Da Forms: Da-1 To Annexure-15 (Page 8 of 35) in pdf

FORM SC 3

Variation of Nomination under Section 45 ZC of the Banking Regulation Act 1949 and Rule 3(5)

of the Banking Companies (Nomination) Rules, 1985 in respect of articles left in safe custody

with Banking company.

I, . . . . . . . . . . . . . . . . . . . . . . . . . . . (name and address) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . cancel the nomination made by me in favour of (name

and address) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . .and hereby nominate the following person to whom in the event of my / minor’s death, the

articles left in safe custody, particulars where of are given below may be returned by The South Indian

Bank Ltd ,Br. . . . . . . . . . . . . .

Articles

Nominee

Relationship

nominee

Nature

Additional

Distinguishing

with

is a

details ,if

Name

Address

Age

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 / Thumb impression of depositor.

Date :

Name (s), Signature(s) and address(es) of witness

(es). @

*Where articles are left in safe custody in the name of a minor, the variation of 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.