SB/CQE-4
APPLICATION
FOR AVAILING OF THE FACILITY OF CHEQUE SYSTEM
To
The
Postmaster,
………………………………..
Please
permit me/us to avail of the facility of
the cheques system and issue a cheques book for my/ our Savings Account
No……………………… standing open at your office with a balance of Rs………………/- (Rupees
...……………………………………………………….).
2.
I/We hereby declare that I/we have read the conditions
governing he facility of cheques system in Post Office Savings Bank as laid
down in Rule 28 A of the Post Office Savings Bank Rules 1881 and that I/We
accept all the aforesaid conditions, as such amendments thereto, as may be
issued from time to time, as binding upon me/us.
Name of
Depositor(s) in BLOCK LETTERS-…………………………………………………
………………………………………………………………………………………………….
3.
The cheques Book should be delivered/sent to me by
registered post at the following address:-
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………...
Signature(s)
of Depositor(s)
CERTIFICATE OF INTRODUCTION
I,……………………………………………………………………… do hereby certify that
…………………………………………………………………………………………………
…………………………………………………………………………………………………
The depositor(s) of Post Office
Savings Bank Account No……………………………………
Standing open at …………………... Post
Office is/are known to me and has/have signed this application in my presence.
Signature
of Introducer
Address
(with Account No. if he is depositor)
INTRODUCTION ACCEPTED ……………………………………………
…………………………………………….
Signature of the Postmaster …………………………………………….
with date……………….... …………………………………………….
2
TO BE FILLED
IN MY POST OFFICE
|
Account No………………….…
Ledger No……………................
|
Cheque Book
containing
Cheque No………………. to ……………………issued
|
|
NOTED IN LEDGER
(…………………)
Initial of Postmaster
Date- ……………..
|
(…………………)
Initial of Postmaster
Date- ……………..
|
---------------------------------------------------------------------------------------------------------------------
ACKNOWLEDGEDMENT
OF DEPOSITOR(S) FOR CHEQUE BOOK
I/We hereby acknowledge receipt of
the Cheque Book containing Cheques
No….................................................
to …………………………………… which I/we have counted and found correct and in proper
serial order.
Signature(s) of
Depositor(s)
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