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Minee is a Minor his date of birth As the nominee is a minor on this date, I/We appoint Mr. / Ms. age address to receive the amount of the deposit on behalf of the nominee in the event of my / our / minor s death during the period of minority of the nominee. 1) 2) 3) (Signature (s) /thumb impression of Applicant) 4) WITNESS Name Address Signature For Branch use only KYC Norms issued by RBI are complied. Date: Obtained documents such as : . PAN ( Mandatory) . . Copy of Identity.

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