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                                       PPF FORM - A                              Serial No……………….

 

.………………………………………….    BANK   ………………….………………………………

 

APPLICATION FOR OPENING A PUBLIC PROVIDENT FUND ACCOUNT
UNDER THE PUBLIC PROVIDENT FUND SCHEME, 1968

 

To

          The Branch Manager,

          ...................…………..

          ………………………….

 

I ……………………………………………………………………….. hereby apply
for opening an account under the Public Provident Fund Scheme 1968, in my name /
in the name of Shri./Smt./Kumari…………………………………………………………………
…………………… ……………… of whom I am the guardian and tender herewith Rs…………. (Rupees ………… …………………………………………………………………………) in cash /cheque as the initial subscription.

 

PERMANENT ADDRESS OF
SUBSCRIBER/GUARDIAN

........................................................
........................................................
........................................................

 

I agree to abide by the provisions of the Public Provident Scheme, 1968, and Amendments
issued thereto from time to time.

ACCOUNT IN THE NAME
       OF A MINOR
 

Date of Birth of Minor …………
Applicant’s relationship

 

with minor, if any…………………..............

SIGNATURE OF THUMB IMPRESSION
OF SUBSCRIBER/GUARDIAN
ADDITIONAL SPECIMEN

……………………………….........................

Date: ………………………………

………………………………........................

.

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FOR THE USE OF ACCOUNTS OFFICE

The account has been opened on ……………..with Rs…………........................
Under Public Provident Fund Account No……………………….

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

Date:

Accounts officer

Code No. 2365.