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(Nomination) Rules 1985 in respect of Bank Deposits.
Form DA-l Nomination under Section 45-ZA of Banking Regulation Act. 1949 and Rule 2 (1) of the Banking
nominate the following person to whom in the event of myiour/minor's death the amount of deposits in the above ... (Name and account / captioned A/c. may by paid by Bangiya Gramin Vikash Bank ......... Address of Branch / office in which deposit is held)
PARTICULARS OF NOMINEE
Name
I
Address
I nelationsnip
with Depositor, if any
!
on"
I
lf nominee is minor his/her date of birth
tl
* 2 As the nominee is a minor on this date. l/We appoint Shri/Smt./Kum.
tl
(Name, Address and Age)
to receive the amount of the deposit on behalf of the nominee in the event of my/our/minor's death during the minority of the nominee.
Place
:
:
Date 3. Name, Signature and address of witnesses
" Signature(s) / Thumb impression(s) @ of depositor(s)
*+ Strike out if the nominee is not a minor, @ Thumb impression(s) shall be attested by two witnesses in case depositor / depositors is / are illiterate.