ANNEXURE 2 FORM ‘B’

APPLICATION FORM FOR

FLOATING RATE SAVINGS BONDS, 2020 (TAXABLE)

NAME OF THE BRANCH: ___________________________________________________________ Application Number

FOR OFFICE USE ONLY

Broker’s Name & Code Sub Broker’s Name & Bank branch stamp Branch name & Code BLA Number Verified By
Code
Mahindra & Mahindra Financial Services Ltd.

HBL/RB/MUM/2017-18-3803
Date of receipt of Date of realization of Date of transfer to Full Address of the Branch Any other information
Application funds Link Cell
(DD/MM/YYYY) (DD/MM/YYYY) (DD/MM/YYYY)

Information regarding Floating Rate Savings Bonds, 2020 (Taxable)-

(i) The interest on the bonds is payable semi-annually with resetting of coupon rate every 01 January and 01 July.
(ii) The bonds will be issued subject to the terms and conditions laid down in Government of India Notification No.F.No.4(10)- B(W&M)/2020 dated June
26, 2020.

Instructions regarding filling up of the form-

(i) Please fill the application form in all respects. Incomplete form is liable to be rejected.
(ii) In fields with *mark, strike out whichever is not applicable.
(iii) It is strongly recommended that the Nomination Form may also be filled in along with the Application Form, in order to avoid inconvenience later.

Applicant(s) Details [in block letters]

1st Applicant / Sole Applicant Details

Name in full: Gender* Male Female

Date of Birth: D D M M Y Y Y Y PAN Number: Mother's
maiden name :
Communication
Address:

Telephones (Mobile/Residence):
Email Address:

2nd Applicant Details

Name in full: Gender* Male Female
Date of Birth: D D M M Y Y Y Y PAN Number:

3rd Applicant Details

Name in full: Gender* Male Female
Date of Birth: D D M M Y Y Y Y PAN Number:

Guardian Details (To be filled in case of minor)

Name in full: Gender* Male Female

Relationship Father Mother Legal Guardian Date of Birth: D D M M Y Y Y Y
with Minor *
Communication
Address:

Telephones (Mobile/Residence):
Email Address:

Other Details

Applicant Status* RESIDENT INDIVIDUAL HUF ON BEHALF OF MINOR POWER OF ATTORNEY HOLDER

Investment Details* CREDIT TO EXISTING BLA No. _______________________ / OPEN A NEW BLA @

@- applicable only for first time investor Page 1 of 6

Mode of Holding* SINGLE JOINT ANYONE OR SURVIVOR LEGAL GUARDIAN

Mode of Investment* CASH (up to Rs.20,000/- only) CHEQUE DEMAND DRAFT ELECTRONIC CREDIT

For Cheque / DD Number: ____________________________________________ Dated: ________________________________________________

Drawn on Bank/branch: ______________________________________________________________________________________

Investment Amount (In figures) Rs. _____________________________________ (In words) Rupees ________________________________________

________________________________________________________________________________________________________________________________

BANK PARTICULARS of the 1st Applicant FOR PAYMENT OF INTEREST / REDEMPTION AMOUNT
Account
Holder Name:
Bank Name:
Branch Name /
Address:

MICR Code of
the Bank &
Branch Account No.:
IFSC Code: Account Type* SB Current
(Please attach a photocopy of the Cheque leaf or a cancelled cheque issued to you by the bank for verification of the Code number)
Nominee details- Nomination Form (as applicable) may be filled and submitted along with the application form.

Declaration: I/We hereby declare and undertake that (i) the information furnished in this application form is correct and complete. If the transaction is
delayed at all for reasons of incomplete or incorrect information, I would not hold the user institution responsible. (ii) I have read and understood the
details of information for the investors as well as rights and duties of investors (copy attached).The agent/bank has explained the features of the
scheme.(iii) I hereby agree to discharge the responsibility expected of me as a participant under the scheme.

Declaration regarding Income Tax exemption, if any – (Please strike out if not applicable)
I have obtained Income Tax exemption from Income Tax Authorities under the provision _______of the Income Tax Act, 1961 and am submitting a true
copy of the certificate along with the application form.

Signature / Thumb Impression Signature / Thumb Impression Signature / Thumb Impression

1st Applicant 2nd Applicant 3rd Applicant

Date: ________________________________________________

Place: _______________________________________________ Date, Bank Stamp & Signature of the

authorized official of the Receiving Office

In case of thumb impression, attestation by two witnesses

1 Witness
st
2nd Witness

Name Name

Address Address

Signature Signature

H.U.F. declaration (mandatory, if applicant is Karta of HUF)

I,______________________________________,residing at the address given against First Applicant, do solemnly affirm that I am the Karta of the Hindu
Undivided Family and as such have full powers to deal in the Floating Rate Savings Bonds 2020 (Taxable),

standing in the name of the HUF.

Specimen signature for and on behalf of the HUF (name of the HUF) _____________________________

Date: ____________________________________ Place: _________________________________________________ (Signature of the Karta with seal of HUF)

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 Annexure 4. Form - ‘C’

Floating Rate Savings Bonds, 2020 (Taxable)

FORM OF NOMINATION
[See Para 11(i)]

Instructions – The Nomination and its Cancellation shall be governed by the provisions of the Government Securities Act, 2006 (38 of 2006) and the
Government Securities Regulation, 2007, published in Part III, Section 4 of the Gazette of India dated December 1, 2007.

I/We ________________________________________________________________ (Name and address), the holder/s of BLA No ____________________

for the investment in Floating Rate Savings Bonds, 2020 (Taxable) hereby nominate the following person/s who shall on my/our death have the right to
all the investments under the BLA / investments specified in the table below, to receive payment of the interest/amount for the time being due on the
said BLA / investments.

PARTICULARS OF INVESTMENT PARTICULARS OF NOMINEE

Date of Date of Full name with expanded Particulars of

Amount(`) initials and address of the Date of birth Relationship STATUS
Issue Repayment to holder Resident / NRI Bank Account
nominee

To be filled in case if nominee is minor: As________________________________________________________ the sole nominee above is a minor on
this date, I/We appoint Shri/Smt./Kum _______________________________________to receive the amount for the time being due to the above
BLA/specified investment in the event of my/our death during the minority of the said nominee_____________________________________________

If the nomination is in substitution of the one already made: This nomination is in substitution of the nomination dated_____________________
made by me/us and registered on your books at………………………..which shall stand cancelled on registration of this nomination.

Place: ____________________________________________________ Date: _______________________________________

(Signature(s)/ Thumb impression of the BLA holder(s))

Signature with name and address of witnesses:

1_____________________________________________________________ 2______________________________________________________________

ACKNOWLEDGMENT
We acknowledge having registered the nomination made by _____________________________________ in respect of FRSB 2020 (T) in favour
of________________________ (Name of nominees) for the BLA No____________________for the all the investments under the BLA / specified
investment ________________________ and the nomination registration no. is_________________________. Please quote the above nomination
registration no. in all communication pertaining to change or cancellation of nomination.

Date : ____________________________________

Receiving Office : ___________________________ Authorised Official _____________________________________

Branch :___________________________________

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INFORMATION FOR INVESTORS IN Floating Rate Savings Bonds, 2020 (Taxable)

Government of India had introduced Floating Rate Savings Bonds, 2020 (Taxable)vide their notification No. F.No.4(10)-B(W&M)/2020 dated June 26,
2020. The main features of the Scheme are as under:

Item Floating Rate Savings Bonds, 2020 (Taxable) Remarks

1. Category of Resident Individual, HUF. Non-Resident Indians (NRI)s are not eligible to invest in
Investor these bonds.

2. Limit of Minimum `1000/- and in multiples of `1000/-. No maximum limit.

investment

3. Date of Issue Date of receipt of subscription in cash (up to `20,000/- only), or date of ---
of bonds realization of cheque /draft/ funds.

4. Forms of Electronic form held in the Bond Ledger Account. Bond Ledger Account will be opened by the Receiving
Bonds Office in the name of investor/s.

5. Interest (i) Interest is payable semi-annually from the date of issue of bonds, up Half-yearly interest is payable on 1st January / 1st July.
to 30th June / 31st December as the case may be, and thereafter The coupon on 1st January 2021 shall be paid at 7.15%.
half-yearly for period ending 30th June and 31st December on 1st July
and 1st January respectively.
(ii) The coupon rate payable for next half-year would be reset on
1st January 2021 and thereafter, every 1st July and 1st January.

6. Post Maturity Post Maturity Interest is not payable. ---

Interest

7. Bank It is mandatory for the investor/s to provide bank account details to ---
account facilitate payment of interest /maturity value directly to his/her/their
bank account.

8. Tax benefits Income from the bonds is taxable. Tax will be deducted at source while interest is paid.
If an exemption under the relevant provisions of the
Income Tax Act,1961 is obtained, it may be declared in
the Application Form.

9. Nomination The sole Holder or all the joint holders may nominate one or more ---
Facility persons as nominee in accordance with the provisions of the
Government Securities Act, 2006 (38 of 2006) and the Government
Securities Regulation, 2007, published in Part III, Section 4 of the
Gazette of India dated December 1, 2007.

10. Maturity 7 years from the date of issuance. ---

period

11. Premature Facility is available to the eligible investors after Lock in period of 4, 5, Penalty charges @ 50% of last coupon payment.
redemption and 6 years in the age bracket of 80 years and above, between 70 to
80 years and 60 to 70 years respectively

12. Transferability The bonds are not transferable. Transferability is limited to nominee(s)/legal heir in case
of death of holder.

13. Tradability / The bonds are not tradable in the secondary market and also not ---
Advances eligible as collateral for availing loans.

14. Application Available at designated branches of SBI, 11 Nationalised Banks and 4 ---
forms Private Sector Banks.

DUTIES OF INVESTOR/ APPLICANTS

A) Please complete the application in all respects.

B) Incomplete applications are liable to result in delay of issue of the bonds (at the cost of the applicant).
C) In case the application is submitted by a Power of Attorney (POA) holder, please submit original POA for verification, along with an attested copy for
record.
D) In case the application is on behalf of a minor, please submit the original birth certificate from the School or Municipal Authorities for verification,
together with an attested copy for record.
E) Please note that nomination facility is available to a Sole Holder or all the joint holders (investors) of the bonds.
F) In case nominee is a minor, please indicate the date of birth of the minor and a guardian can be appointed.
G) Nomination facility is not available in case the investment is in the name of a minor.
H) Please notify the change of address to Receiving Office immediately.

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I) POST MATURITY INTEREST IS NOT PAYABLE ON THESE BONDS. The interest and redemption proceeds will be credited on the due date as per
bank details registered with us.
J) Indicate your date of birth / age.
K) Provide your correct bank account details for receiving payment through electronic mode. In case of closure/transfer of the bank account, the fresh
details may be immediately intimated to the Receiving Office to avoid any inconvenience.
L) Any information regarding tax applicability may be provided to the bank/branch.

RIGHTS OF THE INVESTOR

a) The Certificate of Holding will be issued in electronic form within 7 working days from the date of tender of application.
b) The interest on the bond accrues from the date of receipt of funds/realization of cheque/draft and will be credited to the bank account of the holder
directly, as per the details provided by him/her in the application form.
c) The interest will be paid semi-annually and credited to the investors account every 01 January and 01 July with last installment on date of redemption.
d) Maturity intimation advice will be issued one month before the due date of the bond.
e) Application forms for investments, redemption, nomination etc., in respect of Savings Bonds shall be available on the websites of Receiving Offices.
f) A sole holder or all the joint holders may nominate one or more nominees to the rights of the bonds.Nonresident Indians can also be nominated.
g) The investor(s) can make separate nomination for each investment held under the BLA.
h) The nomination will be registered at the Office of Issue and an acknowledgement of Registration will be issued to the holder.
i) The nomination can be varied by registering a fresh nomination.
j) The existing nomination can be cancelled by a request to the Office of Issue.
k) The redemption is due on expiry of seven years from the date of investment, unless applied for premature redemption as applicable.
l) Premature redemption facility is allowed with certain conditions.
m) Investors are entitled for compensation for delayed payments at the applicable coupon rate.

In case the issuing bank does not comply with the above, you may lodge a complaint in writing in the form provided at the counter of the bank and address the same to
the nearest office of Reserve Bank of India, as under:

THE REGIONAL DIRECTOR,

RESERVE BANK OF INDIA,
CONSUMER EDUCATION AND PROTECTION DEPARTMENT/ BANKING OMBUDSMAN
(LOCATION)

You may also address your complaint to:

THE CHIEF GENERAL MANAGER
INTERNAL DEBT MANAGEMENT DEPARTMENT
RESERVE BANK OF INDIA, 23rd Floor
CENTRAL OFFICE, Shahid Bhagat Singh Marg,
MUMBAI-400 001
MAHARASHTRA
E- mail ID – cgmidmd@rbi.org.in
Disclaimer: I have read and understood the details of information for the investors as well as rights and duties of investors. The agent/bank has explained the features of
the scheme to me.

Signature/s of the applicant/s

Page 5 of 6
Acknowledgement of Application Form

Application Number:

Bank branch……………………………………………………………………...........................…………. Date ……......…/…....….…/………...….……….

Received from Mr/Mrs/Ms………………………………………………………….................................................……………………..……Cash/Draft/Pay

Order/Cheque No./electronic credit .…………………….................………………………… Dated ……......…/…....….…/………...….……….drawn on

(Bank and branch)……………………….………………………………………..............................................…………………………………………………

for`………….......................…….. (Rupees………………….......................………………………………………… only) for the purchase of Floating Rate

Savings Bonds, 2020 (Taxable) for a period of 7 years, of the nominal value of `……………...............................................................………..………….

(Rupees……………………………………………………………………..............................................………..only). The bonds are required to be issued

in the form of Bond Ledger Account.

Date, Bank Stamp & Signature of the

authorized official of the Receiving Office

Note : (i) This receipt is valid subject to realisation of the payment instrument.
(ii) The "Certificate of Holding" will be issued in electronic form by __________________________ (date).

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