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PPF FORM -E


FORM OF NOMINATION UNDER THE PUBLIC
PROVIDENT FUND SCHEME, 1968

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

 

To

          The Branch Manager,

          ………………………….

          ………………………….

 

I ---------------------------------------------------------------------------------------------------------------------------------
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hereby nominate the person(s) 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 Public Provident Fund
Account No._______ at the time of my death would be payable.

 

Serial No. Name (s) of the nominee(s) Full Address(es) Date of birth of nominee in case of minor
 

 

 

 

     

 

As the nominee(s) at Serial No.(s)__________ specified above is /are minor(s) I appoint Shri/Smt/Kumari__________________________________________________________________
Address ________________________________________________________________________
_______________________ to receive the sum due under the said account in the event of
my death during the minority of the nominee(s).

 

 

Signature of witness:

Name and address :

Date:

Signature or Thumb impression
of Subscriber

 

Signature of witness:

Name and address:

Date:

 

____________________________________________________________________________

 

FOR THE USE OF ACCOUNTS OFFICE

 

The above nomination has been registered on __________ and entry made in the Pass Book.

 

Date:

Signature of Accounts Officer

 

* Delete if not applicable