APPLICATION FOR TRANSFER OF POST OFFICE ……………………………… CERTIFICATES
FROM ONE POST OFFICE TO ANOTHER
Sl. No and date of original application for purchase of the Certificate
To
The Postmaster
………………….
I/We …………………………………………………………………………. request that the
undermentioned certificate(s) in my/our Name/the name of minor (Name ……………………………..) which is/are registered in the books of your office may be transferred to the books of the ………………………….. Post Office
PARTICULARS OF THE CERTIFICATE
If purchased on behalf
of minor
No. &
Type
Date of
issue
Denomination
Date
of
birth
Name of
guardian
authorised to
encash
Sl No.of
identity
slip
issued
Date of
discharge and
initials of the
Postamster
Every change
effecting a
certificate such as
transfer spoilt,
sisue of duplicate
certificates etc
should be noted
hereunder the
dated initials of the
Postmaster
(1) (2) (3) (4) (5) (6) (7) (8)
Signature Signature of the Nominee mentioned in Column 4 attested
(not thumb impression of nominee
(if any) per column 4 above)
Signature (with date) of the Postmaster of the transferring office
Oblong MO Stamp of Transferee Office
PARTICULARS OF NOMINATION UNDER SECTION 6(1) OF GOVERNMENT SAVINGS
CERTIFICATE ACT 1959, AS RECORDED IN THE APPLICATION FOR PURCHASE
Sl Name of the
Nominee Full Address
Date of birth
of nominee if
minor
Name of nominee
with full address
in case of death of
minor mentioned
in Column (2)
Signature of the
Postmaster of the
office of registration
attesting the
particulars in
column 1 to 5
(1) (2) (3) (4) (5) (6)
Address :
……………………………………
……………………………………
…………………………………...
Signature (or thumb impression, if illiterate) of
holder/applicant (in case of illiterate applicant's father's
name is to be mentioned)