FORM No.

A & E

sfe 3TTO ff^JT BANK OF INDIA

APPLICAITON FOR OPENING A PUBLIC PROVIDENTFUND 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 size photograph

PAN NO.________________ ______________________**

____________ ______ _________________________________________________________________________ hereby apply for opening an account under the Public Provident Fund Scheme, 1968 in my name / in the name of Kumar / Kumari___________________________________________________________________of whom I am the guardian and tender herewith Rs._____________ (Rupees__________________________________ ) in cash / Cheque as the initial subscription.
I

Permanent address of subscriber / guardian

^____________________________________________

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

ACCOUNT IN THE NAME OF SELF I MINOR (S) /HUF / ASSOCIATION

Date of Birth of minor__________________________ ,_______________________________________ Applicant's relationship with minor, if any_________ ______ ________;_______________________________

i) ii) iii)

I hereby declare that I am not maintaining any other Public Provident Fund Account. I hereby declare that I am not maintaining any other Public Provident Fund Account, except an account on behalf of a minor or a Hindu Undivided Family or an Associaiton of persons. . I hereby declare that the details of other Public Provident Fund accounts opened earlier by me are as under:Description Name / address of the Bank I Post Office and Account No.

Sr. No.

1. 2.

3. 4. iv)

Self Account In the name of minor (s) of whom I am the guardian HUF Account .In the name of Association of Persons 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) on behalf of minor (s) of whom I am the guardian / a Hindu Unidivided Family Account / an Association Account. In case at any time the said declaration is found untrue / false, no interest 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. Date _______ Signature or thumb impression of Subscriber / guardian.

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 : 1 Where an account is opened on behalf of a Hindu Undivided family or an association of persons, the letters HUF or'Associiton, as the case may be, shall be added after the name of the subscriber. Note : 2 Delete whichever is not applicable.

FOR THE USE OF BRANCH

The account has been opened on_ Under Public Provident Fund Account No. Pass Book No. _______ with Rs. has been isused.

D ate: Foot Note :

MANAGER The scheme was notified vide GSR 1136 dated 15.06.1968 and amended vide GSR 368 (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 E
NOMINATION UNDER THE PUBLIC PROVIDENT FUND SCHEME, 1968

\i

The Branch Manager Bank of India_____________________________ Branch 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 N o._____________ at the time of my death would be payable. ;
Sr. No. (1) Name (s) of the nom inee(s) (2) Full Address(es) (3) Date of Birth of nominee Inc ase of minor (4) Proportionate amount for each nominee (5)

..

* 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) Signature of witness_____________________ ii) Name : ________________________________ iii) Address : ____________________ '_________ Signature / Thumb Impression of Subscriber Date :
FOR THE USE OF BRANCH

The above nomination has been registered o n ___________________ and an entry made in the pass book.

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

Subject: Request for transfer of PPF A/c No............................................................

Dear Sir, J am holding the above mentioned PPF Account in your Bank/Post office. 1 hereby approach you with the following request(s): 1. 1 have shifted my residence. My new residential address is as under:

1 request you to kindly make necessary change in the records. 2. Kindly transfer the balance in my above mentioned account with your bank to (name o f the 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 fro m ................(date) t o ................................... (date) is enclosed herewith.

Thanking you,

Yours faithfully,

( ........................................ )

Enclosure: Original Pass Book