FORM DA 2





Cancellation of nomination under section 45ZA read with section 56 of the Banking Regulation Act, 1949 and Rule 2(5) of Co-operative Banks (Nomination) Rules, 1985 in respect of bank deposit.



I/ We ...............[names(s) and address(es) .......................hereby cancel the nomination made by me/ us in favour of ......................(name and address) ...................in respect of .........................(giving details of deposit) .............

Place:

Date:

Name (s), signature (s) and *Signature (s)/Thumb impression (s) addressees) of witness (es)+ of depositor (s)

* Where deposit is made in the name of minor, the cancellation of nomination should be signed by a person lawfully entitled to act on behalf of the minor.

+ Thumb impression(s) shall be attested by two witnesses.