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FORM OF APPLICATION FOR NOMINATION 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .the holder(s) of Savings Certificates detailed below, her .....

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ow are enclosed. Sl. No. of Certificates Denomination Date of Issue Office of Issue Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (In case of illiterate holder, father's name should be given) Yours faithfully, Signature (or thumb impres .....

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