Da Forms: Da-1 To Annexure-15 Page 2

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FORM DA 1
Nomination under Section 45 ‘ZA’ of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking
Companies (Nomination) Rules 1985 in respect of bank deposits.
I/We . . . . . . . . . . . . . . . . . . . . . . . . . . . (Names and addresses). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . nominate the following
person to whom in the event of my our/minor’s death the amount of the deposit, particulars where of are given
below, may be returned by The South Indian Bank Ltd.Br. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Details of Deposit
Nominee
If
nominee
Age
is a
Relationship
Addl.
Nature of
minor,
with
Dist.No
details,
Name
Address
deposit
depositor if
date of
if any
any
birth
and
age.
2. + As the nominee is a minor on this date. I/We appoint Shri/Smt/Kum . . . . . . . . . . . . . . . . . . . .
....................................................................................................................(name, address and age) . . . . . . . . . . . .
. . . . . . . . ............................................................................................................ . to receive the amount of the
deposit on behalf of the nominee in the event of my / our / minor’s death during the minority of the nominee.
Place :
* Signature(s) / Thumb impression(s) of depositor(s)
Date :
Name(s), signature(s) and address(es) of
witness(es) @
Note:
+ Strike out if the nominee if the nominee is not a minor.
Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to
act on behalf of the minor.
@If the party is affixing thumb impression, it should be attested by two witnesses and Manager/Asst. Manager.
NOMINATION CAN BE REGISTERED ONLY IN THE NAME OF ONE PERSON.
2

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