NOMINATION FORM
DA-1
(TO BE FILLED ONLY IF THIS FACILITY IS REQUESTED BY THE
DEPOSITOR) |
| Nomination
under Section 45ZA of the Banking Regulation Act, 1949 and Rule 2(1) of
the Banking Companies (Nomination) Rules, 1985 in respect of bank
deposits. |
| I/We
_________________________________________________________________________
(Name/s and Address/es nominate the following person to whom in the event
of my/our/minor's death the amount of the deposit, particulars where of
are given below, my by returned by.)
______________________________________________________________________________
(Name and Address of branch/office in which deposit id held) |
| Deposit |
Nominee |
|
Name :
______________________________
Nature :
_____________________________
Distinguishing
No : ____________________
Additional details, if any :
______________
____________________________________
____________________________________
|
Address :
_______________________________
_______________________________________
Age : __________________________________
If nominee is a
minor, his date of birth:
_______________________________________
** As the nominee is a minor as on this date, I/We appoint
Sri/Smt/Ku.
__________________
________________________________________
________________________________________
(Name, Address, age) to receive the amount of the deposit on
behalf of the nominee in the event of my/our/minor's death during
the minority of the nominee.
| |
Place:______________________
Date:
______________________ |
| Signature/s/Thumb impression/s of depositor/s |
| WITNESSES |
Name :
______________________________
Signature :
__________________________
Address :
____________________________ |
Name :
______________________________
Signature :
___________________________
Address :
____________________________ | |
| ******************* |
Nomination
accepted and registered vide Regn. No
Dated
For CANARA BANK
|
| |
| Supervisor
: |
Office/Manager
: | | |
| NOTE : |
| *
|
Where deposit is
made in the name of minor, the nomination should be signed by a
person lawfully entitled to act on behalf of the minor. |
| *
|
Strike out if nominee is not a minor |
| *
|
Thumb impression/s shall be attested by two
witnesses. | |
| |