FORM OF APPLICATION FOR NOMINATION UNDER SECTION 6 OF THE GOVERNMENT SAVINGS CERTIFICATES ACT, 1959

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..... N UNDER SECTION 6 OF THE GOVERNMENT SAVINGS CERTIFICATES ACT, 1959 (This form will be filled in by the holder(s) and submitted with the certificates to the Postmaster of the office where the certificate stands registered) To The Postmaster Sir, Under provisions of section 6(1) of the Government Savings Certificates Act, 1959, I/We . . . . . .....

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..... . . . . . . . .above is/are minor(s). I/We appoint Shri/Smt./Kumari. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..(name and full address) as the person to receive the sum due thereon in the event of my/our death during the minority of the nominee(s). 3. The certificates detailed below are enclosed. Sl. .....

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..... Witnesses- 1. Name Address 2. Name Address N.B. In the case of illiterate holders, the witnesses shall be persons whose signatures are known to the Post Office. Order of the Postmaster accepting the nomination. Date Stamp of Post Office Signature of Head/Sub-Postmaster - - statute, statu .....

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