Da Forms: Da-1 To Annexure-15 Page 31
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35: 2 :
Shri/Smt. _____________________
______________
Survivors of joint hirer(s)
(Signature)
Address ________________________
2. Witness(es) with name, address and signature:
Shri/Smt. ___________________________
_______________
(Signature)
Address: _______________________________
Shri/Smt. ________________________________
_______________
(Signature)
Address : _________________________________
ACKNOWLEDGEMENT
* I, Shri/Smt. ________________________________ (Nominee)
* We, Shri Smt. ________________________________________ (Nominee),
Shri/Smt.
________________________
and
Shri/Smt.
_________________________the survivors of the joint hirers, hereby acknowledge
the receipt of the contents of the Safe Deposit Locker comprised in and set out in the
above inventory together with a copy of the said inventory.
Shri/Smt. _____________________ (Nominee)
Shri/Smt.________________
(Survivor)
Signature _____________________
Signature _______________
Place _____________________ Date _______________________
(Survivor)
Shri/Smt. _________________
Signature _________________
Date:____________________
Place :___________________
NOTE:
It is made clear that access to locker is given to survivor(s)/nominee(s) only as a
trustee of the legal heirs of deceased locker hirer on the condition that such
access if given to survivor(s)/nominee(s) shall not affect the right or claim which
any person may have against the survivor(s)/nominee(s) to whom the access is
given.
31
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