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Nominee Addition Form for Bank Deposits

The document is a Nominee Addition Form for bank deposits under the Banking Regulation Act, 1949. It includes personal details of the depositors, the nominee, and the relationship between them, as well as instructions for handling the account in the event of the depositor's death. The form requires signatures and thumb impressions of the applicants and witnesses, along with an acknowledgment section for the bank's use.

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Joy Bhattacharya
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87 views1 page

Nominee Addition Form for Bank Deposits

The document is a Nominee Addition Form for bank deposits under the Banking Regulation Act, 1949. It includes personal details of the depositors, the nominee, and the relationship between them, as well as instructions for handling the account in the event of the depositor's death. The form requires signatures and thumb impressions of the applicants and witnesses, along with an acknowledgment section for the bank's use.

Uploaded by

Joy Bhattacharya
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

Form DA1 NOMINEE ADDITION FORM

Nomination under sections 45 ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies
(Nominations) Rule 1985 in respect to bank deposits.
I/We, DOROTHI BHATTACHARYA, JOY BHATTACHARYA, FLAT NO 3725 BLOCK 3, JANAPRIYA
NILE VALLEY, PJR ENCLAVE, RD CHANDANAGAR, TELANGANA, 500050.
Name(s) and address(es)
Nomination
nominate the following person to whom in the event of my / our / minor's death the amount of
deposit in the account, particulars whereof are given below, may be returned by HDFC Bank Ltd.,
___________________________________
APHB COLONY DLF GACHIBOWLI
(Name of branch where account is held)

Nature of Deposit Account No. Additional Details,if any


Deposit Fixed Deposit 50301254037387

Name, Address and Contact Relationship with Depositor, if any Age Date of Birth of Nominee
no. of Nomineee (USE
CAPITAL LETTER ONLY)
DIBYO BHATTACHARYA SON 19 2/8/2006
FLAT NO 3725 BLOCK 3
JANAPRIYA NILE
VALLEY, PJR ENCLAVE
Personal Details RD CHANDANAGAR
of Your Nominee HYDERABAD,
TELANGANA, INDIA, 500050.

*As the nominee is a minor on this date, I / we appoint

to receive the amount of the deposit in the Account on behalf of the nominee in the event of my / our/ minor's death
during the minority of the nominee.

2)
Name : 1)
Address :

Signature :
Place :
Date :
Personal Details
and Signature of
Your Witnesses **Signature/***Thumb **Signature/***Thumb **Signature/***Thumb
impression of 1st Applicant impression of 2nd Applicant impression of 3rd Applicant

* Leave out if nominee is not a minor.


** 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.
*** Thumb impression shall be attested by two witnesses.

For Bank use only Nomination Serial No.:

--------------------------------------------------------------------------------------------- Tear here --------------------------------------------------------------------------------------

ACKNOWLEDGEMENT - DA1 Date : ____________________

We acknowledge receipt of request for change in nomination made by you in favour of :


Name of the nominee_______________________________________________________________________Age:___________________years.
with respect to your A/c. nos. _______________________________________________
Yours faithfully,

Signature of Bank official with seal

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