Da Forms: Da-1 To Annexure-15 Page 4

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FORM DA 2
Cancellation of nomination under Section 45 ZA of the Banking Regulation Act
1949 and Rule 2(5) of the Banking Companies (Nomination) Rules, 1985 in
respect of the Bank Deposits.
I/We . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
)
(Name(s) and Address(es
. . . . . . . . . . . . . . . . . . hereby cancel the nomination made by me / us in favour of . . .
. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
( Name and Address)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . in respect of . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
…………………………………………………. . . . . . . . . . . . . .
…………………………………………………………….(Give details of deposit)
Place :
* Signature(s) / Thumb impression(s) of
depositor(s)
Date :
Name(s), signature(s) and
address(es) of witness(es) @
*
Where the deposit is in the name of a minor, the cancellation of the nomination
should be signed by a person lawfully entitled to act on behalf of the minor.
@Thumb impression(s) shall be attested by two witnesses.
4

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