs……………………../- (Rs…………………………………………………………………………….) in cash/Cheque/DD.
No………………… date………. as initial deposit. My/our particulars are as under:-
1. Name of First Depositor …………………………………………………………… Husband/Father /mother’s name or Guardian appointed by Court …………………………………………………………… Paste photograph of applicant/s 96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)………………………………
2. Name of Second Depositor …………………………………………………………… Husband/Father /mother’s name …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)…………………………………
3. Name of Third Depositor …………………………………………………………… Husband/Father /mother’s name …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)…………………………………
4. Name of minor/person of unsound mind account holder …………………………………………………………… Father /mother/guardian’s name …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)……………………………………………
5. Aadhaar Number of account holder(s) ……………………………………
6. Permanent Account Number (PAN) of account holder(s) ……………………………
7. Present Address ………………………………………………………….
……………………………………………………… Permanent Address ……………………………………………………… ……………………………………………… ………….
8. Contact details Telephone Number……………………………..
Mobile Number…………………………………..
Email ID……………………………………………..
9. Type of Account Single or Joint or through Guardian for Minor or person of unsound mind or blind or differently abled through authorized person.
¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 97
10. (*) Details of date of birth of minor ……………………………………………………….
(Applicable in case of minor account) d) Certificate No.
……………………………………………………………………..
e) Date of Issue …………………………………………………………………….
f) Issuing authority …………………………………………………………………….
11. (*) Name of Guardian (Natural/Legal) ………………………………………………………… (In case the account is opened on behalf of a Minor/person of unsound mind)
12. Details of other KYC documents attached 1. Proof of identification ……………………………………………………… …
2. Address proof ……………………………………………………… … The following documents are accepted as valid documents for the purpose of identification and address proof: 1. Passport 2. Driving license 3. Voter’s ID card 4. Job card issued by NREGA signed by the State Government officer 5. Letter issued by the National Population Register containing details of name and address;
13. The operation of the account will be:- (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:…………………… 98 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 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 National Savings Recurring Deposit 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 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………………………………………………………………… ……………………………………………………………………………………………………………………t o 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 & Address……………………………………………..
2. Signature of witness…………………………………….
Name & 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.
¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 99 FORM – 2 [See paragraph 8] (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 National Savings Recurring Deposit 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 National Savings Recurring Deposit 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 ------------------------------------------------------------ 100 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 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______________________________________________.
Date Signature/thumb impression of account holder(s)/guardian FORM - 3 [See sub-paragraph (1) of paragraph 9] (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).
*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_____________________________________________ ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 101 Total Amount due Rs_____________________________________________ Pay Rs.____________________(in figurers)_____________________________________(in words) 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 FORM – 4 [See sub-paragraph (1) of paragraph 10] (Application for extension of account) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir,
1. I/we________________________________________am/are depositor of Account Number_____________________under National Savings Recurring Deposit Scheme in your office. The said account was opened on___________________and has/will mature on_______________for payment. We hereby request for extension of the account for a further period of ______ year(s) (as per rule 10/11 of Scheme rule) from the date of maturity of the above said account.
2. I/We have understood the terms and conditions applicable to the account during the period of extension under the said scheme as amended from time to time and shall abide by them.
Place Signature of the account holder(s)/guardian Date (Name and address) ---------------------------------------------------------------------------------------------------- For the use of Accounts Office The account no………………………. which was opened on …………….. with Rs………………….
(Rupees………………………………………………..) under__________________(Name of scheme) and matured on ……………………, has been extended for a period of ______ years with effect from ……………….. to ………………….under rule..............of the.....................scheme.
Necessary entries have been made in the records and pass book/deposit receipt/ statement of account.
Date Signature of Postmaster/Manager Seal 102 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] FORM – 5 [See sub-paragraph (1) of paragraph 14] (Application for Loan) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir, I/We ……………………………………………………………..(account holder(s)/guardian) hereby apply for loan from my/our account as per details below:- Account Number:........................................................................................
Amount of Loan applied...........................................................
*Certified, that the amount of loan to be availed is required for the use of ………………………………………who is alive and still a Minor.
2. Please Credit the amount of loan 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 of cash payment).
3. I/We certify that all the conditions applicable under scheme for grant of loan have been complied with.
Date:-______________ Signature or thumb impression of account holder(s)/guardian ---------------------------------------------------------------------------------------- Attested By__________________ (Attestation is applicable in case of thumb impression) For office use only Payment detail Amount available in Account Rs ._____________________________________ Date of Initial Subscription __________________________________________ Date on which last loan was allowed _________________________ Total Amount granted for loan Rs ._________________(In figures) (In words)________________________________________________________ Date Stamp 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