Da Forms: Da-1 To Annexure-15 Page 9
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35FORM SL 1
Nomination under Section 45 ZE of the Banking Regulation Act and Rule 4(1) of
the Banking Companies (Nomination) Rules, 1985, by sole hirer in respect of
safety locker.
I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . .
(name and address)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . nominate the following person to whom in the event of my/minor’s
death ,The South Indian Bank Limited ,
. may give access to
Br. . . . . . . . . . . . . . . . . . . . . .
the locker and liberty to remove the contents of the locker, particulars whereof are
given below:
Locker
Nominee
Additional
Relationship
Nature
Distiguishing
details, if
Name
Address
with hirer,if
Age
of
mark or No.
any
any
Place :
Date:
*Signature / Thump
impression of hirer
Name /s,signature/s and address/es of witness/es @
* Where the locker is hired solely in the name of a minor, the nomination should be
signed by a person lawfully entitled to act on behalf of the minor.
@ Thump impression shall be attested by two witnesses.
9
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