FORM DA 3





Variation of nomination under section 45ZA read with section 56 of the Banking Regulation Act, 1949 and Rule 2(6) of the Banking Companies (Nomination) Rules, 1985 in respect of bank deposits



I/ We ..................[names(s) and address(es)] ........................cancel the nomination made by me/ us in favour of ..................(name and address) ..................and hereby nominate the following person(s) to whom in the event of my/ our/ minor's death the amount of the deposit, particulars whereof are given below may be returned by ..................(name and address of branch/ office in which deposit is held ............)

Deposit:-

1. Nature of

2. Distinguishing no.

3. Additional details, if any

Nominee:-

1. Name

2. Address

3. Relationship with Depositor, if any

4. Age

5. If nominee is a minor, his date of birth

+2.As the nominee is a minor on this date, I/ We appoint Shri/ Smt./ Kum ...................(name, address and age) ..................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.

Place:

Date:

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

+ Strike out if nominee is not a minor

* Where deposit is made in the name of a minor, the variation 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.