FORM SC 1





Nomination under Section 45ZC read with section 56 of the Banking Regulation Act, 1949 and Rule 3 (1) of the Co-operative Banks (Nomination) Rules, 1985, in respect of articles left in safe custody with banking company



I ............(name and address) ...............nominate the following person (s) to whom, in the event of my/minor's death the articles left in safe custody, particulars where of are given below, may be returned by ..........(name and address of branch/office in which the articles are left in safe custody) .........................................................

Deposit:-

1. Nature of

2. Distinguishing no.

3. Additional details, if any

Nominee:-

1. Name

2. Address

3. Relationship with Depositor, if any

4. Age

5. If nominee is a minor, his date of birth

+2. As the nominee is a minor on this date, I appoint Shri/Smt./Kum .....................(name, address and age) ..................to receive the said articles on behalf of the nominee, in the event of my/minor's death during the minority of the nominee.

Place:

Date :

Name(s) address (es) and *Signature/Thumb impression

Signature(s) of witness(es)# of depositor.

+ Strike out if nominee is not a minor.

* Where articles are left in safe custody in the name of a 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.