SB 103(a)

RD

POST OFFICE SAVINGS BANK

. PO of Account
Date :

SB 103(a)
RD
POST OFFICE SAVINGS BANK
.. PO of Account
..

Date

Paid into 5 year RD Account No.

of (Name)
..

Received for credit into 5 year RD Account No

.
(Name).
Rupees .. (in words)
..

Rupees . (in words)..

. by cash

Dated on

Cheque No..

.../Bank
for the month(s)

Rsless rebate/plus interest on

default(s)..
Balance after deposit Rs.. (to be filled by the SB
clerk)

Dated . On
.. Bank
for the month(s)
Rs...less rebate/plus interest on
default(s)
Date Stamp
SB
Assistant

by cash/cheque No.

SB Assistant

Date Stamp
by .