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Bank Deposit Nomination Form

This document is a nomination form to designate a nominee for bank deposits held by Pooja Thakwani. She nominates her son, Jitesh Thakwani, age 22, to receive the funds in her deposit accounts with HDFC Bank in Neelkanth Factory, Barmer, Rajasthan in the event of her death. The nomination is for deposit account number 50100589350981. Pooja signs the form to officially designate her son Jitesh as the nominee to receive the funds.

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89 views2 pages

Bank Deposit Nomination Form

This document is a nomination form to designate a nominee for bank deposits held by Pooja Thakwani. She nominates her son, Jitesh Thakwani, age 22, to receive the funds in her deposit accounts with HDFC Bank in Neelkanth Factory, Barmer, Rajasthan in the event of her death. The nomination is for deposit account number 50100589350981. Pooja signs the form to officially designate her son Jitesh as the nominee to receive the funds.

Uploaded by

jitu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form DA1 NOMINEE ADDITION FORM

Nomination Nomination under sections 45 ZA of the Banking Regulation Act, 1949 and
Rule 2(1) of the Banking Companies(Nominations) Rule 1985 in respect to bank deposits.

I/We, POOJA THAKWANI W/O RAJENDER KUMAR NEHARU NAGAR NEELKANTH FACTORY
KIGALI BARMER RAJASTHAN INDIA 344001
Name(s) and address(es)
nominate the following person to whom in the event of my / our / minor's death the amount of deposit in the
account, particulars whereof are given below, may be returned by HDFC Bank Ltd.,
MAHAVEER NAGAR

(Name of branch where account is held)

Deposit Nature of Deposit Account No. Additional Details,if any


50100589350981

Personal Details Name, Address and Contact no. of Relationship with Depositor, if Age Date of Birth of Nominee
of Your Nominee Nomineee (USE CAPITAL LETTER any
ONLY)
Jitesh thakwani SON 22 03/08/2001
Nehru Nagar , barmer , Barmer,
Rajasthan, INDIA, 344001

*As the nominee is a minor on this date, I / we appoint ,

Name, address and Age


to receive the amount of the deposit in the Account on behalf of the nominee in the event of my / our/
minor's death during the minority of the nominee.

Personal Details Name : 1) 2)

and Signature of Address :

Your Witnesses
Signature :
Place :
Date :

**Signature/***Thumb impression **Signature/***Thumb impression **Signature/***Thumb impression


of 1st Applicant of 2nd Applicant of 3rd Applicant

* Leave out if nominee is not a minor.


** Where deposit is made in the name of minor, the nomination should be signed by a person lawfully
entitled to act on behalf of the minor.
*** Thumb impression shall be attested by two witnesses.

For Bank use only


Nomination Serial No.:
------------------------------------------------------------------------------------ Tear here ------------------------------------------------------------------------------------
Date :
ACKNOWLEDGEMENT - DA1
Date :

We acknowledge receipt of request for change in nomination made by you in favour of :


Name of the nominee
,age Years
with respect to your A/c. Nos.
Yours faithfully,
Signature of Bank official with seal

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