SB-7 WITHDRAWAL FORM
Application Side(To be filled by depositor) Date DD MM Y Y Y Y
Name of the Post Date DD MM Y Y Y Y PAYMENT ORDER(For office use only)
Office………………………………………….
Transaction ID ……………………………………………
Type of Account : SB TD MIS SCSS NSS, Others……….
Account No. NATURE OF
Pay ₹……………………………(In figures) Rupees
Interest PAYMENT :-
…………………………………………………………………………………………….(in words)
Withdrawal
Please pay to me / messenger (whose name and signatures are given below) the sum
of ₹………………………………………………(In figures) ₹ …………………………………………………………
Date Stamp Signature of Postmaster
(In words).
ACQUITTANCE (to be filled by depositor/messenger)
Balance after withdrawal₹--------------------------------------------(in figures)
Received₹……………………………(In figures) Rupees
Signature or thumb impression of account holder(s)/guardian
………………………………………………………………………….. (in words).
Name of Messenger …………………………………………………………………..
Signature of Messenger ……………………………………………………………
Date:- Signature or thumb impression of account
holder /guardian /messenger
Signature of account holder(s) guardian
Mobile No. …………………………………… PAN No. …………………………….(if applicable)
Attested By________________________________________(Name & Address)
(Attestation is applicable in case of thumb impression)
