FORM F
[See sub paragraph (3) of paragraph 12]
Cancellation or Variation of Nomination previously made under
Public Provident Fund Scheme, 1968
To, Date: _/ _/20_
The Chief / Branch Manager
State Bank of India
I, the subscriber to Public Provident Fund Account No
hereby cancel the nomination dated / / made by me in respect
of the aforesaid Public Provident Fund Account.
* In place of the cancellation nomination, I hereby nominate the person(s) mentioned below who shall on
my death, become entitled to the payment of the sum due on the above account to the exclusion of all other
persons.
DATE OF BIRTH OF PROPORTIONATE
SERIAL NAME(S) OF THE
FULL ADDRESS NOMINEE IN CASE AMOUNT FOR
NO. NOMINEE(S)
OF MINOR /AGE EACH NOMINEE
* To be filled in case of variation only
@As the nominee(s) at Serial No(s) is/are minor(s), I appoint Sri / Smt / Kumari
(Name and full address) to
receive the sum due on the account in the event of my death during the minority of the nominee(s).
@ Delete if not applicable
Subscriber’s Address:
Signature/Thumb impression of
Subscriber
(1) Witness : (Signature)
Name :
Address :
(2) Witness : (Signature)
Name :
Address :
--------------------------------------------------------------------------------------------------------------------------------
TO BE USED BY THE BRANCH OFFICE
The above cancellation/variation of the nomination has been registered in the ledger and entered in the Passbook.
Date: / /20 Branch / Service Manager
(Forms E and F amended vide Ministry of Finance (DEA) Notification No.F3(8)-PD/84 dated 22/07/1985)
SBI FORMS BY 4577825