Da Forms: Da-1 To Annexure-15 Page 11

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FORM SL 2
Cancellation of nomination under Section 45 ZE and 52 of the Banking
Regulation Act,1949 and Rule 4(5) of the Banking Companies (Nomination)
Rules, 1985 in respect of Safety Locker.
I/ We . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (name(s) and address(es) . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby cancel the
nomination(s) made by me/us in favour of (name(s) and address(es) . . . .. . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in
respect of the safety locker, the particulars whereof are given below.
Locker
Nominee/s
Additional
Relationship
Nature
Distinguishing
details , if
Name
Address
with hirer/s
Age
of
mark or No
any
if any
Place :
* Signature(s) / Thumb Impression(s) of
Date :
hirer(s).
Witness/es:@
Name/s:
address/es :
Signature:
Note:
* Where the locker is hired solely in the name of a minor, the cancellation of
nomination should be signed by a person lawfully entitled to act on behalf of the
minor.
@ Thumb impression should be attested by two witnesses.
11

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