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In Nomination Registration Form Da One

This document is a nomination form (DA1) under the Banking Regulation Act for bank deposits, allowing depositors to nominate a person to receive the deposit amount in case of their death. It includes sections for the depositor's details, nominee's information, and provisions for minor nominees. The form also requires signatures, witness details, and an acknowledgment from Standard Chartered Bank upon submission.

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anirbanc.pe.rs
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143 views1 page

In Nomination Registration Form Da One

This document is a nomination form (DA1) under the Banking Regulation Act for bank deposits, allowing depositors to nominate a person to receive the deposit amount in case of their death. It includes sections for the depositor's details, nominee's information, and provisions for minor nominees. The form also requires signatures, witness details, and an acknowledgment from Standard Chartered Bank upon submission.

Uploaded by

anirbanc.pe.rs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONFIDENTIAL

Nomination form DA1


Nomination under Section 45ZA of the Banking Regulation Act, 1949, and Rule 2(1) of the Banking Companies
(Nomination) Rules 1985 in respect of bank deposits.
I/We _______________________________________ ____________________________________________

___________________________________________ ____________________________________________

___________________________________________ ____________________________________________
(Name(s) and address(es))
nominate the following person to whom in the event of my/our/minor's death the amount of the deposit in the account,
particulars whereof are given below, may be returned by Standard Chartered Bank, __________________ branch.
Deposit/ Account:
Nature of Deposit ___________________________________ Distinguishing No _______________________________
Additional Details if any _____________________________________________________________________________

Nominee

Name :_________________________________________ Address of Nominee : _____________________________

________________________________________________________________________________________________
Relationship with depositor (if any) ____________________Age____ Date of birth ( if nominee is minor) ____/____/_____

** As the nominee is a minor on this date I/We appoint Shri/Smt./Kum. ___________________________________

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 minority of
the nominee.
Print Nominee Name on statement/passbook/ Deposit Confirmation Advice  Yes  No

*Signature(s)/Thumb impression(s) of depositor(s)


Witness(es)*** Witness(es)***
Name ________________________________________ Name _________________________________
Signature***
_______________________________________ Signature*** ___________________________

Address _____________________________________ Address _______________________________

____________________________________________ ______________________________________

Place : _____________________________________ Place : ________________________________


Date : _____________________________________ Date : ________________________________

*where deposit is made in the name of a minor the nomination must be signed by a person lawfully entitled to act
on behalf of the minor.
**Strike out if nominee is not a minor.
*** Thumb impression(s) shall be attested by two witnesses.
Acknowledgement
We acknowledge your Nomination in Form DA1 relating to Account No. ________________________ in the name of
____________________held with us. Please quote the Nomination Number ______________________ in all your
correspondence with us in this regard.
For Standard Chartered Bank
Manager

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