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Nominee Change Application Form 10

This document is an application form for cancelling or varying a nomination in a government savings account under the National Savings Scheme. It contains fields for the applicant to provide their name, account number, scheme name, details of the previous nominee if applicable, and details of the new nominee including their name, address, date of birth, share of entitlement, and their nature of relationship. The applicant must also provide details of the person appointed to receive the funds if the nominee is a minor, and sign or provide a thumb impression to authorize the changes to the nomination.

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Parul Guleria
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3K views1 page

Nominee Change Application Form 10

This document is an application form for cancelling or varying a nomination in a government savings account under the National Savings Scheme. It contains fields for the applicant to provide their name, account number, scheme name, details of the previous nominee if applicable, and details of the new nominee including their name, address, date of birth, share of entitlement, and their nature of relationship. The applicant must also provide details of the person appointed to receive the funds if the nominee is a minor, and sign or provide a thumb impression to authorize the changes to the nomination.

Uploaded by

Parul Guleria
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Depositor/Guardian Details
  • Officer Use Section

FORM -10

(See Rule14 of Government Savings Promotion Rules, 2018)

Application for cancellation or variation of nomination in an account under National


Savings Scheme

Name of the Post Office/Bank……………………..... Account No…………………………………………..


Name of the scheme____________________

To
The Postmaster/Manager
………………………………………………
………………………………………………

1. I/We being the depositor(s)/guardian of_______________________(Name of the minor/person


of unsound mind) hereby nominate the person(s) named below, to be recipient(s) of the amount
standing at the credit of the above mentioned account in the event of death of my/our/minor’s/person
of unsound mind, before closure of the said account.
[Link]. Name(s) of the Full address (s) Aadhar Date of birth Share of Nature of
nominee(s) and Number of of nominee in entitlement entitlement
relationship nominee/s case of minor Trustee or
owner

2. As the nominee(s) at Serial No.(s)…………………………………….specified above is/are minor(s), I


appointShri/Smt/Kumari………………………………………….S/o,D/o,W/o……………………………………………………………
…………..Address…………………………………………………………………………………………………………………………………………
…………………….to receive the sum due under the said account in the event of my death during the
minority of the nominee(s).
The above nomination will have the effect marked below

This nomination supersedes the previous nomination made in respect of the said account with
registration number_____________________ date____________________.
OR
No nomination has been previously made in respect of the said account.

The passbook/deposit receipt/statement of account is enclosed

Signature or thumb impression of depositor(s)


(Thumb impression should be attested by a person known to the Post Office)
Witnesses
1. Name 2. Name
Address Address
Signature Signature

For office use only


Nomination registered at Serial Number________________________.

Date Signature and Seal of Postmaster/Manager

FORM -10 (See Rule14 of Government Savings Promotion Rules, 2018) Application for cancellation or variation of nomination

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