PPF Account Opening Form1

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FORM No. A & E

s f e 3TT 3TTOf f ^J T

BANK OF INDIA  APPL ICAITON FOR OPENING A PUBLIC PUBL IC PROVIDENTFUND PROVIDEN TFUND A/C  A/C  UNDER THE PUBLIC PROVIDENT FUND SCHEME 1968

FORM - A To, The Branch Manager, BANK OF INDIA ' Mumbai (Main) Branch, 70/80, M. G. Road, Mumbai - 400 023.

 / 

Paste here a copy of   recent passport  passport   size photograph

PAN NO. ____  ______  ___ ______ _____ __ **  ______ ____ ____ ____ ____ ____ __   _________ _  _ I

 _ __  ____ ____ ____ ____ ___ _ __ ____ ____  __  ___  ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ____  _ 

hereby apply for opening openin g an account accoun t under unde r the Public Provident Providen t Fund Scheme, 1968 in my my name / in the name name of Kumar / Kuma K umari___________________________________________________________________ ri___________________________________________________________________of of whom whom I am the gu guardian ardian and tender herewith herewith Rs._____________ R s._____________ (Rupees (Rup ees ___  ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ____ _) in cash / Cheque as the initial subscription. Permanent address of subscriber / guardian

^ ___  ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ _____ __  

I agree to abide by the provisions of the Public Provident Fund Scheme, 196 1968, 8, and amendm amendments ents issued thereto from time to time.

 ACCOUNT  ACCOU NT IN T THE HE NAM NAME E OF SE SELF LF I MINOR (S) /HUF / ASSOCIATION Date of Birth Birth of mino r   ______  ___ ______ ______ ______ ______ ______ ______ _____ __  ___  ______ , ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ___  ________;  ______ __;_____ ___________ ____________ ____________ ____________ ________ __  Applicant's relationship relat ionship with m minor inor,, if an y ___  ______ ______ ___ __  ____   ____ __ {

i)

I hereby declare that I am not maintaining any other Public Provident Fund Account.

ii)

I hereby declare that I am not maintaining any other Public Public Provident Fund Fund Account, except an account o on n beha lf of a minor or a Hindu Undivided Family or an Associaito behalf Associaiton n of persons. .

iii)

I hereby declare that the details of other othe r Public Public Provident Fund accounts opened earlier by me are as under:-

Sr. No.

1. 2.

3. 4.

Desc rip tio n

Name / addr ess of the Bank I  Post Office and Account No.

Self Account Accou nt In the name of minor (s) of whom I am the guardian HUF Account Accoun t .I .In n the name of Association Associati on

of Persons iv) I also declare that I shall adhere to the ceiling on deposits as provident for by Central Government from time to time, which is Rs.60,000/- in a financial year at present together in an Individual Self Account and  Account (s) (s) on behalf be half of minor (s) (s) of whom I am the guardian / a Hindu Unidivided Unidivided Family Account Account / an  Association Account. Account. In case case at any time the said declaration is found untrue / false, no interest shall shall be payable to me / the subscriber on the amount of deposits found in excess of the prescribed limit.

 

(OR) I shall be investing and not through any agent.

Signature or thumb impression of Subscriber / guardian.

 _______  ______ _

Date

 Additional specimen signature The subscriber / applicant who are not assessed to income tax or do not have PAN / GIR No. may furnish attested co|6y of he Ration Card or Voter’ Identity Card or Passport for identification. Note No te : 1 Where Wher e an account is is opened on on behalf of a Hindu Hindu Undivided Undivided family or an association association of persons persons,, the letters “ HUF” or'A ssoc ss ociit iiton on”” , as the case may be, be, shall shall be added after the the name of the the subscr subscriber iber.. Note Not e :2 Delete whichever which ever is not applicable.

FOR THE USE OF BRANCH with Rs.

The account has been opened on_ Under Public Provident Fund Account No. Pass Book No.  ____  __ ____ ___ _

has been isused.

D a te :

MANAGER MANAG ER

Foot Note :

The scheme was notified vide GSR 11 1136 36 dated 15.06.1 15.06.1968 968 and amended vide GSR 368 (E (E)) dated 1-8-1972, GSR 217 (E) dated 9-3-1979, GSR 270 (E) dated 16-3-1983, GSR 271 (E) dated 16-3-1983, GSR 54 (E), dated 7-2-1981, GSR 895 (E) dated 23-6-1986, GSR 1013 (E) dated 20-8-1986, GSR 793 (E) dated 29-8-1989, GSR 477 (E) dated 25-5-1994, and GSR 489 (E) dated 6-7-1999.

FORM FO RM “ E” NOMINATION UNDER THE PUBLIC PROVIDENT FUND SCHEME, 1968

 \i

The Branch Manager  Bank of Indi In dia__________ a_______________ ___________ ____________ ________ __ Branc Branch h 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 the Public Provident Fund Account No. ___  ______ ______ ______ ____ _ at the time of my death would be payable. ; Sr. No .

N a m e (s ) o f t h e n o m i n e e(s ) (2)

Ful l Add r es s ( es )

Dat e o f B i r t h o f n o m i n ee Inc as e of mi n or  

Proportionate amount for each nominee

(3 )

(4)

(5)

(1)

.

..

* As the nominee(s) at Serial No. (s) Specified above is/are minor (s)  ______  ___ • ______ ______ ______ ______ ____ _ I appoint Shri / Smt. Kumar,  Address to receive the sum due under the said account in the event of my death during the minority of the nominee(s). i) Signatu Signature re of witnes witness s __  ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ _ ii) Name : ________________________________ iii) Add Address ress : __  ______ ' ______ ___  ____ ____ ____ ____ ____ ____ ____ ____ ____ __  ___ Signature / Thumb Impre Impression ssion o f Subscri Subscriber  ber  Date : FOR THE USE OF BRANCH

The above nomination nomination has been registered o n __  ____ ____ ____ ____ ____ ____ ____ ____ ___ _ and an entry made in the pass book.

 

Date: To, The Bank Manager/Post Master (General)

Subject: Requ est fo forr tra nsfe nsferr o f PPF A/c N o....... o............. ............ ............ ............ ............ ........... ........... ............ ............ ......

Dear Sir, J am holding the above mentioned PPF Account in your Bank/Post offi office. ce. 1 hereby approach you with the following request(s):

1. 1hav 1havee shifted my resid residence. ence. My new residen residential tial address is as under:

1request you to kindly make necessary chan ge in the recor records. ds. 2. Kindly transfer tthe he balance in my above mentioned account with with your bank to (name  o f tthe he bank) at (name o f the branch). The address of branch is as under:

The original Bank/Post office PPF Pass Book for the entries made from ................(date) t o ...... ............ ........... ........... ........... ........... ........ (date) is enclose enclosed d herewith.

Thanking you,

Yours faithfully,

( ............ .................. ............ ........... ........... ........... ..... ) Enclosure: Original Pass Book

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