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1 Account Opening Form PDF

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FORM -1

Application for opening an account under National Savings Schemes.


To
The Postmaster/Manager
Paste photograph
…………………………………………………
of applicant/s
…………………………………………………

Sir,

I/We ………………………..(Applicant/guardian) hereby apply for opening of an account


under______________________________________(Name of the scheme in your Post Office/Bank.

I/We tender herewith Rs……………………../-


(Rs…………………………………………………………………………….) in cash/Cheque/DD. No…………………
date………. as initial deposit. My/our particulars are as under:-

1. Name of First Depositor ……………………………………………………………


Husband/Father /mother’s name or Guardian appointed by Court
……………………………………………………………
Date of Birth ……… ..……… ………………
(DD / MM / YYYY )
(In words)……………………………………………

2. Name of Second Depositor ……………………………………………………………


Husband/Father /mother’s name ……………………………………………………………
Date of Birth ……… ..……… ………………
(DD / MM / YYYY )
(In words)……………………………………………

3. Name of Third Depositor ……………………………………………………………


Husband/Father /mother’s name ……………………………………………………………
Date of Birth ……… ..……… ………………
(DD / MM / YYYY )
(In words)……………………………………………

4. Name of Fourth Depositor ……………………………………………………………


Husband/Father /mother’s name ……………………………………………………………
Date of Birth ……… ..……… ………………
(DD / MM / YYYY )
(In words)……………………………………………

5. Aadhar Number …………………………………………………………..

6. Permanent Account Number (PAN) …………………………………………………………..

7. Present Address ………………………………………………………….


…………………………………………………………..

Permanent Address ………………………………………………………….


………………………………………………………….

8. Contact details Telephone Number ……………………………..


Mobile Number…………………………………..
Email ID……………………………………………..
9. Type of Account Single or Joint or through Guardian for Minor or person of unsound
mind or blind or differently abled through authorized person

10. (*)Details of Birth Certificate ……………………………………………………….


(Applicable in case of minor account
and Sukanya Samriddhi A/c)
a) Certificate No.
……………………………………………………………………..
b) Date of Issue …………………………………………………………………….
c) Issuing authority
…………………………………………………………………….

11. (*) Name of Guardian (Natural/Legal) …………………………………………………………


(In case the account is opened on behalf of a
Minor/person of unsound mind)

12. (*) Aadhaar number of parent/guardian …………………………………………………………


(Copy may be enclosed)
(b) Permanent Account Number (PAN) …………………………………………………………
(*) Applicable in case of Minor accounts

13. Details of other KYC documents attached 1. Proof of identification


…………………………………………………………
2. Address proof
…………………………………………………………

(The following documents are accepted as officially valid documents for the purpose of identification and address
proof:
1. Passport 2. Driving license 3. Voter’s ID card 4. PAN card 5. Aadhar card 6. Job card issued by NREGA signed
by the State Government officer.)

14. The operation of the account will be:- (a) By all the holders together or the surviving holder/s.
(In case of joint account) (b) By either of the holder/s, or the surviving depositor/s,

15. My/our specimen Signatures


1………………………… 2……………………………. 3.,……………………………
(Name)…………………………………………………………

1…………………… 2……………………………..3……………………………..
(Name)…………………………………………………………

1……………………….. 2…………………………… 3……………………………..


(Name)…………………………………………………………

1……………………….. 2…………………………… 3……………………………..


(Name)…………………………………………………………

I hereby undertake to abide by the scheme provisions and Government Savings Promotion rules-2018
applicable on National Savings Schemes and amendments issued thereto from time to time.

Signature or thumb impression of applicant/guardian


Date:……………………

16. I hereby declare details of my existing accounts as on today under different National Savings Schemes in
any of the Post office/Bank in the country.
S No. Name of Scheme Date of Amount Customer Account Name of
Account Deposited Identification Number Post
opening Number Office/Bank
1 Public Provident
Fund (PPF)
2 Sukanya Samriddhi
Account (SSA)
3 National Savings
Monthly Income
Account (MIS)
4 Senior Citizen
Savings
Scheme (SCSS)

Nomination
17. I/we…………………………………………..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
……………………………………..(Name of Scheme) at the time of my death would be payable.

S No. Name(s) of the Full Address Aadhaar Date of Birth Share of Nature of
Nominee(s) and (s) Number of of Nominee entitlement entitlement
relationship Nominee in case of Trustee or
Minor owner
1
2
3
4

As the nominee(s) at Serial No.(s)…………………………………….specified above is/are minor(s), I appoint


Shri/Smt/Kumari………………………………………………..S/o,D/o,W/o………………………………………………
…………………………..Address…………………………………………………………………………………………
…………………………………………………………………….to receive the sum due under the said account in the
event of my death during the minority of the nominee(s).

1. Signature of witness…………………………………….
Name & Address……………………………………………..

2. Signature of witness…………………………………….
Name & Address……………………………………………..

Signature or thumb impression of applicant or guardian


Place:
Date:

For use of Post Office/Bank


The account has been opened in the name of…………………………………on……………………..with initial
deposit of Rs……………………………………….under……………………………………………..(name of the
scheme) vide Account No.__________________________ dated______________________________.
Customer identification Number………………………………..
Nomination has been registered vide No.
…….……………………………..dated………………………………………..

Signature and seal of competent authority.

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