Da Forms: Da-1 To Annexure-15 Page 13

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FORM SL 3A
and Rule 4(7) of the Banking
Variation of nomination under sections 45ZE and 52
Companies (Nomination) Rules, 1985
of the Banking Regulation Act, 1949 by joint hirers
in respect of safety locker
_________________________________________________________
We, ______________________________________________________[names and
addresses]
_________________________________________________________
cancel
the
nomination(s)
made
by
us
in
favour
of
_________________________________________________________
[name(s) and address[es]
and hereby nominate the following person[s] to whom in the event of the death of one or
more
of
us
__________________________________________________________
_____________________________________________________________________
[branch/office in which the locker is situated]
may give access to the locker and liberty to remove the contents of the locker, particulars
whereof are given below, jointly with the survivor or survivors of us.
Locker
Nominess(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.
13

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