(68.0. Fo. 4620/29 112005 /-¥PP. CC, No. 84106 i ‘aie wfter Pri ait, 1968 aly ‘ire after ffir eran eit? # fare eet ‘Application for opening a Public Provident Fund Account Under the Public Provident Fund Schome, 1968, re ag 6 AT Re Ret ‘WR EU / The Branch Manager panna aol sede 2e ® / State Bank of lie Recent pacspor size photograoh + oats eee Pat aT 1960 aT wy a Ty oR am had ee Ream A eg anter aT | ere) ee / eB are are her FTA RT GL ty : ens hereby ppl for oping en account under the Pubic Provider Fund Scheme, 1966, in ry name fn the namo of Kumar / vewvee of whom 1am the guardian and tender herewith snus) in cash I cheque asthe itil Bist / fae rer er Permanent adress of subscriber / guaran A pacer We met es wen AAA i, 1968 BoE am TT RCD TRC FT | agre to abide bythe provisions oft Puble Provident Fund Scheme, 1968 and emendmentsecued thereto ‘tom tine to time. a / soes(eet) Boy sR yee / eS oe Aa ACCOUNT INTHE NAME OF SELF / MINOR (5)/HUF/ ASSOCIATION arms 8 om athe Dalectbith of minor. sae # are sees A ert a AER ‘Applicants rltionshio with minor, tay. _ () ee ra Seem cg AT AE ea wee AD ot he cat (thereby declare hat | am not maintaining any oer Public Provident Fund Aesount (0) ea arr tere § A AF A ae at he Hdl oe aE aA A a BP end & Ream aE ara ds were era A te wa (thereby declare tat am not maintaining anyother Pube Provident Fund Account, except an account ‘on behalf of minor ora Hinds Undivied Famly ofan association of persons(i) oR er oer wee FEA THR Ae aH a eg Pa eT whe Ps wee BEY (i) _Inareby aectara hat the dotals of cthor Public Provident Fund accounts opened earlier by me areas under = ee wa Fe fam we oa / a aie eae a Sro. Desctvtion Nareladdress ofthe BarkiPost Ofice ‘and account No. ‘eal eat Set Aunt z Taeaen(en) Bone H Rew 8 eee g Inthe name of minors) of whom | am the uardian| a Ti sites GES GET HUF Account ita 8 rs Sa © Inthe name of Association of persons (6) 9 ae en srr ee re oT Ree ee re eA PRA A rT Re Reh ar BN, TR) 8 ATE Ne, Fra ee C7 Fe (ae GET A PET safc Fe Pri dH aes ane BB, es TE RA wa Set ST Pra Eo & AY fier # AR wre is org ng PA A AM we ANE mwa Al BT also declare thal | shall achere to the ceiling on deposits as srovided for by Central Government from tne 10 ime, wich Rs. £0,000 in anancial yar a present tegothern an invicua elt Account ana Account) on ‘behaf of minors) of whom am tne guaran a iru Undid Famy Accoun! an Association Aecourt. In ‘ase, a anytime the sa cectaraton fund une ase, No ees shal ba payable ome! ho eer nthe amount of deposts found excess of the preeribed im, (6) AR Re i oar FAR A Ret ‘sr sea eo ee ae eer FAD ee wr? fe er ft Br I shallbe using the services of Shi /Ms.. . cs PPR AEN NO. ‘who has conveesod fr peng ft PPF Account ial w/0R 4§ saat 3 8-9 fe afiesf #8 os fur ate shall be vesting dscty and nat theugh any agent. fice / deem & erere mS a Pry rer Oat... ‘Signature or thumb impression of Subscriber / guardian [BRUNE # ARTE TP AdStions specimen signatre 2 acer 1 tee: Pras ree Piafer 8 ew Perk orn werk en we / at of ones et AB ery BIG THT TE AFCA SUrY = Ya ae anne Gast ~The subserber applica who ae no assessed o income tax or do rot have PANVGIR No. may furishatested copy tthe Ration Card or Voter's tentty Card ox Passport for keratin. front 4 rt a we Fah fe ar ge Fh er ar hrc ah ret at RT gg ae a sa EB TET AS TT Nete1~ Whore an account's epened on behalf cf a Hinds Undvided Famty oF an association of persons, he laters HUF" or “Assocation” as the e2¢e may be, chal be addod afer tho namo othe subscriber. el 2- sh erm. aH Ane ¥1 /Note?2- Delete whichever isnot appicabie. ‘er wis # gedlr # fire / FOR THE USE OF ACCOUNTS OFFICE ‘ie wf Prt Aeon aah coe Bib Fem aa fea me ‘The eccount has been opened on thr Publ Powder Fund Account No - eye a. onna FAVRE B7TE BL Pasa Book No has been issued arti Date ‘en ftrft (Accounts Oteor ore fee = wf 191196 ede 15:6 1958 ere aif Wt af em F368 (5) wis 1.72, F217 fi) rer 9.3.79, PY 270) cre 163.9, F271) ei 10.583, A 54 (3) bes 7206, F895 (8) tro 25666, m. x A. 1018 (x) mite 20886 ar w= M793 (x) ibe 20.809, 7 PAT? (a) ere 25594 ate am FY 480 (2) Oe 6:7 1000 0 afer nf ey Foctnote: The scheme was notified vide OSA 1196 dated 15.1860 and amended vile GSR S68{E) dated 1.8 72-65A ‘2U7(E) dated 93.78, GSR 27OE) dated 16.183, GSR 271(E) cited 16383, GOR St[E) cated 72.84, GA B05(E) ded 23686 GSR 11S) cates 29886, GR 7095 eed 26.88, GSR 4771) dled 25.594 and GSP 4EQE) ied 67 299.