Da Forms: Da-1 To Annexure-15 Page 10

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Form SL 1A
Nomination under sections 45ZE of the Banking Regulation Act, 1949 and Rule 4(2)
of the Banking Companies (Nomination) Rules, 1985 by joint hirer in respect of
safety locker
_______________________________________________________
We,____________________________________________________ [names and
addresses]
_________________________________________________________
nominate the following person(s) to whom in the event of the death of one or more of
us _________________________ [name & address
_________________________________________________________
of branch/office in which the locker is situated]
may give access to locker and liberty to remove contents of the locker, particulars
whereof are given below, jointly with survivors of us
_________________________ _______________________________
Locker
Nominee[s]
Distinguishing
additional
Relationship
Nature of
mark or
details, if
Name
Address
with hirers,
Age
number
any
if any
Place:
Date :
Signature/Thumb impression
of hirers
Name[s], signature[s] and address[es] of witness[es] @
_________________________________________________________
@thumb impression[s] shall be attested by two witnesses.
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