The public Debt Rules, 1964 except rule 4 thereof shall not apply to such Government securities in the form of annuity certificates to which these rules apply.
FORM A (See rule 4) Receipt For Payment On Annuity Certificates Received From The Government Treasury At .............. Payment Due On Annuity Certificates As Follows :- No .
of An nu it y Am ou nt of ce rt if ic at e Am ou nt of Pa ym en t Pe ri od fo r wh ic h pa ym en t ar e du e To ta l am ou nt du e Da te up to to wh ic h pa ym en t is du e Na me of ho ld er of An nu it y ce rt if ic at e [R s.
nP ] [R s.
nP ] [R s.
nP ] To ta l Total received (in words) ...............
[FORM AI] [See Rule 4A(2)] Nomination Made Under Section 9b (1) Of The Act And Rule 4a
1. I .....................(Name and address) nominate the following person Is who shall, on my death have the right to receive payment of the amount for the time being due on the certificate specified below.
Ce rt if ic at e N o m i n e e Na tu re Di st in gu is hi ng Nu mb er De no mi na ti on Da te of pu rc ha se Na me Ad dr es s of bi rt h Da te
2. *As ..................the sole nominee above .............is a monor on this, date, I appoint Shri/Smit./Kumari ................to receive the amount for the time (name and address) being due on the above certificate in the event of my death during the minority of the said nominee** .................…
3. This nomination is in substitution of the nomination dated ............
made by me and registered in your books on the ............which shall stand cancelled on registration of this nomination.
Signature/Thumb Impression of the holder, Place ......… Date............
Signature and addresses of witnesses :
1. ..........
2. ..........
*Not to be filled in, unless nominee is a minor.
** Name of the nominee.
This paragraph may be struck out when the nomination is not in substitution of one already made.
FORM AII [See Rule 4A (3)] Notice Of Cancellation Of Nomination Under Section 9b (1) Of The Act And Rule 4a I ............................(name and address) do hereby cancel the nomination dated ........................made by me in respect of the following certificate and registered by the Public Debt Office on the ...........(date).
Particulars of the Certificate.
Place ................... Signature/Thumb Impression of holder Date ...................
Signatures and address of witnesses:
1. ...........
2. ...........
[FORM AIII] [See rule 4(2)] Receipt For Commutation Value Of Amuuity Certificates Received Rs. ........... (in words) being the commutation value of the outstanding amount on this certificate (which hereby stands fully discharged) in terms of paragraph .............of the Government of India, Ministry of Finance, Notification No. ..............dated ...........
Signature of Holder FORM B (See rule 8) Security Bond This Agreement is made on the .............day of..............between ..................son of...........................of the one part and the Reserve Bank of India of the other part.
Whereas I/we am/are represent the true and lawful owner/s of the ......................Annuity Certificates specified in Schedule "A" hereto annexed.
And whereas I/we have applied to the Reserve Bank of India, Public Debt Office ...................for ...................of the said Annuity Certificates and the said Bank have consented so to do upon my/our giving security of Rs ....................................to meet a claim by a rightful owner to the said Annuity Certificates in case there shall be such a claim.
Now these presents witness that in pursuance of the aforesaid agreement I/we hereby oblige myself /ourselves to make good the claim of the rightful owner in respect of the said Annuity Certificates and I/we hereby further agree that this security bond may be held by the said Bank and the said Bank may assign the security bond to the rightful owner of the said Annuity Certificates.
In witness whereof I/we have subscribed my/our name/names ..............day of ..................
Signed by the within mentioned in the presence of Principal I/We ...........son of ...............resident of .............hereby undertake to make good any claim to the rightful owner of the Annuity Certificates mentioned in the Schedule hereto in case the principal/principals makes/make default in payment of the claim by virtue of the above agreement.
Signed by the within mentioned in the presence of Surety Schedule "A" Referred to in the Bond FORM C (See rule 9) Form Of Endorsement For Renewal Of An Annuity Certificate Received in lieu hereof a renewed annuity certificate payable to (name of holder) .................with annuity payable at ................Treasury.
Signature of the holder/duly authorised representative of (name of holder) .........................
FORM C-1 (See rule 9) Form of Endorsement for sub-division of an Annuity Certificate Received in hue of this Annuity Certificate ................Annuity Certificates for Rs. ...........respectively with annuity payable at...............Treasury.
Signature of the holder/duly authorised representative of(name of the holder) ............
FORM D (See rule 12) Form Of Indemnity Bond Whereas I/We.............................. son of .................resident ........at ...........(and........... son of..................resident at......................claim to be entitled..................).
(Here state in what capacity claim to the Annuity Certificates is made) to the Annuity Certificate(s) specified in the Schedule hereunder written and have represented to the Reserve Bank of India, Public Debt Office.......that the said Annuity Certificate(s) has/have been .................and have applied to the Reserve Bank of India, Public Debt Office..........for an inspection of the said Annuity Certificate(s) and also for all other information and particulars respecting the said Annuity Certificate(s) and whearas the Reserve Bank of India, Public Debt Office .......... has agreed to give inspection and to afford to me/us all information and particulars affecting the said Annuity Certificates I/we oblige myself/ourselves my/our heirs and assigns whatsoever. (To be omitted if bond taken from one person only) (jointly and severally) to guarantee and defend and relieve the Reserve Bank of India, Public Debt Office..............and the Government to the extent of Rs.* .......................from all and any claim, question and expenses which may be raised against or incurred by the Reserve Bank of India, Public Debt Office.......................or the Government in reference to the said Annuity Certificate(s).
In witness hereof I/we have subscribed my/our name(s) this ................
day of ..........
Signed by the within mentioned in the presence of ..................
Applicant's signature.
The Schedule referred to in the foregoing Bond.
*Double the amount of the payment made thereon since the respective dates of issue.