FORM A
Application for opening a new account

                                                                      Acknowledgement
[See paragraph 4(1)]

State Bank of India, Branch....................	State Bank of India, Branch.................
Site Restoration Fund Scheme, 1999	Site Restoration Fund Scheme, 1999
	[Paragraph 4(4)]
	Branch............................
Deposit A/c. No..........................	Deposit A/c. No........................
(for office use)
Voucher No.
Voucher Date
Amount deposited (in figures)	Received from :.............................
(in words)...........................	Name..................
By cheque/DD No./Bank transfer..........	Address
Name and address of the depositor :	Rupees received as deposit under the Site Restoration Fund Scheme. The amount will be credited subject to realisation. The statement of account will be sent in due course.
Permanent Account No. of depositor
Bank details for withdrawal :	Date :.............
Name
Branch................	Place :.......................
A/c No..........................

     Signature of the depositor
Date :                                          
Place :                                         
(For office use only)
Opened account in favour of………………       
On…………….                                                             Signature of Officer-in-Charge
The A/c. No. allotted is…………………..         
Signature of Officer-in-Charge