(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 National Savings Time Deposit Scheme for 1/2/3/5 years 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 ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 175 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………………………………………………………………… …………………………………………………………………………………………….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 & 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.
FORM - 2 [See sub-paragraph (2) of paragraph 5] (Application for closure of account) Name of Post Office/Bank__________________________ Date___________________ Account Number___________________________ 176 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
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_____________________________________________ 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...............................
Place:
Date : Signature/thumb impression of account holder(s)/guardian ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 177 FORM - 3 [See sub-paragraph (1) of paragraph 6] (Application for extension of account) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir,
1. I/We________________________________________am/are depositor of Account Number_____________________under National Savings Time Deposit Scheme for 1/2/3/5 years 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:
Date: Signature of the account holder(s)/guardian (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.
Place:
Date: Signature of Postmaster/Manager Seal FORM - 4 [See paragraph 8] (Application for premature closure of account) To, The Postmaster/Manager ………………………………………………… 178 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] ………………………………………………… Sir,
1. I/we wish to prematurely close my/our Account No________________________ having balance of ____________________(Rupees______________________ Only) opened under National Savings Time Deposit Scheme for 1/2/3/5 years 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 Time Deposit Scheme for 1/2/3/5 years 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 ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 179 FORM - 5 [See sub-paragraph (1) of paragraph 9] (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 National Savings Time Deposit Scheme for 1/2/3/5 years 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.
Dated : …………… 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 Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054. MANOJ KUMAR VERMA Digitally signed by MANOJ KUMAR VERMA Date: 2019.12.13 22:25:41 +05'30'