Application For Opening A Public Provident Fund Account Under The Public Provident Fund Scheme Form - 1968 (India)

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CIF NO:
A/C NO:
FORM A
[See sub paragraph (1) of paragraph 4]
Application for opening a Public Provident Fund Account under the
Public Provident Fund Scheme 1968
To
Paste Recent
The Chief / Branch Manager
Passport Size
State Bank of India
Colour Photograph.
____________________
____________________
PAN: …………….………………
I, _____________________________________ hereby apply for opening an account under the Public
Provident Fund Scheme 1968 in My Name / In the Name of Kumar / Kumari _________________________________
of whom I am the Guardian and tender herewith
________ (Rupees__________________________________ only)
in Cash / Cheque as the initial Subscription.
Permanent Address of Subscriber / Guardian __________________________________________________________
I agree to abide by the provisions of the Public Provident Fund Scheme, 1968 and amendments issued thereto from
time to time.
-------------------------------------------------------------------------------------------------------------------------------------------------------------
ACCOUNT IN THE NAME OF SELF / MINOR(S):
Date of Birth of Minor: ____/___/_______
Applicant’s relationship with minor, if any: ______________________
(i) I hereby declare that I am not maintaining any other Public Provident Fund Account
(ii) I hereby declare that I am not maintaining any other Public Provident Fund Account, except an account on behalf
of a Minor or a Hindu Undivided Family or an association of persons.
(iii) I hereby declare that the details of other Public Provident Fund accounts opened earlier by me are as under :-
Name/Address of the Bank / Post office
Sl.
Description
and Account No.
No
1
Self account
In the name of minor(s) of whom I
2
am the guardian
3
HUF Account
In the name of Association of
4
Persons
SBI FORMS BY 4577825

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