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Form - E: (See Sub Rule (1) of Rule 8 and Rule 9) Serial No .

This document is an application form for closing a Senior Citizens Savings Scheme (SCSS) account. It contains fields for the applicant's information, account details, request to close the account and refund the deposit amount and interest. Any applicable adjustments for overpaid interest or deductions will be made before refund. The applicant signs to acknowledge receipt of payment after closure of the account is approved and processed by the deposit office.

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Indumati Yadav
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496 views1 page

Form - E: (See Sub Rule (1) of Rule 8 and Rule 9) Serial No .

This document is an application form for closing a Senior Citizens Savings Scheme (SCSS) account. It contains fields for the applicant's information, account details, request to close the account and refund the deposit amount and interest. Any applicable adjustments for overpaid interest or deductions will be made before refund. The applicant signs to acknowledge receipt of payment after closure of the account is approved and processed by the deposit office.

Uploaded by

Indumati Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM – E

(See sub rule (1) of rule 8 and rule 9)


Serial No…………………..
APPLICATION FOR CLOSURE OF AN ACCOUNT UNDER SENIOR CITIZENS SAVINGS SCHEME, 2004
TO
Bank of India
…………………………………………………… (Branch)
…………………………………………………….
…………………………………………………….

Subject: Application for withdrawal/closure of account.


Sir,
I,……………………………………………………………………,son/daughter/wife of………………………………………
resident of ………………………………………………………………………………………………………………………… …………………,
and depositor of account No. …………………….….….. (hereinafter referred to as the ‘said account’) hereby apply
for closure of the said account with immediate effect. The interest of Rs…………………………. and deposit of
Rs……………………………………………………………………………..TOTAL(INTEREST+DEPOSIT) Rs…………………………
(Rupees………………………………………………………… ………………………), *after adjustment of overpaid interest
and/or deduction equal to …………per cent of the deposit, amounting to Rs…………………………… (Rupees
……………………………………...………………………… ……………………) and any other charges, recoverable from me
in respect of the account in question, may kindly be refunded to me immediately.

The Pass Book is enclosed.

Signature or thumb impression of the Depositor


------------------------------------------------------------------------------------------------------------------------------------
FOR USE BY THE DEPOSIT OFFICE
ACCOUNT No…………………………DATE OF DEPOSIT……………………………AMOUNT OF
DEPOSIT: Rs……………………………….
Withdrawal on account of Interest Rs………………………….. and deposit
Rs…………………………………………..totalling to Rs.……………………………………… (Rupees………………………………..
…………………………………………………………………...) is sanctioned in favour of the depositor.
*Recovery of overpaid interest Rs…………………………………, deduction of Rs.……………………………………………..
and Other Charges (to be specified) Rs…………………………… totalling to Rs…………………………….. (Rupees
…………………..……………………………………………………………………………………………) has been adjusted.
NET AMOUNT PAID Rs………………… (Rupees……………………………………………………………………)

RECEIPT
Received a sum of Rs…………………………………… (Rupees…………………………………………………………….……………….)
from………………………………………………………….. (Name of Deposit office) as per details furnished above.

Signature / Thumb impression of the depositor

Signature of in-charge of Deposit Office


(Alongwith name and designation stamp)

*: Score out whichever is not applicable.

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