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(OBVERSE)
DEPARTMENT OF POST
APPLICATION FOR TRANSFER OF NATIONAL SAVINGS
CERTIFICATES/NATIONAL PLAN CERTIFICATES/NATIONAL PLAN SAVINGS
CERTIFICATES AS SECURITY
[Vide Rule M(5) of the P.O. N.S.C. Rules 1944]
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| Registration
No. ......................... |
Serial
No. and date of original
application for purchase of National
Savings Certificates/National Plan
Savings Certificates. |
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To
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THE
POSTMASTER
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Sir,
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I/We
.............................................................................
(Name in Block Capital) am/are required to deposit an
amount of Rs................................. as
security with
.............................................
(Official designation of the gazetted Govt. Officer or
name of the Reserve Bank of India, or a Scheduled
Bank. Co-operative Bank, Regd. Co-operative Society,
Corporation, Incorporated Limited Company or Regd.
firm) vide enclosed certified true copy of the written
authority from the said officer/ Bank etc. I/We
therefore request you to transfer the undermentioned
Natioanl Savings Certificates (s)/National plan
Savings Certificate/Declaration in lieu of lost
certificates of which I/We am/are the holder(s) in
favour of
..........................................................
(Official designation of the officer or name of the
bank etc. to whom the certificates are being pledged
as security).
I/We
agree that the certificates shall be encashable by the
pledge when the security has been forfeited .
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Particulars
of Certificates or Declaration in lieu of lost certificates.
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No. & date of letter from
the pledgee
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Serial
No. of Certificates |
Date |
Name
of office of issue |
Denomination
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| Total No. of
Certificates or Declartions
.......................................................................................
Yours faithfully,
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| Signature
of the pledgee
..................................................
Signature of Transferer(s) of Certificate
Date
................................................................
Dated ....................................
................................................................
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