FORM DA 1

Nomination under Section 45ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules, 1985 in respect of Bank Deposits

I ____________________________________________________________________________________________

We__________________________________________________________________________________________ [name(s) and address(es) ]
nominate the following person to whom in the event of my/our/minor's death the amount of the deposit, particulars whereof are given below, may be returned by___________________________________________ ______________________________________________________
(name and address of branch/office in which deposit is held)


Deposit Nominee
Nature
of

Distin-
guishing
No.
Additional
details,
if any
Name


Address


Relation-
ship with
depositor,
if any
Age


If nominee
is a minor,
his date of
birth
 

 

+2. As the nominee is a minor on this date. I/We appoint Shri/Smt./Kum.___________________________
_________________________________________________________ receive the amount of the deposit on
                                 (name,address and age)
behalf of the nominee in the event of my/our/minor's death during the minority of the nominee.
Place :
Date :
* Signature(s)/Thumb impression(s) of depositor(s)  
Name(s), signature(s) and
address(es) of witness(es) @








____________________________________________
* Where deposit is made 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.
@ thumb impression(s) shall be attested by two witnesses.