Form - 1: Paste Photograph of Applicant/s
Form - 1: Paste Photograph of Applicant/s
Form - 1: Paste Photograph of Applicant/s
Sir,
OR
Permanent Address
………………………………………………………….………………………………………
6. Contact details
Telephone Number……………………………..
Mobile Number…………………………………..
Email ID…………………………………………..
7. Type of Account
b) Date of Issue………………………………………………………………….
c) Issuing authority……………………………………………………………...
1. The operation of the account will be:- (a) By the Guardian till the account holder
attains majority. (b) By the account holder on attaining majority,
(Name)…………………………………………………………..................................................
I hereby declare that I have not opened a Public Provident Fund Account in the name of the
myself/minor mentioned at serial number 1 in any of the Post office/Bank in the country.
I further declare that I will abide by the ceiling of maximum deposit in the accounts opened in
my name and in the name of minors as per provision of paragraph 4 and any deposit in
excess of the ceiling will be treated as in contravention to the Scheme.
I further declare that I and the minor 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.
Date:……………………
Nomination
13. 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 at the time of my death would be payable.
1
2
1. Signature of witness…………………………………….
2. Signature of witness…………………………………….
Place:
Date: