APPLICATION FOR TAKING ENCASHMENT OF NSC/KVP FROM
AN OFFICE
OTHER THAN THE OFFICE OF ISSUE/REGISTRATION
(To be
submitted in duplicate)
PART-I
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1
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Name of office at which encashment is desired
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(a)
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Post Office with PIN Code
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(b)
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Head Post Office
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(c)
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Postal Division concerned
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Supdt. Of Post Offices,
………….Division,
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2
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Details of NSC/KVPs
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Certificate No.
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Denomination
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Type –
Joint
A/B/
Single
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Office of issue with PIN
code & Name of HO and Postal Dn. Concerned must be completed
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Date of issue
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Regn. No.
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Name and full address of
investor at the time of purchase
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3
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Present address/ Local
Address of the purchaser where payment
is desired
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4
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Signature of the
identifier with full name and address
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5
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I hereby declare that the
aforesaid certificate(s) has /have not been encashed, pledged and get issued
in duplicate by me.
Date:-
Signature of the holder(s)
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6
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Present address verified
by local postman/PRI(P)/Inspector Posts/ASPOs/PA
Signature:-
Name:-
Designation:-
Date:-
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7
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Certified that the
signature and present address of the investor(s) has/have been verified and
attested by Sri ………………………………………. On …………….. and the same is forwarded to
SPOs……………………………Dn,………………… duly countersigned by the undersigned.
Signature of the PM/SPM:-
Name:-
Designation:-
Date:-
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PART-II
No……………………………………………Place -
…………………… Date-………………………….
Returned to the Postmaster/Supdt. Of Post
Offices……………………Dn. …………………..
After verification with the
report that—
(i)
The certificate(s) is/are
genuine and particulars furnished fully with particulars on record.
(ii)
No duplicate of the
certificate(s) has/have been issued.
(iii)
There is no court attachment
and pledged.
(iv)
Signature of holder(s)
tallies/ does not tally.
(v)
Any other remark.
Signature with Seal and date
कोई टिप्पणी नहीं:
एक टिप्पणी भेजें