FORM A
[See sub-paragraph (1) of paragraph 4]
Serial No.
STATE BANK OF
Application for opening a Public Provident Fund Account under the Public
Provident Fund Scheme, 1968

Paste here a copy
To of recent passport
The Branch Manager/Post master size photograph
(Name of the bank/Post office)
PAN No.
I, hereby apply for opening an account under the Public Provident Fund Scheme, 1968, in my name/in the name of Kumar/Kumari of whom I am the guardian and tender herewith Rs. (Rupees ) in cash/cheque as the initial subscription.
Permanent address of subscriber/guardian
I agree to abide by the provisions of the Public Provident Fund Scheme, 1968, and amendments issued thereto from time to time.
ACCOUNT IN THE NAME OF SELF/MINOR(S)
Date of birth of minor
Applicant's relationship with minor, if any
(i) I hereby declare that I am not maintaining any other public provident fund account.
(ii) I hereby declare that I am not maintaining any other public provident fund account, except and account on behalf of a minor.
(iii) I hereby declare that the details of other public provident fund accounts opened earlier by me are as under:
Sl. No. Description Name/address of the bank/post office and account
No.
1. Self account
2. In the name of minor(s) of whom I am the guardian
1 [(iv) I also declare that I shall adhere to the ceiling on deposits as provided for by Central Government from time to time, which is [Rs. 1,00,000] in a financial year at present, in each of the following types of Public Provident Fund Account;-
(a) Individual Self Account and Account(s) on behalf of minor(s) of whom I am the guardian, taken all the accounts together;
In case, at any time the said declaration is found untrue/false, no interest shall be payable to me/the subscriber on the amount of deposits found in excess of the prescribed limit]
(v) I shall be utilizing the services of Shri/M/s. PPF Agency No. , who has canvassed for opening of this PPF account, or
I shall be investing directly and not through any agent.
Date
Signature or thumb impression of subscriber/Guardian
Additional specimen signatures
The subscriber/applicant who are not assessed to income-tax or do not have PAN/GIR No. may furnish attested copy of
the ration card or voter’s identity card or passport for identification.
Note 1 : [ ]
Note 2: Delete whichever is not applicable.
FOR THE USE OF ACCOUNTS OFFICE
The account has been opened on with Rs. under Public Provident Fund Account No Pass
Book No has been issued.
Date
Accounts Officer
___________
Substituted for "Rs. 70,000" by the Public Provident Fund (Amendment) Scheme, 2011, w.e.f. 1-12-2011. Earlier "Rs. 70,000" substituted for "Rs. 60,000" by the Public Provident Fund (Second Amendment) Scheme, 2002, w.e.f. 15-11-
2002.