Professional Documents
Culture Documents
From, To,
Name: The Branch Manager
Address: Canara Bank
Branch: ……………………………..
Mobile No:
e-mail ID:
Dear Sir/Madam,
Place: ………………………..
Date: ……………………….. Signature of IINSS-C Subscriber
--------------------------------------------------*******-------------------------------------------------------------
FOR BRANCH OFFICE USE
Govt of India vide Notification F.No.4 (16) W&M/2012 dated Dec-19, 2013, IINSS-C was issued &
the above mentioned investor has invested Rs: ………………… from SB A/c ……………………………. On
Date:…/……/……… as per the records.
BLA No.
Certificate No.
Account Holder Name*
Account Type* Savings Account / Current Account
Account Number*
IFSC Code*
We have verified the details provided by the investor and the maturity proceeds of the above
IINSS-C to be credited to the above mentioned account.
(Enclosed Documents: - Certificate of Holding/Subscription Receipt, AADHAR, PAN)
Place: ………………………..
Date: ……………………….. Signature of Branch Head with Seal
Name & SP No:
Branch DP Code: