F 26

Branch Manager No.
BANK OF MAHARASHTRA
Branch Date.

Please accept in Fixed/Short Term/ Call Deposit/ MIDS/ Cumulative
Deposit Scheme Rs. Rupees months @ % P.A. in the name (s) of
(1)
(2)
(3)
Payable to No. former/either/any one/ jointly or survivors Please credit interest to my/ our CA/ SB/ RD A/c. No.
Permanent Address with nearby place Yours faithfully
___________________________
1._________________________
___________________________
2._________________________
___________________________
3._________________________
(Specimen Signature)
Introduced by SB/ CA/ A/c. No.
A/c. Opened & Receipt Issued
Branch Manager
Date of Renewal
Old Receipt No.
Renewed Receipt No.
Amount
Due Date
Br. Manager Initial
(Madhav, Pune)