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 and for reasons to be recorded in writing, relax the requirement of that provision or provisions in respect of such account holder, 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 (3) of paragraph 3] (Application for opening an account) To The Postmaster/Manager ………………………………………………… ………………………………………………… Sir, I ………………………..(Applicant/guardian) hereby apply for opening of an account under______________________________________Sukanya Samriddhi Account Scheme in your Post Office/Bank.
I tender herewith Rs……………………../- (Rs…………………………………………………………………………….) in cash/Cheque/DD.
No………………… date………. as initial deposit. My particulars are as under:-
1. Name of the Depositor …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)…………………………
2. Name of Guardian …………………………………………………………… Husband/Father /mother’s name …………………………………………………………… Date of Birth ……… ..……… ……………… (DD / MM / YYYY ) (In words)……………………………
3. Aadhaar Number of guardian …………………………………………………………..
4. Permanent Account Number (PAN) of guardian …………………………………………………………..
5. Present Address ………………………………………………………….
………………………………………………… Paste photograph of applicant/s ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 15 Permanent Address ………………………………………………………….
………………………………………………………….
6. Contact details Telephone Number……………………… Mobile Number…………………………… Email ID…………………………………………
7. Type of Account Minor
8. (*)Details of Birth Certificate of the depositor ……………………………………………………….
a) Certificate No.
……………………………………………………………………..
b) Date of Issue …………………………………………………………………….
c) Issuing authority …………………………………………………………………… .
9. 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;
10. The operation of the account will be:- (a) By the Guardian till the depositor attains majority.
(b) By the depositor herself on attaining majority,
11. Specimen Signatures 1………………………… 2……………………………. 3.,…………………………… (Name)………………………………………………………… I hereby declare that I have not opened a Sukanya Samriddhi Account in the name of the depositor mentioned at serial number 1 in any of the Post office/Bank in the country.
I further declare that I and the depositor 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 guardian Date:…………………… Nomination
17. 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 in ……………………………………..(Name of 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 16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] 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 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 7] (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:- ¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 17 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 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 depositor/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______________________________________________.
Date Signature/thumb impression of depositor/guardian FORM – 3 [See sub-paragraph (1) of paragraph 8] (Application for Withdrawal) To, The Postmaster/Manager ………………………………………………… ………………………………………………… Sir, I ……………………………………………………………..(Depositor/guardian) hereby apply for withdrawal from my account as per details below:- 18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Account Number:........................................................................................
Amount of withdrawal applied...........................................................
*Certified, that the amount sought to be withdrawn to be availed is required for the use of ………………………………………who is alive and still a Minor.
2. Please Credit the amount of 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 conditions applicable under scheme for grant of withdrawal have been complied with.
Necessary documents as applicable are attached as under:-
1.
2.
Date:-______________ Signature or thumb impression of depositor/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 was allowed _________________________ Total Amount granted for withdrawal 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 depositor/guardian FORM – 4 [See sub-paragraph (3) of paragraph 9] (Application for closure of account) Name of Post Office/Bank__________________________ Date___________________ Account Number___________________________
1. I hereby submit pass book/deposit receipt book and apply for closure of my above mentioned account.
¹Hkkx IIµ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 19
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 depositor/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 depositor/guardian अिधसूचना अिधसूचना अिधसूचना अिधसूचना नई �द� ली, 12 �दस बर, 2019 सासासासा....काकाकाका....िन.िन.िन.िन. 915915915915(अ).(अ).(अ).(अ).———— के��ीय सरकार, सरकारी बचत संवध�न अिधिनयम, 1873 (1873 का 5) क$ धारा 3क %ारा &द' शि)योँ का &योग करते -ए, िन/िलिखत Bक$म बनाती ह,ै अथा�त् :- 1. संि�संि�संि�संि� नाम और �ारंभ नाम और �ारंभ नाम और �ारंभ नाम और �ारंभ––––((((1) इस Bक$म का संिab नाम लोक भिवCय िनिध Bक$म, 2019 ह ै। 2. ये राजपF मQ &काशन क$ तारीख को &व' होगा । 2.2.2.2. प�रभाषा प�रभाषा प�रभाषा प�रभाषा –––– (1) इस Bक$म मQ, जब तक �क संदभ� से अ�यथा अपेिaत न हो,-