Rotors Boa” | ry cued eo palnnainy nese FOR OPENING/RENEWAL OF TERM DEPOSIT FOR CUSTOMER HAVING ACCOUNT IN THE BANK The Manager, Branch Office. count No: (ieaigis) 1. FULL NAMI in CAPITAL Letters (leaving tween fst, mide last name) 2. Customer ID No. 3. IWe request you to open/renew the following account. I/we agree to be bound by the bank’s rules in force from time to time. (Tick the relevant box on right side). * Recurring Deposit Flexi-Recurring Deposit ‘TERM DEPOSIT Monthy Installment Rs Monthy care amount Rs. # Fixed Deposit (Specify) No.of instalments. No.of instalments #Amount Rs. Sign Period: vei Months.. . Interest Rate: . + Standing instructions : Kindly debit monthiy instalment from account no. ~ —_ ‘of every month Trterest payment | On maturity [Annually [ Half Yearly [ Quarterly | Monthly — | Cros iverestto SFICA’ CCIOD frequency Account Ne ——_—___— (Prtex inthe Cre nluiy ares a SHEN appropriate box) seco No, ‘TS, i applicable: Yes/No itn, exemption reerence No TDS DETAILS WYes, Whether Form 15 G/M" submitted: YES No “For 156 for genera catagory, 1H for Senior cizen PANNO. [|| Cl | Renew or] —] Renew or vod fr which Ast enowal required Penal & Principal only | | Noo tes, iniorest 4,_ MODE OF OPERATION (Tick whichever is applicable) . Ether or Former or || Any one us or Ton Set suniver Suvver univers) sein S.NOMINATION REQUIRED: YES [] NOC] I1Ye6, please fll form DA‘ (Overteat) Customer Signature/ 1 Thumb Impression 2. 3 (Signature of authorized official) PNB1177-1oP Verified by (With GBPA No. )utd Dist. No. . FORM DA-1: NOMINATION Nomination under Section 45 ZA of Banking Regulation Act, 1949 and Rule 21) of the Banking Companies (Nomination) Rules 1985 in spect of Bank Doposits, We @ Name(s) Ro [Nominate the flowing person le whom in the event of myloull minors Geath, he amount of depositin the account may be retumed by Punjab National Bark, 8.0. DEPOSIT NOMINEE Nature] Aesount No. ‘ational [Name Rares Relaionship | Age | Wrominee is of Detail, with depostor, minor risiner Acwount an itary Date of bth “As the nominee is minor on ths dat, lwe appoint MiMi Age. Address. to receive the amount ofthe deposi on behalf the nominee inthe event of inylourimino?s death during the minoriy othe nominee, Place Date @ Signature(s) / #Thumb impression(s) of depositors ‘@ where the deposits made in the name of minor, the nomination isto be signed by naluraitegal guardian of the miner to act on behalf ofthe minor. *Strke outif nominee isnot a minor WITNESSES ‘Name & Signature ofthe rat witnesses ‘Name & Signature of second witnesses Name. Name. Signature: Signature Address: Address: Place Place Date Date Tolophone No. Tolophone No. ‘Thumb impressions) shall be attested by two witnesses; otherwise It shall be attested by one witness, NOMINATION REGISTERED ‘The above mentioned nomination is registered at serial no in respect of (Type of Account) epesit Account No, Dat For Punjab National Bank (Authorised Official) (GBPA NO. )