Da Forms: Da-1 To Annexure-15 Page 7

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FORM SC 2
Cancellation of Nomination under Section 45 ZC of the Banking Regulation Act,
1949 and Rule 3(4) of the Banking Companies (Nomination) Rules, 1985 in
respect of articles left in safe custody with banking company
I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (name and address)
hereby cancel the nomination made by me in favour of (name and address) . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . in respect of
. . . . . . . . . . . . . .
(give details of articles)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . left by me in safe custody with The South Indian Bank
Ltd. Br. . . . . . . . . . . . . . . . . . . . . . . . . . . ( name and address of branch office / in
which articles are left in safe custody)
.
Place:
*Signature / Thumb 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 cancellation of
nomination should be signed by a person lawfully entitled to act on behalf of the
minor.
@ Thumb impression shall be attested by two witnesses.
7

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