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/SB-7
/Withdrawal Form

PASS BOOK MUST ACCOMPANY THIS FORM
/Name of Post Office.........................................
/
Account No............................ /Date
.......................
/
Pay self/ Messenger
whose signature is given
below the sum of Rs ....... ......................... .
/ (in words)
Rs
.......................................
/ (In figures). .
/
Balance after withdrawal Rs....................................
/ (in figures)
/
Name of Messenger............................................
/ Signature of
Messenger.......................................
/ Signature or thumb impression of
depositor
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/
Payment Order
/Date
........................
Pay Rs
.............................................................................
/ (In words)
/Interest............................................................................
/ (in case of closure)
/ Acquittance
Received Rs...............................................................
/
Date....................
/Signature
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