FORM SL 2





Cancellation of nomination under section 45ZE and 52 read with section 56 of the Banking Regulation Act, 1949 and Rule 4(5) of the Co-operative Banks (Notification) Rules, 1985 in respect of safety locker



I/We ...............[name(s) and address(es)] ................hereby cancel the nomination(s) made by me/us in favour of ...................[name(s) and address(es)] ..............in respect of the safety lockers, the particulars whereof are given below:

Locker:-

1. Nature of

2. Distinguishing mark or No.

3. Additional details if any

Nominee:-

1. Name

2. Address

3. Relationship with hirer, if any

4. Age

Place:

Date:

Name(s) and signature(s) *Signature(s)/Thumb impression(s)

and addressees) of witness(es)+ of hirer(s)

* Where the locker is hired solely 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.