PUBLISHED IN THE GAZETTE OF INDIA : EXTRAORDINARY, PART II – Sec.3(i)] 

            MINISTRY OF FINANCE

                      (Department of Economic Affairs) 

                                  NOTIFICATION

                                            New Delhi, the 2nd August, 2004 

                                                  (UPDATED ON 29TH  OCTOBER, 2004) 

                                                          GSR 490(E) :- In exercise of the powers conferred by section 15 of the Government Savings Banks Act, 1873 ( 5 of 1873), the Central Government hereby makes the following rules, namely:- 

                                                    Short title and commencement :-

                                                      These  rules  may  be called the Senior Citizens Savings Scheme Rules,  

                                                        2004.

                                                          They shall come into force on the  2nd   day  of August, 2004.  

                                                            Definitions :- In these rules, unless the context otherwise requires:-  

                                                            'Account' means a savings account opened by the depositor in accordance with the provisions of these rules;  

                                                              'Act' means   the Government Savings Banks Act, 1873 ( 5 of 1873);  

                                                                'deposit'  means the money deposited in an account under the provisions of these rules;  

                                                                  'Depositor' means an individual –  

                                                                    who has attained the age of 60 years or above on the date of opening of an account under the provisions of these rules, and by whom, or on whose behalf, money is deposited in an account under these rules, or  

                                                                    who has attained the age of 55 years or more but less than 60 years, and who has retired on superannuation or otherwise on the date of opening of an account under these rules, subject to the  

                                                                    condition that the account is opened by such individual within one month of the date of receipt of the retirement benefits and proof of date of disbursal of such retirement benefit(s) alongwith a certificate from the employer indicating the fact of retirement on superannuation or otherwise, retirement benefits, employment held and period of such employment with the employer is attached with the application form in Form-A: 

                                                                    Provided that the persons who have retired at any time before the commencement of these rules and attained the age of 55 years or more on the date of opening of an account under these rules, shall also be eligible to subscribe under the scheme within a period of one month of the date of this notification, subject to the fulfilment of other specified conditions: 

                                                                      Provided further that the retired personnel of Defence Services (excluding Civilian Defence Employees) shall be eligible to subscribe under the scheme irrespective of the above age limits subject to the fulfilment of other specified conditions. 
                                                                       

                                                                        (e) "Deposit Office" means,-

                                                                         

                                                                        any post office in India doing savings bank work and authorised by Director General Posts, to open an account under these rules, or  

                                                                        an office or branch of a banking company, or any other company or institution, authorised by the Central Government to receive subscriptions under the Public Provident Fund Scheme.'.  

                                                                        (f)    'Form' means a form appended to these rule s. 

                                                                        3. Opening of account:- (1) Any depositor may open an account at any deposit office by making an application in FORM -A alongwith the amount of deposit as per the pay-in-slip in FORM-D, duly filled in, alongwith age proof. 

                                                                        A depositor may operate more than one account under these rules subject to the condition that the deposits in all accounts taken together shall not exceed the maximum limit as specified under rule 4:  

                                                                        Provided that more than one account shall not be opened in the same deposit office during a calendar month.  

                                                                        A depositor may open the account in individual capacity or jointly with spouse.  

                                                                        Deposits and withdrawals :- (1) There shall be only one deposit in the account in multiple of one thousand rupees not exceeding rupees fifteen lakh:  

                                                                        Provided that deposits by depositors under sub-rule (ii) of rule 2, shall be restricted to the retirement benefits received by them or rupees fifteen lakh, whichever is lower.  

                                                                        Explanation:- For  the  purposes  of  this  sub-rule,  "retirement  benefits"  means  any  payment  due  to  the  

                                                                        depositor on account of retirement whether on superannuation or otherwise and includes Provident Fund dues, retirement/superannuation gratuity, commuted value of pension, cash equivalent of leave, savings element of Group Savings linked Insurance Scheme payable by employer to the employee on retirement, retirement-cum-withdrawal benefit under the Employees' Family Pension Scheme and ex-gratia payments under a voluntary retirement or a special voluntary retirement scheme.'. 

                                                                        Except as provided in rule 9, no withdrawal shall be permitted under these rules before the expiry of a period of five years from the date of opening of an account.  

                                                                        The depositor may extend the account for a further period of three years by making an application in FORM-B to the deposit office within a period of one year after the maturity period of five

                                                                        years as specified in sub-rule (2). 

                                                                        Explanation.- Extension of account under this sub-rule shall be deemed to have been made from the date of maturity irrespective of the date of application. 

                                                                        (4) A deposit office shall, as soon as it comes to the notice that a deposit exceeds the ceiling prescribed under sub-rule (1), request the depositor in writing, to withdraw the excess deposit immediately. 

                                                                        Mode of deposit :- (1) The  deposit under these rules may be made:  

                                                                        in cash,  if the amount of deposit is less than rupees one lakh.  

                                                                        by cheque or demand draft drawn in favour of the depositor and endorsed in favour of the deposit office, or in favour of the deposit office.

                                                                         

                                                                          (2) Where a  deposit is made by cheque or demand draft, the date of  deposit under these rules shall be
                                                                          the date of encashment of the cheque or demand draft.  
                                                                          (3) Where  a  deposit  is  made  by  means  of  an  outstation  cheque  or  demand  draft,  collection  charges at
                                                                          the  prescribed  rate  shall  be  payable  alongwith  the  deposit  and  the  date  of  realisation  of  the  cheque or
                                                                          demand draft shall be the date of deposit.  
                                                                        6. Nomination:- (1) The depositor may at the time of opening of the account under these rules, nominate
                                                                          a person or persons  who,  in the event of death of the depositor,  shall be entitled to payment due on the
                                                                          account.  
                                                                          (2)  If  such  nomination  is  not  made  at  the  time  of  opening of  the  account,  it  may  be  made  by  the
                                                                          depositor  at  any  time  after   the  opening  of  the  account  but before  its  closure,  by  an  application  in
                                                                          FORM-C, accompanied by the pass book to the deposit office.  

                                                                         

                                                                        The nomination made by the depositor may be cancelled or varied by a fresh nomination in FORM-C to the deposit office in which the account stands.  

                                                                        Nomination facility shall be available in the case of joint account also. However, in such case, the joint holder will be the first person entitled to receive the amount payable in the event of death of the

                                                                        depositor and the nominee's claim shall arise only after the death of both the depositor and the joint holder. 

                                                                        Explanation.- In case of joint account or where the sole nominee is the spouse, the spouse may continue the account in accordance with the proviso below sub-rule (3) of rule 8.3 

                                                                        (5) In case of a joint account or where the spouse is the sole nominee, the spouse shall also be eligible to make, cancel or vary the nomination made earlier, after the death of the depositor, in accordance with sub-rule (2) to (4). 

                                                                        (6) Every nomination and every cancellation or variation thereof shall be registered in the deposit office and shall be valid from the date of such registration, the particulars of which shall be entered in the pass book. 

                                                                        Interest on deposit :- (1) The deposit made under these rules shall bear interest at the rate of nine per cent per annum from the date of deposit.  

                                                                        (2)Interest shall be payable from the date of deposit to 31st March/30th June/30th September/31st December as the case may be, in the first instance and thereafter, interest shall be payable on 31st March, 30th June, 30th September and 31st December.  

                                                                        (3) In case any of the dates of interest payment, specified under sub-rule (2), fall on a Sunday or a holiday, the previous working day shall be deemed to be the due date for the purpose of interest payment. 

                                                                        (4) If so authorised, interest payable on the due dates as specified in sub rule (2), shall be credited to the depositor's savings account in the deposit office in which the account exists subject to the condition that by so credit of the interest amount, the maximum limit of balance, if any, in the savings account, is not exceeded. 

                                                                        (5) If the interest payable every quarter is not claimed by a depositor, such interest will not earn additional interest. 

                                                                        (6)Interest shall be rounded off to the nearest multiple of rupee one and for this purpose any amount of fifty paisa or more shall be treated as rupee one and any amount less than fifty paisa shall be ignored.

                                                                         

                                                                        (7)The excess amount referred to in sub-rule (4) of rule 4, shall carry interest at the rate applicable from time to time to the Post Office Savings Account and such interest shall be payable from the date of deposit of excess amount to the end of the month preceding the month in which the deposit office requests the depositor to withdraw the excess amount; the amount of excess interest, if any, already paid to the depositor, shall be deducted. 

                                                                        (8) In case of an account, continued after maturity under sub-rule (3) of rule 4, the deposit in such account shall earn interest at the rate applicable to the new accounts opened or to be opened under the provisions of these rules on the date of maturity. 

                                                                        (9)In case of an account which is not extended on maturity and closed at any time as per provisions of sub-rule (2) of rule 8, post maturity interest at the rate, as applicable to the deposits under the Post Office Savings Account from time to time, shall be payable on such matured deposits, upto the end of the month preceding the month of closure of the account. 

                                                                        Closure of account:- (1) The deposit made at the time of opening of account shall be paid by the deposit office at which the account stands to the depositor on or after expiry of five years from the date of the opening of the account on production of the pass book accompanied by a written application (withdrawal form) in FORM-E.  

                                                                        (2) In case the depositor does not close the account on maturity as specified under sub-rule (1), and also does not extend the account under sub-rule (3) of rule 4, the account shall be treated as matured and the depositor will be entitled to close the account at any time subject to the condition that post maturity interest as prescribed under sub-rule (9) of rule 7, shall only be admissible for the period beyond maturity. 

                                                                        (3) In case of death of a depositor before maturity, the account shall be closed and deposit refunded on an application in FORM-F, along with interest till the end of the month preceding the month in which refund is made, to the nominee or legal heirs in case the nominee has also expired or nomination, as provided in rule 6, was not made, as the case may be: 

                                                                        Provided that in case of a joint account, or where the spouse is the sole nominee, the spouse may continue the account on the same terms and conditions as specified under these rules: 

                                                                        Provided further that in case the spouse does not continue the joint account, the account shall be closed on an application in FORM-F and the deposit refunded along with interest as above. 

                                                                        Provided also that where both the spouses have opened separate accounts under the scheme, and either of the spouses dies during the currency of the account(s) under the scheme, the account(s) standing in the name of the deceased depositor/spouse shall not be continued in accordance with the first proviso and such accounts shall be closed. 
                                                                         

                                                                        (4) Where there is no nomination in force at the time of death of the depositor, the amount standing to the credit of the deceased depositor shall be paid by the deposit office to the legal heirs of the deceased depositor on receipt of an application in FORM-F along with a certificate of death of the depositor and a succession certificate or Letter of Administration with attested copy of probated will of the deceased depositor issued under the provisions of the Indian Succession Act, 1925 (39 of 1925). 

                                                                        Provided that the total amount including interest, payable upto rupees one lakh may be paid to the legal heirs on production of (i) a letter of indemnity, (ii) an affidavit, (iii) a letter of disclaimer on affidavit, and (iv) a certificate of death of the depositor on stamped paper, in the forms as in Annexures to Form-F.

                                                                         

                                                                          (5) No deduction,  as  specified under rule 9,  shall be made  in case of premature closure  of  an account at
                                                                          any time due to death of a depositor.
                                                                        9. Premature closure of account:- (1) Notwithstanding  anything  contained  in  sub-rule (2) of   rule   4, on
                                                                          an  application  in  FORM-E,  in  this  regard,  the  depositor  may  be  permitted  to  withdraw  the  deposit  and
                                                                          close the account at any time after the  expiry of one year from the date of opening  of  the account subject
                                                                          to the following conditions,  namely:-
                                                                          (a)  In case the account is closed after the expiry  of one year but before the expiry of two years from the
                                                                          date  of  opening   of  the  account,  an  amount  equal  to  one  and  a  half  per  cent  of  the  deposit  shall  be
                                                                          deducted and the balance paid to the depositor.
                                                                          (b)  In  case  the  account  is  closed   on  or  after  the  expiry  of  two  years  from  the  date  of  opening  of  the
                                                                          account,  an  amount  equal  to  one  per  cent  of  the  deposit  shall  be  deducted  and  the  balance  paid  to  the
                                                                          depositor.
                                                                          (2)  The  depositor   availing  the  facility  of  extension  of  account  under  sub-rule  (3)  of  rule   4,   may  be
                                                                          permitted to withdraw the deposit and close the account at any time after the expiry  of one year from the
                                                                          date of extension of the account without any deduction.

                                                                         

                                                                        10. Pass Book:- (1) On opening of an account, the depositor shall be given a pass book immediately, alongwith the depositor's copy of the pay-in-slip (Form-D) duly stamped and signed by the deposit office in token of having received the amount of deposit. The pass book shall bear the date of opening of account, the number of the account, the depositor's name, photograph(also name and photograph of the spouse in case of joint account) and address, the amount deposited, the quarterly interest payable alongwith due dates of payment, the date on which the deposit will be due for final payment, the name(s) of the nominee(s) and agent's name, agency code number, date and validity, in case the account has been introduced through an agent: 

                                                                        Provided that if the deposit is made by means of a cheque or a demand draft, the pass book shall be given to the depositor only on the date of deposit after encashment of the cheque or demand draft as provided under sub-rule (2) of rule 5. 

                                                                        The depositor availing of the facility of credit of interest in savings account under sub-rule (4) of rule 7, shall present the pass book to the deposit office at least once in a year for completion of entries.  

                                                                        The depositor not availing of the facility of credit of interest in savings account under sub-rule 4 of rule 7, shall present the pass book to the deposit office at the time of collecting interest every quarter.  

                                                                        In case of original pass book being lost, or mutilated or damaged, a duplicate pass book may be issued on payment of a fee of rupees ten in case of issue of first duplicate pass book and rupees twenty in case of any subsequent issue, on a simple application on plain paper. The issue of duplicate pass

                                                                        book(s) shall be noted by the deposit office in its office records including the ledger folio bearing particulars of the account. 

                                                                        (5) In case the lost pass book is found after issue of a duplicate pass book, it shall not be treated as valid for any purpose and shall be surrendered mmediately to the deposit office who shall destroy the same immediately in presence of the depositor. 

                                                                        11.Transfer of account from one deposit office to another:- A depositor may apply on FORM-G, enclosing the pass book thereto, for transfer of his account from one deposit office to another in case of change of residence: 

                                                                        Provided that where the deposit is rupees one lakh or above, a transfer fee of rupees five per lakh of deposit shall be payable.

                                                                         

                                                                        Account opened in contravention of rules:- Whenever it comes to notice that an account has been opened in contravention of these rules, the account shall be closed immediately and the deposit in the account, after deduction of the interest, if any, paid on such deposit, shall be refunded to the depositor.  

                                                                        Deposits by Non-Resident Indians(NRIs) and Hindu Undivided Families (HUF):-  

                                                                        (1) The Non Resident Indians are not eligible to open an account under these rules: 

                                                                        Provided that if a depositor who subsequently becomes a Non-Resident Indian during the currency of the account under these rules, the account may continue till its maturity on a non-repatriation basis and the account shall be marked as a Non-Resident account: 

                                                                        Provided further that the account continued under the above proviso, shall not be extended for any further period as provided under sub-rule (3) of rule 4. 

                                                                        Hindu Undivided Family  is also not eligible to open an account under these rules.  

                                                                          Power to relax:- Where the Central Government is satisfied that the operation of any of the provisions of these rules, causes undue hardship to the depositor, it may, by order, for reasons to be

                                                                          recorded in writing, relax the requirements of that provision in a manner not inconsistent with the provis ions of the Act. 
                                                                           

                                                                                          [F.No.2-8/2004-NS-II] 

                                                                                                            sd/-      . 

                                                                                                                                              (D. SWARUP) Secretary to Government of India

                                                                                                                                 

                                                                                                                                          FORM-A 

                                                                                                                                                (See  clause (d) of rule 2 and sub rule (1) of  rule 3)

                                                                                                                                                                  Serial No………………….. 

                                                                                                                                                                    APPLICATION FOR OPENING OF AN ACCOUNT UNDER SENIOR CITIZENS SAVINGS SCHEME,  2004 

                                                                                                                                                                    TO    
                                                                                                                                                                      The Postmaster/Incharge
                                                                                                                                                                    Paste here a copy of  
                                                                                                                                                                       
                                                                                                                                                                      ……………………………………………………(name  of  the  Deposit  office)
                                                                                                                                                                    recent  
                                                                                                                                                                       
                                                                                                                                                                      …………………………………………………….
                                                                                                                                                                    photograph.  
                                                                                                                                                                       
                                                                                                                                                                      …………………………………………………….
                                                                                                                                                                       
                                                                                                                                                                      (Joint Photograph of both the  
                                                                                                                                                                      Depositor & Spouse   in case of a  
                                                                                                                                                                      joint account)  
                                                                                                                                                                         

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                                                                                                                                                                    *Name of Agent  (in case of the account introduced through agent)…………………………………………………………………. 

                                                                                                                                                                    Agency  Code  No…………………………………………….Dated……………………………….valid  upto………………………………………

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                                                                                                                                                                                  PAN No . (of applicant)……………………………….**. 

                                                                                                                                                                                    Sir, 

                                                                                                                                                                                    1. I, ……………………………………………………………………, son/daughter/wife of………………………………………… ……, a permanent resident of…………………………………………………………………………………………………………………………………….…., aged…………years, hereby apply for opening of an account under the Senior Citizens Savings Scheme, 2004, (hereinafter referred to as the said scheme), in my name / jointly in my name and my spouse..………………………………… 

                                                                                                                                                                                    …………………………………………………………………………….(name and address of spouse with age)* and tender herewith Rs………………….. (Rupees………………………………………………………………………) in cash / cheque / demand draft, the particulars of which are filled in the enclosed 'pay-in-slip'( Form- D), towards deposit in the account. 

                                                                                                                                                                                    2. I/we* hereby declare that,- 

                                                                                                                                                                                    (i) I/we*  have  clearly  understood the  Senior  Citizens  Savings  Scheme  Rules,  2004  governing  the  accounts   under 

                                                                                                                                                                                    the   said scheme, as amended from time to time(hereinafter referred to as the said rules);

                                                                                                                                                                                    I/we* shall abide by the said rules in letter and spirit;

                                                                                                                                                                                    the details of other accounts opened earlier by me/us* under the said scheme, are as under:-  

                                                                                                                                                                                    Sl. Name    of    depositor(s)    &    Type    of Name    and    Addresss Account No. with Amount  of  Deposit
                                                                                                                                                                                    No. account (Individual/Joint) of  the  Deposit  office date of opening    
                                                                                                                                                                                    1            
                                                                                                                                                                                    2            
                                                                                                                                                                                    3            
                                                                                                                                                                                                 

                                                                                                                                                                                     

                                                                                                                                                                                    (iv) I/we* shall adhere to the ceiling on deposits, taking the deposits in all the accounts opened by me/us* together, as specified in rule 4 and amended from time to time. In case, at any time, any excess deposit is found, such excess deposit will be refunded to me/us* after recovery of excess interest under sub-rule (8) of rule 7.

                                                                                                                                                                                     

                                                                                                                                                                                    3. I nominate the following person / persons, mentioned below, to whom, to the exclusion of all other persons, in the event of my death the amount standing to my credit in the account would be payable in accordance with the provisions contained in rule 6: 

                                                                                                                                                                                              TABLE 

                                                                                                                                                                                                Sl. Name(s)of the nominee(s)   Date(s) of birth of Share of   the
                                                                                                                                                                                                No. alongwith relationship with Permanent Address nominee(s) in case nominee(s) in the
                                                                                                                                                                                                  the depositor       of a   minor/   age in amount payable.  
                                                                                                                                                                                                            other case(s)              
                                                                                                                                                                                                (1)   (2)     (3)     (4)         (5)    
                                                                                                                                                                                                               
                                                                                                                                                                                                         
                                                                                                                                                                                                Photograph(s) of the nominee(s)   Signature/thumb  impression  of  the  nominee(s)      
                                                                                                                                                                                                      (6)             (7)".          
                                                                                                                                                                                                                                 

                                                                                                                                                                                                 

                                                                                                                                                                                                3(a) As the nominee(s) at Serial No.(s)……………………………above is/are minor(s), I appoint Shri/Smt./Kumari………………………………………………………………………………………………………[name(s) with permanent address(es) of the person(s) in respect of each minor nominee] to receive the sum due under the said account in the event of my death during the minority of the nominee(s). 

                                                                                                                                                                                                   
                                                                                                                                                                                                  Signature/Thumb impression of the depositor
                                                                                                                                                                                                Witnesses(Signature, name and address):        
                                                                                                                                                                                                1………………………………………………………………………        
                                                                                                                                                                                                2……………………………………………………………………… Date……………………………At  (Place)………………………….
                                                                                                                                                                                                My/our*  specimen signatures (thumb impression),   are as below:-      
                                                                                                                                                                                                (i) First depositor:-          
                                                                                                                                                                                                                 
                                                                                                                                                                                                  1.
                                                                                                                                                                                                  2. `     3. .  
                                                                                                                                                                                                                 
                                                                                                                                                                                                (ii) *Joint depositor:-            
                                                                                                                                                                                                                 
                                                                                                                                                                                                  1.
                                                                                                                                                                                                  2. `     3. .  
                                                                                                                                                                                                               
                                                                                                                                                                                                #Witness……………………………………… #Witness…………………………………… #Witness……………………………………………
                                                                                                                                                                                                (Countersigned   Postmaster/Incharge) (Countersigned Postmaster/Incharge) (Countersigned   Postmaster/Incharge)
                                                                                                                                                                                                Date……………………….…& office Seal Date……………………………& office Seal   Date…………………………&  office  Seal

                                                                                                                                                                                                 

                                                                                                                                                                                                4. I also declare that the information provided by me / us* in the application hereinabove, is true to the best of my/our knowledge and belief and in case, at any time, any of the information and/or declaration is found false, no interest on the deposits shall be payable to me/us*, the deposit office shall close the account(s) and refund the deposits after recovery of the interest, if any, already paid on the deposits.

                                                                                                                                                                                                 

                                                                                                                                                                                                                Yours faithfully, 
                                                                                                                                                                                                                 
                                                                                                                                                                                                                 

                                                                                                                                                                                                                                  (Signature of the applicant)

                                                                                                                                                                                                                                    Date………………………………… 

                                                                                                                                                                                                                                    Place……………………………….. (Present Postal Address) 

                                                                                                                                                                                                                                    Enclosures:  
                                                                                                                                                                                                                                    1. Age proof.
                                                                                                                                                                                                                                    2. Copy of receipted application form for allotment of PAN, if PAN is not allotted.
                                                                                                                                                                                                                                    3. Pay-in-Slip (Form-D), duly filled in alongwith amount of deposit.
                                                                                                                                                                                                                                    4. Certificate  from  the  employer  as  specified  in  sub-clause (ii) of clause (d) of rule 2.

                                                                                                                                                                                                                                     

                                                                                                                                                                                                                                    ————————————————————————————————————–

                                                                                                                                                                                                                                      *: Score out whichever is not applicable. 

                                                                                                                                                                                                                                      **: (1)The applicant(s) who are not assessed to income tax, may fur nish a self declaration, that their income from all sources (including the interest income from the account to be opened vide this application) does not cross the exemption limit and the applicant is not required to obtain PAN under Income Tax Act, 1961, as amended from time to time. 

                                                                                                                                                                                                                                      (2) All other applicants shall mention the PAN No. compulsorily and in case they have not so far been allotted PAN by the Income Tax Authorities, attested photocopy of the receipted application form for allotment of PAN should be attached to the application form. 

                                                                                                                                                                                                                                      #: in case of thumb impression. 

                                                                                                                                                                                                                                      NOTE: (1) Self attested copies of any of the following documents can be enclosed as age proof:- Birth Certificate issued by the Municipal authority/ Gram Panchayat/District Office of the Registrar of Births and Deaths; Voter Identity Card issued by the Election Commission of India; PAN Card; Passport; Ration Card; Date of birth certificate from the school last attended by the applicant or any other recognised educational institution or Driving Licence issued by the local licensing authority. 

                                                                                                                                                                                                                                      (2) Originals of the documents attached, should also be produced simultaneously for verification and return immediately.

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                                                                                                                                                                                                                                              FOR  THE  USE  OF  DEPOSIT  OFFICE 

                                                                                                                                                                                                                                                The   account   has   been   opened   on…………………………….with   Rs…………………………………….(Rupees……………… 

                                                                                                                                                                                                                                                 …………………………………………………) under the Senior Citizens Savings Scheme, 2004. Account No……………………………………..Ledger folio No………………………………… 

                                                                                                                                                                                                                                                Agent's name, agency code number, date and validity have been entered in the ledger folio as well as Pass book(in case of account introduced through agent). 

                                                                                                                                                                                                                                                Pass Book No…………………………………….has been issued. 

                                                                                                                                                                                                                                                Date…………………………………….. Signature  of  the  Incharge  of  Deposit  Office

                                                                                                                                                                                                                                                              (alongwith  name  and  designation  stamp)

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                                                                                                                                                                                                                                                                          FORM-B

                                                                                                                                                                                                                                                                                    (See sub-rule (3) of rule 4)

                                                                                                                                                                                                                                                                                                      Serial No…………………..

                                                                                                                                                                                                                                                                                                          APPLICATION FOR EXTENSION OF AN ACCOUNT UNDER

                                                                                                                                                                                                                                                                                                                SENIOR CITIZENS SAVINGS SCHEME, 2004

                                                                                                                                                                                                                                                                                                                  TO 

                                                                                                                                                                                                                                                                                                                  The Postmaster/Incharge,

                                                                                                                                                                                                                                                                                                                  ……………………………………………………(name  of  the  Deposit  office) 

                                                                                                                                                                                                                                                                                                                  ……………………………………………………. 

                                                                                                                                                                                                                                                                                                                  ……………………………………………………. 

                                                                                                                                                                                                                                                                                                                  Subject: Application for extension of an account for three years, with effect from……………………………….(date/month/year). 

                                                                                                                                                                                                                                                                                                                  Sir, 

                                                                                                                                                                                                                                                                                                                  I, ……………………………………………………………………, son/daughter/wife of………………………………………… ……, a depositor of account No. …………………….….,, (hereinafter referred to as the 'said account') hereby apply for continuation of the account under the Senior Citizens Savings Scheme, 2004 (hereinafter referred to as 'the said scheme'), for a further period of three years from the date of maturity of my above-said account.  

                                                                                                                                                                                                                                                                                                                  I have understood the terms and conditions applicable to the account during the period of extension under the Senior Citizens Savings Scheme Rules, 2004 as amended from time to time.  

                                                                                                                                                                                                                                                                                                                  I shall close the account immediately on completion of the extended period and get back the deposit standing at my credit in the account after adjustment of the interest paid in excess, if any, and any other charges recoverable in connection with the said account.  
                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                  Date…………………………
                                                                                                                                                                                                                                                                                                                          Signature  of  the  Depositor
                                                                                                                                                                                                                                                                                                                        Place…………………………………
                                                                                                                                                                                                                                                                                                                                (  name  and  address)

                                                                                                                                                                                                                                                                                                                              ———————————————————————————————————————————————–

                                                                                                                                                                                                                                                                                                                                      FOR  THE  USE  OF  DEPOSIT  OFFICE 

                                                                                                                                                                                                                                                                                                                                        The account No……………………….. which was opened on…………………………….with Rs……………………………………. (Rupees………………… …………………………………………………) under the Senior Citizens Savings Scheme, 2004 and matured on…………………………….., has been extended for a period of three years with effect from……………………….. to………………………….. Rate of interest at…..……………… per cent per annum as applicable under the scheme to fresh deposits opened or to be opened on the date of maturity, shall be applicable during the extended period of the deposit. 

                                                                                                                                                                                                                                                                                                                                              Necessary entries have been made in the Pass Book No………………………… and relevant Ledger folio No……………………… accordingly. 
                                                                                                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                                        Date…………………………………….. Signature  of  the  Incharge  of  Deposit  Office

                                                                                                                                                                                                                                                                                                                                                      (along with  name  and  designation  stamp)

                                                                                                                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                                                                  FORM-C

                                                                                                                                                                                                                                                                                                                                                                              (See rule 6)

                                                                                                                                                                                                                                                                                                                                                                                                Serial No………………….. 

                                                                                                                                                                                                                                                                                                                                                                                                  APPLICATION  FOR  NOMINATION/CHANGE/CANCELLATION  OF  NOMINATION   UNDER  SENIOR  CITIZENS 

                                                                                                                                                                                                                                                                                                                                                                                                          SAVINGS SCHEME, 2004 

                                                                                                                                                                                                                                                                                                                                                                                                            TO 

                                                                                                                                                                                                                                                                                                                                                                                                            The Postmaster/Incharge,

                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………(name of the Deposit office)

                                                                                                                                                                                                                                                                                                                                                                                                            …………………………………………………….

                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                            Subject: Application for  Nomination or  Change/Cancellation of Nomination.

                                                                                                                                                                                                                                                                                                                                                                                                            Sir, 

                                                                                                                                                                                                                                                                                                                                                                                                            1.* I,………………………………………………hereby nominate the following person / persons, mentioned below, to whom, to the exclusion of all other persons, in the event of my death the amount standing to my credit in the account No………………………would be payable in accordance with the provisions contained in rule 6 of Senior Citizens Savings Scheme Rules, 2004. 

                                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                                                                                                                                                                                                                                                                                                                                                TABLE
                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                              Sl. Name(s)of the nominee(s)   Date(s) of birth of Share of   the
                                                                                                                                                                                                                                                                                                                                                                                                              No. alongwith relationship with Permanent Address nominee(s) in case nominee(s) in the
                                                                                                                                                                                                                                                                                                                                                                                                                the depositor       of a   minor/   age in amount payable.  
                                                                                                                                                                                                                                                                                                                                                                                                                          other case(s)              
                                                                                                                                                                                                                                                                                                                                                                                                              (1)   (2)     (3)     (4)         (5)    
                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                              Photograph(s) of the nominee(s)   Signature/thumb  impression  of  the  nominee(s)      
                                                                                                                                                                                                                                                                                                                                                                                                                    (6)             (7)".          
                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                              2.* As the nominee(s) at Serial No.(s)……………………………above is/are minor(s), I appoint Shri/Smt./Kumari………………………………………………………………………………………………………[name(s) in full with complete address(es) of the person(s) in respect of each minor nominee] to receive the sum due under the said account in the event of my death during the minority of the nominee(s). 

                                                                                                                                                                                                                                                                                                                                                                                                              3.* This is in supercession of the nomination(s), made by me earlier at the time of opening of account/vide my application dated……………………………… . 

                                                                                                                                                                                                                                                                                                                                                                                                              4.* I…………………………………………………, hereby request to cancel the nomination made by me earlier vide my application dated………………………….. 

                                                                                                                                                                                                                                                                                                                                                                                                              Witnesses(Signature, name and address): 

                                                                                                                                                                                                                                                                                                                                                                                                              1………………………………………………………………………… Signature of the depositor 

                                                                                                                                                                                                                                                                                                                                                                                                                              (Name and address)

                                                                                                                                                                                                                                                                                                                                                                                                                                2………………………………………………………………………….

                                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                Date……………………………At (Place)………………………….

                                                                                                                                                                                                                                                                                                                                                                                                                                *Score out whichever is not applicable.

                                                                                                                                                                                                                                                                                                                                                                                                                                Your browser may not support display of this image.

                                                                                                                                                                                                                                                                                                                                                                                                                                        FOR  THE  USE  OF  DEPOSIT  OFFICE 

                                                                                                                                                                                                                                                                                                                                                                                                                                                      The above nomination has been registered on…………………………………….. AND/OR the earlier nomination dated………………………………………has been changed/cancelled. 

                                                                                                                                                                                                                                                                                                                                                                                                                                          Necessary entries have been made in the Pass Book (No…………………………) and relevant Ledger folio No………………………… accordingly. 

                                                                                                                                                                                                                                                                                                                                                                                                                                          Date…………………………………….. Signature of the  Incharge  of  Deposit  Office 

                                                                                                                                                                                                                                                                                                                                                                                                                                                          (alongwith  name  and  designation  stamp)

                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                              FORM-D
                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                              (See sub-rule  (1) of rule 3 and rule 10)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Serial No…………………..
                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                              PAY – IN – SLIP  FOR  DEPOSITS
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  UNDER SENIOR CITIZENS SAVINGS SCHEME, 2004    
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Counterfoil (1)       Counterfoil (2)    
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Depositor's copy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Deposit Office's copy  
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Name  of  Deposit  Office   Name  of  Deposit  Office    
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Name  of  depositor…………………………………………. Name  of  depositor………………………………………….  
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Address:       Address:      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Father's/Husband's  name:   Father's  /  Husband's  Name:    
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                            *Name   of   Agent   (in case   of    account ntroducedi   through *Name   of   Agent   (in case   of    account introduced throug
                                                                                                                                                                                                                                                                                                                                                                                                                                                            agent)  with  agency  code  No., date  and validity……………… agent)  with  agency  code  No., date  and validity…………………
                                                                                                                                                                                                                                                                                                                                                                                                                                                            …………………………………………………………………………………….. …………………………………………………………………………………….
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Account  No……………………..  Date…………………… Account  No……………………..  Date……………………  
                                                                                                                                                                                                                                                                                                                                                                                                                                                            (to  be  filled  in  by  deposit  office)   (to  be  filled  in  by  deposit  office)    
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Ledger Folio……………….(to be filled by deposit office) Ledger Folio……………….(to be filled by deposit office)  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Amount  of  Deposit (Rs.)#     Amount of Deposit (Rs.)#    
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Cheque/Demand  Draft       Cheque/Demand  Draft      
                                                                                                                                                                                                                                                                                                                                                                                                                                                            realisation charges (Rs.)##     realisation charges (Rs.)##    
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Account  Transfer  Fee (Rs.)##     Account  Transfer  Fee (Rs.)##    
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Fee   for   issue   of   Duplicate    Pass    Book     Fee   for   issue   of   Duplicate   Pass   Book    
                                                                                                                                                                                                                                                                                                                                                                                                                                                            (Rs.)##         (Rs.)##      
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Other charges, if any.   (Rs.)##     Other charges, if any.   (Rs.)##    
                                                                                                                                                                                                                                                                                                                                                                                                                                                            TOTAL AMOUNT
                                                                                                                                                                                                                                                                                                                                                                                                                                                                (Rs.)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  TOTAL AMOUNT      (Rs.)    
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Total Amount in words (Rupees……………………………. Total Amount in words (Rupees…………………………….  
                                                                                                                                                                                                                                                                                                                                                                                                                                                              ……………………… …………………………………………….) ……………………… …………………………………………….)  
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Details  of  CASH  DEPOSIT:   AMOUNT Details  of  CASH  DEPOSIT: AMOUNT  
                                                                                                                                                                                                                                                                                                                                                                                                                                                              1000 x         1000 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              500 x         500 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              100 x         100 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              50 x         50 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              20 x         20 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              10 x         10 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              05 x         05 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              02 x         02 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              01 x         01 x      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              COINS           COINS        
                                                                                                                                                                                                                                                                                                                                                                                                                                                              TOTAL (CASH):       TOTAL (CASH):      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cheque  /Demand  Draft  No.  and  date:     Cheque  /Demand  Draft  No.  and  date:    
                                                                                                                                                                                                                                                                                                                                                                                                                                                              ………………………………………………..     ………………………………………………….    
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bank  /  Branch  on  which  drawn:     Bank  /  Branch  on  which  drawn:    
                                                                                                                                                                                                                                                                                                                                                                                                                                                              …………………………………………………..     …………………………………………………    
                                                                                                                                                                                                                                                                                                                                                                                                                                                              AMOUNT (RUPEES)   :       AMOUNT   (RUPEES)   :      
                                                                                                                                                                                                                                                                                                                                                                                                                                                              By (Depositor's signature)     By (Depositor's signature)    

                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    (   P. T. O.)      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                (   P. T. O
                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Continued  from  prepage………………….     Continued  from  prepage………………….  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                                TO BE COMPLETED BY DEPOSIT OFFICE
                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                                TO BE COMPLETED BY DEPOSIT OFFICE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Head    of    Government    Account(to    be    entered    by    Deposit   Head    of    Government    Account(to    be    entered    by    Depos
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Office)#  /  ##……………………….…………………………………     Office)#  /  ##……………………….………………………………….  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                ………………………………………………………………………………………   …………………………………………………………………………………….
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Received Rs………………….. (Rupees………………………   Received Rs………………….. (Rupees……………………..
                                                                                                                                                                                                                                                                                                                                                                                                                                                                …………………………………………………………………….)   ……………………………………………………………………..
                                                                                                                                                                                                                                                                                                                                                                                                                                                                as   detailed   hereinabove.   For   deposit    in   Account   as   detailed   hereinabove.   For   deposit    in   Accoun
                                                                                                                                                                                                                                                                                                                                                                                                                                                                No……………………………………..     No…………………………………..  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                *Agent's Commission  at  the  rate  of……… per cent of deposit   *Agent's Commission at  the  rate  of……… per cent of deposit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                amounting to Rs………… (Rupees……………………………..)###   amounting to Rs…………  (Rupees …………………………… ) ###
                                                                                                                                                                                                                                                                                                                                                                                                                                                                has been paid  at source (under receipt).   has been paid  at source (under receipt).  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Cashier's  scroll  No…………………………..     Cashier's  scroll  No…………………………..  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Signature of Cashier       Signature of Cashie
                                                                                                                                                                                                                                                                                                                                                                                                                                                                (with  name  and  office  seal)  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (with  name  and  office  sea
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Supervisor/Incharge       Supervisor/Incharg
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      of  Deposit  office  alongwith  office  seal  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          of  Deposit  office  alongwith  office  se
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NOTE:  1.  The  cheque/demand  draft  should  be  in  favour  of   NOTE:  1.  The  cheque/demand  draft  should  be  in  favour  o
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          the   Deposit   Office,   or   in   favour   of   the   depositor   duly   the   Deposit   Office,   or   in   favour   of   the   depositor   dul
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          endorsed   in  favour  of  the  deposit  office.   endorsed in  favour  of  the  deposit  office.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          2.  Cheques  /  Demand  Drafts  are  subject  to  realisation  of   2.  Cheques  /  Demand  Drafts  are  subject  to  realisation  o
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          the proceeds.     the proceeds.  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          * Score out if not applicable     * Score out if not applicable  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          #:  In respect of Deposits:-Major  Head:8001– National   #:  In respect of Deposits:-Major  Head:8001– Nationa
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Savings  Deposits.     Savings  Deposits.  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ##:    In   respect   of   various   charges:- Major   Head:   ##:    In   respect   of   various   charges:- Major   Head
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          8008- Income    and    Expenditure    of    NSSF.00.104.Other   8008- Income    and    Expenditure    of    NSSF.00.104.Othe
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Incomes.     Incomes.  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ###:In respect of agency commission to agents:   ###:In respect of agency commission to agents:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Major Head: 8008- Income and Expenditure of   Major Head: 8008- Income and Expenditure of
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NSSF.03.104     NSSF.03.104  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                FORM – E

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (See sub rule (1) of rule 8 and rule 9)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Serial No………………….. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            APPLICATION FOR CLOSURE OF AN ACCOUNT UNDER SENIOR CITIZENS SAVINGS SCHEME, 2004

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            TO 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            The Postmaster/Incharge,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………(name  of  the  Deposit  office)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Subject: Application  for  withdrawal/closure  of   account. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Sir, 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. I,……………………………………………………………………,son/daughter/wife of……………………………………… …… resident of ………………………………………………………………………………………………………………………… …………………, 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            and depositor of account No. …………………….….….. (hereinafter referred to as the 'said account') hereby apply for closure of the said account with immediate effect. The interest of Rs…………………………. and deposit of Rs……………………………………………………………………………..TOTAL(INTEREST+DEPOSIT) Rs………………………….. (Rupees………………………………………………………… ………………………), *after adjustment of overpaid interest and/or deduction equal to …………per cent of the deposit, amounting to Rs……………………………….. (Rupees………………………………………………………………… ……………………) and any other charges, recoverable from me in respect of the account in question, may kindly be refunded to me immediately. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            2. The  Pass  Book  is  enclosed. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Signature  or  thumb  impression  of  the  Depositor 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          —————————————————————————————————————————————-

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ————–

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FOR USE BY   THE DEPOSIT OFFICE 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ACCOUNT No…………………………DATE OF DEPOSIT……………………………AMOUNT OF DEPOSIT: Rs………………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Withdrawal on account of Interest Rs………………………….. and deposit Rs…………………………………………..totalling to Rs.……………………………………… (Rupees…………………………………………………………………………………………………) is sanctioned in favour of the depositor. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    *Recovery of overpaid interest Rs…………………………………, deduction of Rs.……………………………………………. and Other Charges (to be specified) Rs…………………………… totalling to Rs…………………………………. (Rupees…………………..……………………………………………………………………………………………) has been adjusted. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    NET AMOUNT PAID  Rs………………… (Rupees……………………………………………………………………) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            RECEIPT 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Received a sum of Rs…………………………………… (Rupees…………………………………………………………….……………….) from…………………………………………………………..(Name of Deposit office) as per details furnished above. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Signature / Thumb impression of the depositor 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Signature of in-charge of Deposit Office (Alongwith name and designation stamp) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            *: Score out whichever is not applicable.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      FORM – F 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              (See sub-rules (3)  and  (4) of  rule  8) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Serial No…………………..

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  APPLICATION FOR CLOSURE OF ACCOUNT UNDER SENIOR  CITIZENS SAVINGS SCHEME, 2004

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      BY SPOUSE(JOINT  HOLDER)  / NOMINEE(S)/LEGAL  HEIRS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        TO

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        The Postmaster/Incharge,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ……………………………………………………(name  of  the  Deposit  office)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Subject: Application for withdrawal /closure of   account. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sir, 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              I/WE* …………………………………………………………………… the spouse (Joint holder) / nominee(s) /legal heirs of late……………………………………………. , the depositor to the Senior Citizens Savings Scheme, 2004 account No…………………………………………….. wish to withdraw the entire amount standing to the credit of the deceased in the said account. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Please find enclosed:-

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (i)   A  certificate  in  regard  to  the  death  of  the  Depositor. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (ii)*A Certificate in regard to the death of Shri/ Shrimati…………………………………………………………………….and Shri/Shrimati………………………………..……………………… also the nominee(s) appointed by the Depositor. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (iii)** Succession Certificate/Letter of Administration with attested copy of probated will of the deceased depositor issued under the provisions of the Indian Succession Act, 1925. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (iv) Pass Book of the Depositor. (v)# Letter of Indemnity.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (vi)# Affidavit.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (vii)# Letter  of  disclaimer  on  affidavit 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Signature  or  thumb  impression  of claimant(s)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Witness……………………………………………  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                …………(Signature, name and address)………..  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Date………………………………………………………………..  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Place……………………………………………………………….  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      FOR USE BY   THE DEPOSIT OFFICE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Withdrawal    of Rs……………………………………    (Rupees………………………………………………………………………….…….)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                is  sanctioned.          
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Adjustments made (to be specified) Rs………………………………………….
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (Rupees…………………………………………………..)  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                NET
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  AMOUNT
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    PAYABLE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Rs………………..………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  (Rupees…………………………………………………………………………)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      RECEIPT TO BE SIGNED   BY THE CLAIMANT(S) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Received a sum of Rs……………………………………. (Rupees………………………………………………………………………….) from………………………………………………………….. (Name of Deposit office) as per details furnished above, in full settlement of our claim. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Signature / Thumb impression of the claimant(s) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Signature of in-charge of Deposit Office (Alongwith name and designation stamp) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      *: Delete whichever is not applicable. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      **: Strike off if there is a valid nomination. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      #:  To  be  produced  by  legal  heirs,  in  the  absence  of  nomination(s)  for  claims  upto  Rs.  1  lakh.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ANNEXURE- I TO   FORM –  F

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (Letter of indemnity) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          TO 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          The  Postmaster  /  Incharge,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………… (Name of the deposit office) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    In consideration of your payment or agreeing to pay me / us…………………………………………………………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ………………………………………………………………………………………………………………………………………………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ……………….. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              [Name(s)  of  Legal  heir(s)]  the  sum  of  Rs…………………………  (Rupees…………………………………………………… 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ……………………………………………………..) standing in the account No…………………………………………under SENIOR CITIZENS SAVINGS SCHEME, 2004 with your office in the name of ………………………………………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              …………… ……………… …………without production of letters of administration or a succession certificate to the estate of the deceased……………………………………………………………………(name of the depositor), I/We……………………………………………………………………………………………………………………… and we…………………………………… ……………………………………………….. (sureties) do hereby for ourselves and our heirs, legal representatives, executors and administrators jointly and severally undertake and agree to indemnify you and your successors and assigns against all claims, demands, proceedings, losses, damages, charges and expenses which may be raised against or incurred by you by reason or in consequence of having agreed to pay/or paying me/us the sum as aforesaid. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    In witness whereof we have hereunto set my/our hands at this……………..day of………………………………in the presence of witnesses, 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Signed and delivered by the above named heir/heirs of the deceased. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Signed and delivered  by  the 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              above  named  sureties  (Signature, names and address) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Signature,  names  and  address  of  witnesses: 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ATTESTED 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                NOTARY  PUBLIC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ANNEXURE- II TO   FORM  –  F

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (Affidavit) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          TO 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          The  Postmaster  /  Incharge,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ………………………………………(Name of the deposit  office) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    I / We……………………………………………….Husband of / wife of late……………………………………..……………………………… aged………….. aged………….. aged………….. sons/daughters of the said late…………………………………………………………………… resident of………………………………………………………………………….do hereby declare and solemnly affirm as under :- 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              That I / we am/are the only heir(s) of the deceased………………………………………….who died at…………………………….. on……………………………………. I / We alone represent the estate of Shri/Smt……………………………………………………  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                That the deceased…………………………………..did not leave any will and therefore I / we are the only successor(s) to the estate of the said deceased.  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1.  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    2.  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        DEPONENTS 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          VERIFICATION: I / We, the above-named deponents do hereby verify on solemn affirmation in………………………………… (name of place) that the contents of this affidavit are true to the best of my/our knowledge and nothing material has been concealed. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Dated…………………. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            2. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              3. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                DEPONENTS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ATTESTED 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  OATH COMMISSIONER

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ANNEXURE- III TO   FORM –  F

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    (Letter  of  disclaimer  on  Affidavit) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      TO 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      The Postmaster /  Incharge,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ………………………………………(Name  of  the  deposit  office) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          I / We (i) …………………………………………….Husband of / wife of …………………………………………..……………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Resident  of…………………..…………………………………………………………………………………………………………………………………………… 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………….…………   son/daughter   of    ………………………………………….………………………………  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            …………………………… ………………………………………son/daughter of ……………………………………….……………………………………  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            do  hereby  declare  and  solemnly  affirm  as  follows  :- 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            That Shri/Smt………………………………………………………………………………….died intestate on…………………………….…… leaving behind us……………………………………………………………………………………………..his/her only heirs.  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            That we…………………………………………………………………………………………………..heirs of our late father/mother for ourselves and on behalf of our heirs, executors, representatives and assigns to hereby relinquish our claims to the balance of Rs………………………………………………………which may be credited to the account sought by our mother/father to be opened in the deposit office in the name of the estate of the said………………………………………………………………………………… deceased father/mother after the realisation of Draft No…………………………………………………on ………………………………….  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            issued by …………………………………………………………………………………………………….. (name of the deposit office) and we have no objection whatsoever in the balance in the above-referred account No………………………………………together with interest, if any, accrued thereon being paid by the Deposit office to our mother/father Mrs./Mr…………………………………………………………… 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                3. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  DEPONENTS 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    VERIFICATION: I / We, the above -named deponents do hereby verify on solemn affirmation that the contents of this affidavit are true to the best of my/our knowledge and nothing material has been concealed. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Dated………………….

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          3. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            DEPONENTS 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              I identify the deponent(s) who is/are personally known to me and who has/have signed in my presence. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dated…………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Oath  Commissioner

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        FORM – G

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    (See   rule 11)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Serial No………………….. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        APPLICATION FOR TRANSFER OF ACCOUNT UNDER SENIOR CITIZENS SAVINGS SCHEME, 2004 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        TO 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        The Postmaster/Incharge, 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ……………………………………………………(name  of  the  Deposit  office)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ……………………………………………………. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Subject: Application  for  Transfer  of   account  to  another  Deposit  office. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sir, 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. I, ……………………………………………………………………, son/daughter/wife of…………………………………………………… ……, Resident of …………………………………………………………………………………………………………………………………………………………, a depositor of account No. …………………….….….hereby apply for TRANSFER OF MY ACCOUNT No…………………………with a deposit, of Rs………………(Rupees……………………………… ………………………… ………………………) under the Senior Citizens Savings Scheme, 2004 to……………………………………………………………………..…………………………………………………………………… 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              …………………………………………………………………………………………..(Name and full address of the transferee  deposit office) 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2. The Pass Book is enclosed. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Signature  or  thumb  impression   of  the  Depositor 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Witness……………………………………………*

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ………(signature, name and address)…………..

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                My specimen signature/thumb impressions, as available in the record of transferer  deposit  office,  are  as  below:-

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (i)  Ist  Depositor:- 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    2.     3.      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                *Witness………………………………………   *Witness…………………………………… *Witness……………………………………………
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (i) Joint  Depositor:-          
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    2.     3.      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Countersigned   Postmaster/Incharge (Countersigned Postmaster/Incharge (Countersigned Postmaster/Incharge
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    of Transferer office)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      of Transferer office)   of Transferer  office)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Date……………………….…& office Seal   Date……………………………& office Seal Date…………………………&  office  Seal

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Forwarded to:…………………………………………………………….………(Transferee Deposit office) and necessary entries passed in the office record(s). 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Signature & office seal (Transferer Deposit office) Date……………………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Your browser may not support display of this image.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FOR USE BY  THE TRA NSFEREE  DEPOSIT  OFFICE 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            A. Received application for transfer of account No…………………………………………………opened on…………………………….. under SENIOR CITIZENS SAVINGS SCHEME, 2004, in the name of ………………………………………………………… 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            &………………………………………………(joint      holder,      if      any)      standing      on      the      books      of      the……………………………… 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            …………………………………………………………………………….(name and address of the transferer deposit office) showing a deposit of Rs……………………….(Rupees…………………………..………………………………………), due to mature on………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            B. The entries in the pass book have been checked, necessary entries indicating transfer, have been made and pass book has been returned to the depositor. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Pass Book received in Original.

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              #(Signature/thumb impression of the depositor ) Date…………………………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Date……………………………

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                *:  In case of thumb impression. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Signature of Postmaster / In-charge (with office seal)Transferee Deposit Office. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                #:  to  be  signed  on  receipt  of  the  pass  book  at  the  transferee  deposit  office. 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    THIS IS FOR PUBLIC INFORMATION:

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Given hereinabove is the electronic version of the Senior Citizens Savings Scheme Rules, 2004. The accuracy of conversion to the electronic medium is subject to usual constraints. Hence, nothing in the above document may in any case be construed as an authority. For legal purposes and/or ruling position, the nearby post office or a designated branch of a bank operating the scheme, may be contacted.


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