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Form DA1- Nomination Form

Nomination under Sec. 45ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking
Companies(Nomination) Rules, 1985 in respect of Bank deposits.
I/We________________________________________________________________________ (Name)
residing at____________________________________________________________________________
(Address) nominate the following person to whom in the event of my/our/minor's death the amount of
deposit in the account, particulars whereof are given below, may be returned by Bank of Maharashtra
___________branch

Name of Addresses of the nominee Relationship with Depositor, if any Age Date of Birth of Nominee

As the nominee is a minor on this date, I/We appoint ___________________________ (Name) _________

________________________________________(Address)______ (Age)________
________________________________(Account No of Nominee if having account with Bank of Maharashtra)
to receive the amount of the deposit in the account on behalf of the nominee in the event of my/our/
minor's death during the minority of the nominee..

or

I/We do not wish to keep Nomination

_______________ __________________ ___________________ ________________________


Signature(s)/ Thumb impression of Depositers
*Thumb impression (s) shall be attested by two witnesses
Personal details & Signature of witness:
1. Name _______________________ 2. Name ___________________________________
Address______________________ Address________________________________
____________________________ _________________________________________
____________________________ _________________________________________
____________________________ _________________________________________
Sign________________________ Sign______________________________________
Place & Date _________________ Place & Date______________________________

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