| 1. |
Account
No. and type (SB, CTD, RD, FD)
whether minor, public, joint account etc. and in respect of
CTD whether 5,10 or 15 years account |
|
| 2. |
PO at which
account stands (with the name of O in bracket) if the account
is not at HO |
|
| 3. |
Name(s) of
Depositor(s) |
|
| 4. |
Name(s) of
father/husband/guardian person authority operating account |
|
| 5. |
i. Address
of the depositor(s) at the time of opening of the account |
|
|
ii. Present
address of the depositor(s) |
|
| 6. |
Date of
opening of account and office at which opened if diferent from
that in Col.2 |
|
| 7. |
Date and
particulars of the last transaction in the account |
|
| 8. |
Balance at
credit after the last transation |
|
| 9. |
Name of the
PO from which the account was last transferred to the offices
shown at Col. 2 where applicable |
|
| 10. |
Date and
circumstances of loss of passbook, results of efforts made to
trace it etc. |
|
| 11. |
Whether loss
was reported to the police and if so with what results |
|
| 12. |
Remarks |
|
|
|
|
