Da Forms: Da-1 To Annexure-15 Page 32
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35ANNEXURE-14
Form of Inventory of articles left in
Safe Custody with The South Indian Bank Ltd.
{Section 45ZC (3) of the Banking Regulation Act, 1949}
(To be used where there is nomination or survivorship clause)
The
following
inventory
of
articles
left
in
Safe
Custody
with
_______________________
Branch of The South Indian Bank Ltd., by ___________________________
(deceased) under an agreement/receipt dated _______________ was taken
on this _______________ day of _________________ 20_____.
Sr.
Description of Articles in Safe
Other Identifying Particulars, if
No.
Custody
any
The above inventory was taken in the presence of:
1. Shri/Smt. _______________________ (Nominee) _______________
Shri/Smt. _______________________
(Appointed on behalf of minor nominee)
Address _______________________
Address _________________________
Signature _____________________
Signature ________________________
I, Shri/Smt. ___________________________ (Nominee/ appointed on behalf
of minor Nominee) hereby acknowledge receipt of the articles comprised and
set out in the above inventory together with a copy of the said inventory.
Shri/Smt. ________________________________ (Nominee)
Signature __________________________________
Date:
Place :
Contd…2
32
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