FORM B
(See sub-rule(3) of rule 4)
Serial No…………………
APPLICATION FOR EXTENSION OF AN ACCOUNT UNDER SENIOR CITIZEN’S
SAVINGS SCHEME, 2004
To
The Postmaster/Incharge
……………………………………. (name of the Deposit Office)
…………………………………….
Sub : Application for extension of an account for three years
with effect from ……………… (date/month/year)
I, ……………………………………. Son/daughter/wife of …………… a depositor of account
no………………………….. (hereinafter referred to as the ‘said account’) hereby apply for continuation of the account under the Senior Citizen's Savings Scheme, 2004 (hereinafter referred to as the ‘the said scheme’), for a further period of three years from the date of maturity of my above said account.
I have understood the terms and conditions applicable to the account during the period of extension under the Senior Citizen's Savings Scheme, 2004 as amended from time to time.
I shall close the account immediately on completion of the extended period and get back the deposit standing at my credit in the account after adjustment of the interest paid in excess, if any, and any other charges recoverable in connection with the said account.
Date Signature of the Depositor
Place (name and address)
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FOR THE USE OF DEPOSIT OFFICE
The account no………………………. which was opened on …………….. with Rs…………………. (Rupees………………………………………………..) under the Senior Citizen's Savings Scheme, 2004 and matured on ……………………, has been extended for a period of three years with effect from ……………….. to ………………… Rate of interest at ………………… percent per annum as applicable under the Scheme to fresh
deposits opened or to be opened on the date of maturity, shall be applicable during the extended period of the deposit.
Necessary entries have been made in the Passbook No……………………… and relevant Ledger folio
No……………….. accordingly.
Date Signature of the incharge of Deposit Office
(along with name and designation stamp)