FORMS

Saturday, December 20, 2014

New Form for opening of Account in POs

POST OFFICE SAVINGS BANK
   ACCOUNT OPENING/PURCHASE OF NSC APPLICATION FORM FOR INDIVIDUALS
For Office Use
Post Office  Mumbai GPO                                             Date                                                       SOL ID -40000100










CIF ID (1)









Account/Registration
NO.
CIF ID (2)









CIF ID (3)









For Applicant(s)
*1 I/We request you to open /issue account/certificate in my/our name (please tick √ the empty box) :-
Savings Account

TD A/C  2 Years

Sr, Citizen Savings Scheme A/C

Basic Savings Account

TD A/C  3 Years

PPF A/C

RD Account

TD A/C  5 Years

NSC  VIIIth Issue

TD A/C 1 Year

Monthly Income A/C

NSC IXth Issue

*2 Operation Instruction (please tick √ the empty box) :-
Single/Self

Either or Survivor (Joint-B)

Jointly (Joint-A)

Through lierate agent

*3 Full Name of applicant, in CAPITAL letter (Leave a space between words)
         Mr./Mrs./Ms./Other    First Name                                        Middle Name                        Last Name                            Gender (M/F)
1.



2.



3.



*4 Full name of father/husband/Mother, in CAPITAL letters (Leave a space between words)
         Mr./Mrs./Ms./Other    First Name                                        Middle Name                        Last Name                            Gender (M/F)
1.



2.



3.



*5 Residential Address

First Applicant
2nd Applicant
3rd Applicant
Flat No./Bldg. Name



Street/Road/Locality/Village



Tehsil/Post Office



City and District



State



Pin Code



Tel./Mobile No. (optional)



Email (optional)



*6 Applicant Date of Birth (DD/MM/YY)           PAN (If Not available, Attach form 60/61)                   CIF ID (If already exists)
1.



2.



3.



7 Please chose from the following (Tick √ any one)
Minor through Guardian
Lunatic Through Guardian
Blind/physically Handicapped/llliterate through agent
Pensioner
BPL
Beneficiary of any welfare Scheme
Sanchayaka
orther
8 in case of minor/ lunatic Account, Please fill the following :-
Name of Guardian
Residential Address
Relationship with minor



9 in case of other than Minor/Lunatic, please fill the following :-
Name of Sachayika /Government Welfare Scheme

PPO/BPL/Registration/Enrollment No.

10 Details about AADHAR :-
UIDAI Aadhaar Number

UIDAI Aadhaar Number of Guardian (in case of Minor/lunatic account)



1

*11 Detail of Know Your Customer (KYC) Documents Submitted :-

Photo ID
Address Proof

Applicant
Applicant

1st
2nd
3rd
1st
2nd
3rd
Types of Document






Document No.






Valid Up to (if any)






*12 Detail of First deposit:-
Mode of deposit  (Tick √ any one)

Amount RS. (figures)                                (Words)
Cash





Cheque /DD

Cheque /DD No.
Date of Issue
Name of the Bank/ Post Office





Transfer

Transfer Account No.
CIF ID
Name of the Bank/ Post office




SBMO




Postal Orders





*13 Amount of Monthly Installment (in case of RD Account)

Rs. (in figures)                              (in words)

14 in case of Certificates :- Please issue certificates as detailed below :-
Denomination (RS.)
No. of Certificates
Detail of Certificates issued (to be entered by Post Office)
100


500


1000


5000


10000


15 In case services of SAS/PPF/MPKBY  Agent are taken
I/We are using the services of SAS/PPF/MPKBY Agent (Name) ……………………………………………………………………………………………………
Authority No. …………………………………………………………Valid up to …………………………………………………..
Received Passbook/Certificates on behalf of depositor
Signature of Agent with date ………………………………………………………………………………………………………………………………………………………
16 Standing Instructions
Please credit my Monthly/ Quarterly/Yearly interest into following account (in case of MIS/SCSS/TD accounts) :-
Savings Account No. ……………………………………………………….Standing at ……………………………………………………..PO / Bank.
Please debit my following account for credit my RD installment Monthly/Half yearly/ yearly :-
Savings Account No ……………………………………………………….. Standing at …………………………………………………… PO/ Bank.

17 Nomination
I/We nominate the person (S) named below under Section 4 of the Government Savings Bank Act, 1873 (5 of 1873 to be the
Sole recipient(s) of the amount standing at the credit of the account in the even of my/our death.
Name & Address of nominee(S)
Date of Birth
(in case of minor)
Share of Nomination
Name & Address of Person who may receive the said amount during the minority of the nominee(s)













Signature of witness in case depositor wish to make nomination

………………………………………………………………………………………………..
Name & Address of witness …………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………………….
*Mandatory Fields to be filled by customer.

2
18 Other information

Monthly Income (Rs.) (Tick √ any one)

Up to 5000/-
5001-10000
10001-20000
20001-50000
50001-1 lac
Above one lac

Occupation (Tick √ any one)

Salaried
Self employed
Business
Retired
Student
Pensioner
Agriculture
Others

Account Open mode (Tick √ any one)

Normal
Without Cheque Book
With Cheque Book
Welcome Kit

Documents attached (Tick √ relevant columns)

Age proof
Photo ID
Address Proof
Source of funds
Form 60
Form 61
Form 15G
Form 15H

Facilities required (Tick √ relevant columns)

Internet Banking
Viewing rights
Applicant (1)

Applicant (2)

Applicant (3)

Transaction rights
Applicant (1)

Applicant (2)

Applicant (3)


Tick √ relevant Box
ATM cum Debit Card

Mobile Banking

SMS Alerts


For Mobile Banking/ SMS Alerts.                                                     For Statement
Mobile No.

Email ID




Signature or Thumb impression
Recent Photograph


Applicant (1)
Or
Guardian
(in case of Minor or Lunatic
Account)















Applicant (2)
Or
Operation agent

(in case of Blind/ Physically Handicapped/illiterate depositors operation through agent















Applicant (3)















3


Declarations (Tick √ the relevant bullet )
·          I/We hereby declare that I/We have clearly understood POSB General Rules 1981 and Post Office Savings Account Rule
1981/Post office Recurring Deposit Rules 1981/Post Office Time Deposit Rules 1981/Monthly Income Account Rules 1987/Senior Citizens Savings Scheme Rules, 2004 (amended for time to time) governing the accounts under this scheme and to Abide by such rules framed by the Central Government as may be applicable to the account from time to time. I/We will not open more than one savings account in one post office. I/We will furnish on demand from the Post Office Savings Bank, particulars of all such accounts irrespective of the location of post office where these accounts are/were opened.
·             I/We also declare that I/We have not exceeded the prescribed maximum limit of investment for an individual while investing in Various MIA/SCSS accounts in different post offices.
Note :-  For the purpose of maximum limit in MIA, the depositor’s share in the balance of a joint account shall be taken as one half or one third of such balance according as the account is held by two or three adults.
·        I/We shall adhere to the ceiling on deposits, taking the deposits in all the accounts opened by me/us together, as specified in rule 4 and amended from time to time. In case, at any time, any excess deposit is found, such excess deposit will be refunded to me/us after recovery of excess interest paid if any under the rules.
·        For any transaction occurred through my cheque-book/passbook/ATM cum Debit card/Internet/Mobile Banking, I/we shall be fully responsible.
·        I/we am/are legal guardian of the minor/lunatic and copy of the orders of the competent court is attached.
For  PPF:-
·        I hereby declare that I/we have clearly understood the PPF Scheme Rules, 1968 governing the accounts under the said scheme, as amended from time to time (hereinafter referred to as the said rules and shall abide by such rules framed by the Central Government as may be applicable to the account from time to time.*
·        I hereby declared that I am not maintaining any other Public Provident Fund Account.
·        H hereby declared that I am not maintaining any other Public Provident Fund Account except an account on behalf of a minor.
·        I also declare that I shall adhere to the ceiling on deposits as provided for by Central Government from time to time, which is Rs. 1,50,000/- in a financial year at present, in my individual self account and accounts opened on behalf of minor(s) of whom I am a guardian. In case, at any time, the above said declaration is found untrue/false, no interest shall be payable to me/ the subscriber on the amount of deposits found in excess of the prescribed limit.
For NSC
·        I/We hereby agree to abide by National Savings Certificates (VIII Issue) Rules, 1989 or (IX Issue ) Rule 2011. (amended from time to time.

Authorization
·        I/We authorize Agent (name) ………………………………………………………………………………………………………………………. to receive Passbook/Certificate on my/our behalf.



Signature/Thumb  Impression:-               1st Applicant                                                     2nd Applicant                                  3rd Applicant

For office Use Only

Certified that I have verified the documents submitted with this application form and confirm that KYC norms are fully complied with



Signature of BPM                                                              Signature of SPM                                                                 Signature of Postmaster
………………………………Please Cut from here and past in Register (only for literate Customers )……………………………………………………….
Date of Opening of Account (to be filled by Applicant )
Account/Registration No. (to be filled by Post Office)
Sr. No.
Specimen Signature (to be filled by the applicant (s)
1



2





3



4


//copy//
Finacle - Savings Bank opening Account Form :
for original copy :

CLICK HERE