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NOMINATION FORM DA
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Nomination under Section 45 ZA of the Banking Regulation Act 1949 and Rule 2 (1) of the Banking Companies (Nomination) Rules 1985 in respect of Bank Deposit. |
I/We__________________________________________________________________
Name(s) and address(es)
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Nominate the following persons to whom in the event of
my/our/minor's death the amount of deposit in the above accounts(s) may be returned by Punjab National Bank, BO:_______________(Name and address of Branch Office) |
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Nominee |
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Address |
Relationship with depositor, if any |
Age |
If nominee is minor his/her date of Birth |
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*** As the nominee is minor on this date, I/We appoint Mr./Mrs./Ms.
______________
________________________________________________________________________
(Name(s), Address(es) and age) to receive the amount of deposit on behalf of the nominee in the event of
my/our/minor's death during the minority of the nominee. |
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Place:
Date: |
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Signature(s)/thumb impression of depositor(s) |
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Name(s), Signature(s), Address(es) of Witness(es) |
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*** Strike out if Nominee is not a minor
*** where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act on behalf of minor
**** Thumb impression(s) shall be attested by two witnesses. |
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Nomination accepted and registered vide Registration No.________dated______________ |
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