Where the Central Government is satisfied that the operation of any of the provisions of this Scheme causes undue hardship to an 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.
34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] FORM - 1 [See sub-paragraph (1) of paragraph 3] (Application for opening an account) To The Postmaster/Manager ………………………………………………… ………………………………………………… Sir, I ………………………..(account holder/guardian) hereby apply for opening of an account under Public Provident Fund Scheme.
I tender herewith Rs……………………../- (Rs…………………………………………………………………………….) in cash/Cheque/DD.
No………………… date………. as initial deposit. My particulars are as under:-
1. Name of account holder …………………………………………………………… Husband/Father /mother’s name …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)…………………………………………… OR
2. Name of minor account holder …………………………………………………………… Father /mother’s name or the guardian …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)……………………………………………
3. Aadhaar Number of account holder/guardian …………………………………………………………..
4. Permanent Account Number (PAN) of account holder /guardian …………………………………………………………..
5. Present Address ………………………………………………………….
…………………………………………………………..
Permanent Address ………………………………………………………….
………………………………………………………….
6. Contact details Telephone Number……………………………..
Mobile Number………………………………… Email ID…………………………………………
7. Type of Account Single or through Guardian for Minor or person of unsound mind or blind or differently abled through authorized person.
Paste photograph of applicant/s ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 35
8. (*) Details of date of birth proof ……………………………………………………….
(Applicable in case of minor account) d) Certificate No.
……………………………………………………………………..
e) Date of Issue …………………………………………………………………….
f) Issuing authority …………………………………………………………………….
9. (*) Name of Guardian (Natural/Legal) ………………………………………………………… (In case the account is opened on behalf of a Minor/person of unsound mind)
10. Details of other KYC documents attached 1. Proof of identification …………………………………………………….
2. Address proof
11. (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);
………………………………………………………
1. The operation of the account will be:- (a) By the Guardian till the account holder attains majority. (b) By the account holder on attaining majority,
12. Specimen Signatures 1………………………… 2……………………………. 3.,…………………………… (Name)………………………………………………………… I hereby declare that I have not opened a Public Provident Fund Account in the name of the myself/minor mentioned at serial number 1 in any of the Post office/Bank in the country.
I further declare that I will abide by the ceiling of maximum deposit in the accounts opened in my name and in the name of minors as per provision of paragraph 4 and any deposit in excess of the ceiling will be treated as in contravention to the Scheme.
I further declare that I and the minor both are Resident citizen of India and undertake to inform the account office of any change in our residency/citizenship status in future.
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 /guardian Date:…………………… 36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Nomination
13. I…………………………………………..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 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………………………………………………………………… …………………………………………………………………………………………….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 or guardian Place:
Date:
For use of Post Office/Bank The account has been opened in the name of…………………………………on……………………..with initial deposit of Rs………………………………………. with 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 8 and paragraph 10] (Application for Loan/Withdrawal) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir, I ……………………………………………………………..( account holder /guardian) hereby apply for loan/withdrawal from my account as per details below:- ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 37 Account Number:........................................................................................
Amount of Loan/withdrawal applied...........................................................
*Certified, that the amount sought to be withdrawn/loan to be availed is required for the use of ………………………………………who is alive and still a Minor.
2. Please Credit the amount of loan/withdrawal 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 certify that all the provisions applicable under scheme for grant of withdrawal/loan have been complied with.
Necessary documents as applicable are attached as under:-
1.
2.
Date:-______________ Signature or thumb impression of account holder/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 withdrawal/loan was allowed _________________________ Total Amount granted for withdrawal/loan Rs ._________________(In figures) (In words)________________________________________________________ Date Stamp Signature of Postmaster/Manager -------------------------------------------------------------------------------------- Acquittance (to be filled by account holder) 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 /guardian FORM – 3 [See sub-paragraph (1) of paragraph 11] (Application for closure of account) Name of Post Office/Bank__________________________ Date___________________ Account Number___________________________ 38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
1. I hereby submit pass book/deposit receipt and apply for closure of my 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 sought to be withdrawn/loan to be availed is required for the use of ………………………………………who is alive and still a Minor.
Signature or thumb impression of account holder /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) 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 /guardian FORM - 4 [See sub-paragraph (1) of paragraph 12] (Application for extension of account) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir,
1. My PPF account number____________ has matured on______________.
2. I request for extension of my PPF account number_______________for a further block period of five years.
¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 39
3. I 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.
I hereby declare that I, and the minor( in case of minor account) continues to be Resident Citizen of India at the time of commencement of the block period of five years.
Date Signature of the account holder /guardian Place (Name and address) ---------------------------------------------------------------------------------------------------- For the use of Accounts Office The account no………………………. which was opened on …………….. with Rs………………….
(Rupees………………………………………………..) 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 FORM - 5 [See sub-paragraph (1) of paragraph 13] (Application for premature closure of account) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir,
1. I wish to prematurely close my Account No________________________ having balance of ____________________(Rupees______________________ Only) 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)
2. I hereby declare that the provisions under which the account can be closed before maturity have been complied with.
Necessary documents as applicable are attached as under:-
1.
2.
*Certified, that the amount sought to be withdrawn/loan to be availed is required for the use of ………………………………………who is alive and still a Minor.
Date:-______________ Signature or thumb impression of account holder /guardian ----------------------------------------------------------------------------------- (Thumb impression of the depositor should be attested by a person known to the accounts office) 40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 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______________________________________________.
Date: Signature/thumb impression of account holder /guardian Place :
अिधसूचना अिधसूचना अिधसूचना अिधसूचना नई �द� ली, 12 �दस बर, 2019 सासासासा....काकाकाका....िन.िन.िन.िन. 916916916916(अ).(अ).(अ).(अ).———— कQ �ीय सरकार, सरकारी बचत संवध�न अिधिनयम, 1873, (1873 का 5) क$ धारा 3क और धारा 15 %ारा &द' शि)य* का &योग करते -ए, िन/िलिखत Bक$म बनाती ह,ै अथा�त्:- 1. संिab नाम और &ारंभ- (1) इस Bक$म का संिab नाम वHरI नागHरक बचत Bक$म, 2019 ह ै। (2) यह राजपF मQ &काशन क$ तारीख को &वृ' होगा । 2. पHरभाषाएं- (1) इस Bक$म मQ, जब तक �क संदभ� से अ�यथा अपेिaत न हो,- (क) “खाता” से इस Bक$म के अधीन खोला गया खाता अिभ&ेत ह;ै (ख) “खाता धारक” से ऐसा cिr अिभ&ेत ह ैिजसके नाम मQ खाता अिभिनधा�Hरत ह;ै (ग) “अिधिनयम” से सरकारी बचत संवध�न अिधिनयम, 1873 (1873 का 5) अिभ&ेत ह;ै (घ) “&|प” से इस Bक$म से संलh &|प अिभ&ेत ह;ै (ङ) “साधारण िनयम” से सरकारी बचत संवध�न साधारण िनयम, 2018 अिभ&ेत ह;ै (च) “वष�” से खाता मQ िनaेप क$ तारीख से &ारंभ होने वाले बारह माह क$ अविध अिभ&ेत ह ै। (2) उन शWद* और पद* के, जो इसमQ &यु) हe, �कतु पHरभािषत नहY हe वे अथ� ह*ग ेजो इस अिधिनयम और साधारण िनयम* मQ उनके हe । 3. खाता खोलना- (1) कोई cि) िन/िलिखत शतp को पूरी करते -ए लेखा काया�लय मQ &|प-1 मQ आवेदन करके खाता खोल सकेगा, अथा�त्:- (i) िज�ह*ने खाता खोलने क$ तारीख को साठ वष� क$ आयु &ा~ त क$ ह;ै (ii) िज�ह*ने पचपन वष� या उससे अिधक �कतु साठ वष� से अनिधक क$ आयु &ाb क$ ह ैऔर जो इस Bक$म के अधीन खाता खोलने क$ तारीख को अिधवSषता या अ�यथा क$ तारीख को सेवािनवृ' हो गया ह ैइस शत� के अधीन रहते -ए �क सेवानवृि' फायदे क$ तारीख के एक मास के भीतर ऐसे cिr िजसके %ारा खाता खुलवाया गया ह ैऔर अिधवSषता या अ�यथा पर सेवािनवृ' होने, िनयोजन होने के Wयौरे उपदSशत करते -ए िनयोजक का एक &माणपF के साथ-साथ ऐसे सेवािनवृि' फायदा (फायदे) के िवतरण का सबूत और िनयोजक के पास ऐसे िनयोजन क$ अविध आवेदन &|प के साथ संलh ह ै: