FORM SL 1





Nomination under section 45ZE read with section 56 of the Banking Regulation Act, 1949 and Rule 4(1) of the Co-operative Banks (Nomination) Rules, 1985, by sole hirer in respect of safety locker



I, ............(name and address) nominee the following person to whom in the event of my/minor death ...............(name and address of branch/ office in which the locker is situated) .........................may give access to the locker and liberty to remove the contents of the locker, particulars whereof are given below:

Locker:-

1. Nature of

2. Distinguishing no.

3. Additional details, if any

Nominee:-

1. Name

2. Address

3. Relationship with hirer, if any

4. Age

5. Place:

6. Date:

Name(s) signature(s) and addressees) *Signature/Thumb impression of witness(es)+ of hirer.

*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.