Da Forms: Da-1 To Annexure-15 Page 6
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35FORM SC I
Nomination under Section 45ZC of the Banking Regulation Act, 1949 and Rule 3(1) of the
Banking Companies (Nomination) Rules, 1985 in respect of articles left in safe custody with
banking company
I,… … … … … … …… … … … … … … … … …… … … … …(name and
address) … … … … … … …… … … …… … … … … … …… … … … … … …
… … …… … … … … … … … …nominate the following person to whom, in the
event of my / minor’s death the articles left in safe custody, particulars whereof are
given below, may be returned by The South Indian Bank Ltd. Br. ...…
Articles
Nominee
If
Relationship
nominee
Additional
Nature
Distinguishing
with
is a
details ,if
Name Address
Age
of
Mark orNo
depositor
minor,
Article
any
if any
date of
birth.
** 2. As the nominee is a minor on this date, I appoint Shri / Smt / Kum .....................
....................... (name, address and age) … … … … … … …… … … … … … … …
… …… … … … … … … … … … … …… … … … … … … … … …… … … …
…… … … … … … …… … … … … … … … … …… … … … …to receive the
said articles on behalf of the nominee, in the event, of my/minor’s death during the
minority of the nominee.
Place :
*Signature / Thump impression of
Date :
depositor
Name (s), Signature(s) and address(es) of
witness(es) @
*
Where articles are left in safe custody in the name of a minor, the nomination should be signed by a
person lawfully entitled to act on behalf of the minor.
** Strike out if nominee is not a minor.
@ Thump impression shall be attested by two witnesses.
6
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