Boi Nominee Form

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Z\ Bank of, lndia
( 1 Nomination (Nomination Form DA.1
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Nomination under Sec. 45ZA of the Banking Regulation Act, 1949 and
rule 2(1) of the Banking Companies (Nomination) Rules, 1 985 rn respect of Bank

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l/We
(Name & Address)

in the event of my/ our/ minor's death the amount of the deposit in
the account, particulars where
Bank of lndia, Branch.
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Nature of No Additional details, if any Name & Address of Nominee

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with Depositor, if any Age lf nominee is minor, Date of Birth

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{ As the nomt nee is minor on this date l/We appoint
deposit tn the ACCOU nt on behalf of the nominee in the to recetve the amount of the
during of the nominee.

TeIm/ Place

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signature(s) / thumb impression of Depositors(s) r
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Signature of witness(es) @

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Where deposit is made in the name of a minor, the nomination
should be signed by a person lawfully entitled to act on behalf of the
minor
{ qr{ qlkf,i sTqq{s. ffi qs EE ty Strike out if nominee is not a minor
TIT

{ ult(e * ft{fl? I i d d eTslkltl' ERT vprifr'fi qr-qT ql6q i rnumo impression (s) shal be attested by rwo witness.

rrftil ffi / A}KNOWLEDGMENT


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Received on
* nomination form no. DA-1 for making nomination
from
in respect of
(Name of Deposit Holder/s)
(Name of the Account)

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For BANK OF tNDtA
ffi-{- / Date:

wfrrqn tr.mqffi / AUTHoRtsED stGNAToRy

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