ANNEXURE 2 FORM ‘B’

APPLICATION FORM FOR

FLOATING RATE SAVINGS BONDS, 2020 (TAXABLE)

NAME OF THE BRANCH: Application Number

FOR OFFICE USE ONLY

Broker’s Name & Sub Broker’s Name Bank branch Branch name & BLA Number Verified By
&
Code Code stamp Code

Date of receipt of Date of realization Date of transfer Full Address of the Branch Any other
Application of funds to Link Cell information
(DD/MM/YYYY) (DD/MM/YYYY) (DD/MM/YYYY)

Information regarding Floating Rate Savings Bonds, 2020 (Taxable)-

(i) The interest on the bonds is payable semi-annually with resetting of coupon rate every 01 January and 01 July.

(ii) The bonds will be issued subject to the terms and conditions laid down in Government of India Notification No.F.No.4(10)-

B(W&M)/2020 dated June 26, 2020.

Instructions regarding filling up of the form-

(i) Please fill the application form in all respects. Incomplete form is liable to be rejected.

(ii) In fields with *mark, strike out whichever is not applicable.

(iii) It is strongly recommended that the Nomination Form may also be filled in along with the Application Form, in order to avoid
inconvenience later.
Applicant(s) Details [in block letters]

1st Applicant / Sole Applicant Details

Name in full: Date of Birth:
Communicati Address:
Gender* Male Female
D D M M Y Y Y Y PAN Mother's
maiden
Number: name :

on

Email Addres Telephones

(Mobile/Residence):
2nd Applicants:Details
Name in full: Date of Birth:
Gender*MaleFemale
3rd Applicant Details
Name in full: Date of Birth:

D D M M Y Y Y Y PAN
Gender* Male Female

D D M M Y PAN Number:
Y Y Y
Guardian Details (To be filled in case of minor)

Name in full: D D M M Y Y Y Y Gender*MaleFemale

Relationship
with Minor * Fathe Mothe Legal Date of
Communicati r r Guardian Birth:
on
Address: Telephones (Mobile/Residence):

Email
Address:

Signature / Thumb Impression 1st Applicant Signature / Thumb Impression 2nd Applicant Signature / Thumb Impression 3rd Applicant
Page 1 of
7
Other Details

Applicant Status* RESIDENT INDIVIDUAL HUF ON BEHALF OF MINOR POWER OF ATTORNEY HOLDER
Investment Details* CREDIT TO EXISTING BLA No. / OPEN A NEW BLA @
@- applicable only for first time investor
Mode of Holding* SINGLE JOINT ANYONE OR SURVIVOR LEGAL GUARDIAN
Mode of Investment* CASH (up to Rs.20,000/- only) CHEQUE DEMAND DRAFT ELECTRONIC CREDIT
For Cheque / DD Number: Dated:
Drawn on Bank/branch:
Investment Amount (In figures) Rs. (In words) Rupees

BANK PARTICULARS of the 1st Applicant FOR PAYMENT OF INTEREST / REDEMPTION AMOUNT
Account
Holder
Name:
Bank Name:
Branch
Name /
Address: Account No.:
MICR Code Account Type* SB Current
of the Bank
& Branch
IFSC Code:
(Please attach a photocopy of the Cheque leaf or a cancelled cheque issued to you by the bank for verification of the Code number)
Nominee details- Nomination Form (as applicable) may be filled and submitted along with the application form.
Declaration: I/We hereby declare and undertake that (i) the information furnished in this application form is correct and
complete. If the transaction is delayed at all for reasons of incomplete or incorrect information, I would not hold the user
institution responsible. (ii) I have read and understood the details of information for the investors as well as rights and duties of
investors (copy attached).The agent/bank has explained the features of the scheme.(iii) I hereby agree to discharge the
responsibility expected of me as a participant under the scheme.
Declaration regarding Income Tax exemption, if any – (Please strike out if not applicable)
I have obtained NIL/Lower TDS certificate from Income Tax Authorities under the provision of the Income Tax Act, 1961 and
am submitting a true copy of the certificate along with the application form.

Date:

Signature / Thumb Signature / Thumb Signature / Thumb

Place: Impression 1st Impression 2nd Impression 3rd
Date, Bank Stamp & Signature of the
authorized official of the Receiving

In case of thumb impression, attestation by two

witnesses
1st 2nd
Witness Witness
Name Name

Address Address

Signature Signature

H.U.F. declaration (mandatory, if applicant is Karta of HUF)

I, ,residing at the address given against First Applicant, do solemnly affirm that I am the Karta

of the Hindu Undivided Family and as such have full powers to deal in the Floating Rate Savings Bonds 2020 (Taxable),

standing in the name of the HUF.

Specimen signature for and on behalf of the HUF (name of the HUF)

Date: Place:
(Signature of the Karta with seal of HUF)

Page 2 of 7
 Annexure 4. Form - ‘C’

Floating Rate Savings Bonds, 2020 (Taxable)

FORM OF NOMINATION
[See Para 11(i)]

Instructions – The Nomination and its Cancellation shall be governed by the provisions of the Government Securities Act, 2006
(38 of 2006) and the Government Securities Regulation, 2007, published in Part III, Section 4 of the Gazette of India dated
December 1, 2007.

I/We (Name and address), the holder/s of BLA No

for the investment in Floating Rate Savings Bonds, 2020 (Taxable) hereby nominate the following person/s who shall on my/our
death have the right to all the investments under the BLA / investments specified in the table below, to receive payment of the
interest/amount for the time being due on the said BLA / investments.

PARTICULARS OF INVESTMENT PARTICULARS OF NOMINEE

Date Date of Full name with STATUS Particulars

Amount(`) expanded initials and Date of Relationshi
of Repayme p to Resident / of Bank
Issue nt address of the birth Account
nominee holder NRI

To be filled in case if nominee is minor: As the sole nominee above is a

minor on this date, I/We appoint Shri/Smt./Kum to receive the amount for the time being due to
the above BLA/specified investment in the event of my/our death during the minority of the said nominee

If the nomination is in substitution of the one already made: This nomination is in substitution of the nomination dated
............................................................................................... made by me/us and registered on your books at…
............................................................................................... which shall stand cancelled on registration of this nomination.

Place: Date:

Signature with name and address of witnesses:

(Signature(s)/ Thumb impression of the BLA

1 2

ACKNOWLEDGMENT
We acknowledge having registered the nomination made by in respect of FRSB 2020 (T) in
favour of (Name of nominees) for the BLA No for the all the investments under the BLA /
specified investment and the nomination registration no. is . Please quote the above
nomination registration no. in all communication pertaining to change or cancellation of nomination.

Date :

Receiving Office : Authorised Official

Branch :

Page 3 of 7
RBI Floating Rate Savings Bonds 2020 (Taxable) - Terms and Conditions

• I hereby agree to discharge the responsibility expected of me as a participant under the scheme

• Beneficiary Bank A/c's /Address details will be maintained at BLA Level and not at the investment level. If a customer
had made multiple investments, beneficiary bank account numbers declared by him for the latest investment / bank mandate
form will supersede the earlier details provided.

• I confirm having read and understood that this application for RBI Bonds: Floating Rate Savings Bonds '2020 is not for
availing Capital Gains Tax Exemption.

• As per Section 206AB of the Income Tax Act 1961, w.e.f 1st July 2021, a person shall be levied higher TDS rate if they have:

- Not filed Income Tax returns for the last two years; and

- aggregate TDS/TCS credit of `50,000 or more in each of the

two years. The TDS rate levied would be the highest of :

a)Twice the rate specified in the relevant provision of the Income Tax Act; or

b)Twice the rate of rates in force; or

c) The rate of five per cent.

• Every person who has been allotted a Permanent Account Number (PAN) and is eligible to obtain Aadhaar number must
update their Aadhaar number to the Income tax department (PAN- Aadhaar Linkage) as per Section 139AA of the Income
Tax Act 1961 by 31st March 2022.

Linking of these 2 documents will help you to:

- Keep your PAN operative

- Avoid levy of higher TDS on interest earned (if applicable)

- Smooth functioning of banking transactions

• If you wish to avail TDS exemption for your interest / maturity payments of RBI Bonds, the valid exemption documents viz.,
15G / 15H / Lower TDS
/ Nil TDS documents to be made available in the banks records during the start of each financial year or one month prior to
the actual interest / maturity payment date. If the documents are submitted / received post cut off, the said document would
be considered only for the next eligible interest / maturity payment during the same financial year. Physical exemption
documents may please be submitted at any of our HDFC Bank branches well in advance.

• Premature redemption is allowed with certain conditions as laid down in Government of India Notification No.F No.4 (10) –
V(W&M)/2020 dated June 26, 2020.

• In case of closure/transfer of the bank account, the fresh details may be immediately intimated to the receiving office to avoid any
inconvenience.

I have read, understood and agree with all the Terms and Conditions mentioned above

HUF Declaration (Mandatory in case of investment by HUF)

I Signature / Thumb (Name of Karta)Signature
hereby declare that I am the Karta of the HUF
/ Thumb Signature / Thumb
Impression 1st Impression 2nd Impression 3rd
(please mention name of HUF) and following persons are the Co-parceners of the HUF.
SR RELATIONSHIP
NO. NAME OF COPARCNER SIGNATURE DATE OF BIRTH
WITH KARTA

I undertake to inform you immediately as and when there are any

changes in the constitution of HUF (due to any addition or on account of
death of any members of HUF). (Signature of the Karta with seal of HUF)

Page 4 of 7
INFORMATION FOR INVESTORS IN Floating Rate Savings Bonds, 2020 (Taxable)

Government of India had introduced Floating Rate Savings Bonds, 2020 (Taxable)vide their notification No.
F.No.4(10)-B(W&M)/2020 dated June 26, 2020. The main features of the Scheme are as under:

Item Floating Rate Savings Bonds, 2020 (Taxable) Remarks

1. Category Resident Individual, HUF. Non-Resident Indians (NRI)s are not eligible to
of Investor invest in these bonds.

2. Limit of Minimum `1000/- and in multiples of `1000/-. No maximum limit.

investme
nt
3. Date of Date of receipt of subscription in cash (up to `20,000/- only), or ---
Issue of date of realization of cheque /draft/ funds.
bonds
4. Forms Electronic form held in the Bond Ledger Account. Bond Ledger Account will be opened by the
of Receiving Office in the name of investor/s.
Bonds
5. Interest (i) Interest is payable semi-annually from the date of issue Half-yearly interest is payable on 1st January /
of bonds, up to 30th June / 31st December as the case may 1st July. The coupon on 1st January 2021 shall be
be, and thereafter half-yearly for period ending 30 th June paid at 7.15%.
and 31st December on 1st July and 1st January respectively.
(ii)The coupon rate payable for next half-year would be
reset on 1st January 2021 and thereafter, every 1st July and
1st January.
6. Post Post Maturity Interest is not payable. ---
Maturity
Interest
7. Bank It is mandatory for the investor/s to provide bank account ---
account details to facilitate payment of interest /maturity value
directly to his/her/their bank account.

8. Tax Income from the bonds is taxable. Tax will be deducted at source while interest is
benefits paid.
If an exemption under the relevant provisions
of the Income Tax Act,1961 is obtained, it may
be declared in the Application Form.
9. The sole Holder or all the joint holders may nominate one ---
Nominatio or more persons as nominee in accordance with the
n Facility provisions of the Government Securities Act, 2006 (38 of
2006) and the Government Securities Regulation, 2007,
published in Part III, Section 4 of the Gazette of India dated
December 1, 2007.
10. 7 years from the date of issuance. ---
Maturit
y
period
11. Facility is available to the eligible investors after Lock in Penalty charges @ 50% of last coupon payment.
Premature period of 4, 5, and 6 years in the age bracket of 80 years
redemptio and above, between 70 to 80 years and 60 to 70 years
n respectively
12. The bonds are not transferable. Transferability is limited to nominee(s)/legal heir
Transferability in case of death of holder.

13. The bonds are not tradable in the secondary market and ---
Tradability also not eligible as collateral for availing loans.
/
Advances
14. Available at designated branches of SBI, 11 Nationalised ---
Applicatio Banks and 4 Private Sector Banks.
n forms

DUTIES OF INVESTOR/ APPLICANTS

A)Please complete the application in all respects.

B) Incomplete applications are liable to result in delay of issue of the bonds (at the cost of the applicant).
C)In case the application is submitted by a Power of Attorney (POA) holder, please submit original POA for verification, along with an
attested copy for record.
D) In case the application is on behalf of a minor, please submit the original birth certificate from the School or Municipal
Authorities for verification, together with an attested copy for record.
E)Please note that nomination facility is available to a Sole Holder or all the joint holders (investors) of the bonds.
F)In case nominee is a minor, please indicate the date of birth of the minor and a guardian can be appointed.
G) Nomination facility is not available in case the investment is in the name of a minor.
H)Please notify the change of address to Receiving Office immediately.

Page 5 of 7
I)POST MATURITY INTEREST IS NOT PAYABLE ON THESE BONDS. The interest and redemption proceeds will be credited on the due
date as per bank details registered with us.
J) Indicate your date of birth / age.
K)Provide your correct bank account details for receiving payment through electronic mode. In case of closure/transfer of the bank
account, the fresh details may be immediately intimated to the Receiving Office to avoid any inconvenience.
L) Any information regarding tax applicability may be provided to the bank/branch.

RIGHTS OF THE INVESTOR

a) Certificate of Holding will be issued in physical / electronic form within 7 working days from the date of tender of application.
b) The interest on the bond accrues from the date of receipt of funds/realization of cheque/draft and will be credited to the bank
account of the holder directly, as per the details provided by him/her in the application form.
c) The interest will be paid semi-annually and credited to the investors account every 01 January and 01 July with last
installment on date of redemption.
d) Maturity intimation advice will be issued one month before the due date of the bond.
e) Application forms for investments, redemption, nomination etc., in respect of Savings Bonds shall be available on the
websites of Receiving Offices.
f) A sole holder or all the joint holders may nominate one or more nominees to the rights of the bonds.Nonresident Indians can also
be nominated.
g) The investor(s) can make separate nomination for each investment held under the BLA.
h) The nomination will be registered at the Office of Issue and an acknowledgement of Registration will be issued to the holder.
i) The nomination can be varied by registering a fresh nomination.
j) The existing nomination can be cancelled by a request to the Office of Issue.
k) The redemption is due on expiry of seven years from the date of investment, unless applied for premature redemption as
applicable.
l) Premature redemption facility is allowed with certain conditions.
m) Investors are entitled for compensation for delayed payments at the applicable coupon rate.

In case the issuing bank does not comply with the above, you may lodge a complaint in writing in the form provided at the counter of the bank
and address the same to the nearest office of Reserve Bank of India, as under:

THE REGIONAL DIRECTOR,

RESERVE BANK OF INDIA,
CONSUMER EDUCATION AND PROTECTION DEPARTMENT/ BANKING
OMBUDSMAN (LOCATION)

You may also address your complaint to:

THE CHIEF GENERAL MANAGER
INTERNAL DEBT MANAGEMENT
DEPARTMENT RESERVE BANK OF INDIA,
23rd Floor
CENTRAL OFFICE, Shahid Bhagat Singh
Marg, MUMBAI-400 001
MAHARASHTRA
E- mail ID – cgmidmd@rbi.org.in
Disclaimer: I have read and understood the details of information for the investors as well as rights and duties of investors. The agent/bank has
explained the features of the scheme to me.

Signature/s of the applicant/s

Page 6 of 7
Acknowledgement of Application Form

Application Number:

Bank branch……………………………………………………………………...........................…………. Date ……......…/…....….…/………...….

……….

Received from Mr/Mrs/Ms…

.....................................................................................................................................................................................
Cash/Draft/Pay

Order/Cheque No./electronic credit .…………………….................………………………… Dated ……......…/…....….…/…..........drawn on

(Bank and branch)……………………….………………………………………..............................................

…………………………………………………

for`………….......................…….. (Rupees…...........................................................................................only) for the purchase of Floating

Rate

Savings Bonds, 2020 (Taxable) for a period of 7 years, of the nominal value of `……………...............................................................
………..………….

(Rupees…................................................................................................................................ only). The bonds are required to be

issued

in the form of Bond Ledger Account.

Date, Bank Stamp & Signature of the aut

Note : (i) This receipt is valid subject to realisation of the payment instrument.
(ii) The "Certificate of Holding" will be issued in electronic form by (date).
Page 7 of 7