FORM 1
[See rules 6, 10 and 18(1)]
Form of application for purchase of National Savings Certificates (VII Issue)
Serial No……………

To
The Postmaster……Post Office………..
I/We, hereby tender Rs….....(Rupees………….only) in cash/ by cheque No…………..for the purchase of National Savings Certificates (VII Issue), of the type Single/ Joint A/ Joint B/
(a) in the name(s) of…………..and…………
(b) in case of minor, his date of birth…………..encashable by the minor's parent/ guardian Shri/ Smt ……………..
(c) in the name of………….(members, etc.)……………through………..(society or company, etc.)
2. I/We nominate the person(s) named below who shall, on my/ our death, receive payment.

SI. No.	Name of nominee	Full Address	Date of birth of minor nominee

3. I/We hereby agree to abide by the National Savings Certificates (VII Issue) Rules, 1981.
4. The certificate/ identity slip may be made over to my/ our agent Authority No……………… or messenger who presents this application.
5. Depositor's instruction :- Please credit the interest to my/our Savings Account No…………….
 Signature/thumb impression of investor(s)
Date………………….
Address          
Signature and address of witness
to nomination
            Received the certificate(s) and identity slip
Date………………..
            Signature of investor/ messenger/ authorised agent
Delete whichever is not applicable.
IDENTITY SLIP
Specimen Signature
TO BE COMPLETED BY THE POST OFFICE

Serial Nos. of certificate	Issue price Rs.	Date of payment of interest	Date of encashment	Initials of the postmaster	Remarks like transfer, issue of duplicates, etc., with initials
Total

Date…………………                                                                              Signature of postmaster