NOMINATION FORM SL 1
(By E or S of Safety Locker)
Nomination under Section 45ZE of the Banking Regulations Act, 1949 and Rule 4(1) of the Banking Companies
(Nomination) Rules, 1985 by Sole Hirer in respect of
Safety Locker
I, ....………………………………….
……………………………………………………………………………………………………………………………………
.………………………………….… (Name and Address of Sole Hirer) nominate the following person to whom in the event of
my/minor’s death, DCCB , ……………………………………………………. Branch, may give access to the locker and liberty to
remove the contents of the locker, particulars whereof are given below,
SAFETY LOCKER DETAILS
Nature of Distinguishing Locker No. Additional Details, if any
Nominee Details
Name Address Relationship with Age Date of birth (If nominee is
Depositor, if any minor)
2. As the nominee is a minor on this date, I appoint Mr. /Ms. …………….…………………………………………………………….
………………………………………………………………………....aged………… (Name, address and age of Guardian) to access the
Locker on behalf of the nominee in the event of my/minor’s death during the minority of the nominee.
*Signature/Thumb Impression of Locker Hirer
Place: ………………………
Date: ……/……./20….. FOR OFFICE USE ONLY
Nomination Registered in Locker No…………. with
(1)__________________________________________
Nomination No………………………………..
(2)__________________________________________ Branch /Service Manager
Name(s), Signature(s) and Address of Witness(s)
Where the locker is hired solely in the name of a minor, the nomination
should be signed by a person lawfully entitled to act on behalfof the
minor.
NOMINATION FORM SL 1A
(By Joint Hirers of Safety Locker)
Nomination under Section 45ZE of the Banking Regulations Act, 1949 and Rule 4(2) of the Banking
Companies (Nomination) Rules, 1985 by Joint Hirers in respect of
Safety Locker
We,..………………………………….
……………………………………………………………………………………………………………………………………
.………………………………….… (Name and Address of Joint Hirers) nominate the following person to whom in the event of the
death of one or more of us, DCCB, …………………………………………………. Branch, may give access to the locker and
liberty to remove the contents of the locker, particulars whereof are given below, jointly with the survivor or survivors of us.
SAFETY LOCKER DETAILS
Nature of Distinguishing Locker No Additional Details, if any
NOMINEE DETAILS
Date of Birth
Relationship With
Name Address Age (If Nominee is a
Depositor, if any
Minor)
2. As the nominee is a minor on this date, we appoint Mr. /Ms. …………………………………………………………………….
………………………………………………………………………....aged………… (Name, address and age of Guardian) to access
the Locker on behalf of the nominee in the event of our death during the minority of the nominee.
Place: …………………….. Signature(s)/Thumb impression(s) of Locker Hirers
Date: ……/……./20…..
FOR OFFICE USE ONLY
Nomination Registered in Locker No…………. with
(1)__________________________________________
Nomination No………………………………..
(2)__________________________________________
Name(s), Signature(s) and Address of Witness(s)
Branch /Service Manager
NOMINATION FORM SL 2
(For Cancellation of Nomination of Safety Locker)
Cancellation of nomination under Sections 45ZE and 52 of the Banking Regulations Act, 1949 and Rule-4(5) of
the Banking Companies (Nomination) Rules, 1985 in respect of Safety Lockers
I / We
……………………………………………………………………………………………………………………………………………
………………………
.
……………………………………………………………………………………………
………………………………………………………………………………… (Name(s)
and Address of Locker Hirers)
hereby cancel the Nominations made by me / us in favour of ………………………………………………………………………….
………………………………………………………………………………………………………. (Name and Address of Nominee)
in respect of Safety Lockers, the particulars whereof are given below.
SAFETY LOCKER DETAILS
Nature of Distinguishing Locker No Additional Details, if any
Place: ……………………..
Date: ……/……./20….. Signature(s)/Thumb impression(s) of Locker Hirer(s)
(1)___________________________________________
(2)___________________________________________
Name(s), Signature(s) and Address of Witness(s)
FOR OFFICE USE ONLY
Nomination deleted from the Safety Locker No ……………..as per request given by the Hirer(s)
Branch / Service Manager
NOMINATION FORM SL 3
(Variation of Nomination by Sole Hirer of Safety Locker)
Variation of nomination under Sections 45ZE and 52 of the Banking Regulations Act, 1949 and Rule 4(6) of
the Banking Companies (Nomination) Rules, 1985 by Sole Hirer in respect of Safety Locker
I
……………………………………………………………………………………………………………………………………………
(Name and Address of Sole Hirer) the nomination made by me in favour of
………………………………………………………………………
……………………………………………………………. (Name and Address of Nominee) and hereby nominate the following
person to whom in the event of my/minor’s death DCCB, ………………………………………………
Branch may give access to the locker and liberty to remove the contents of the locker, particulars
Where of are given below:
SAFETY LOCKERS DETAILS
Nature of Distinguishing Locker No Additional Details, if any
NOMINEE DETAILS
Date of Birth
Relationship With
Name Address Age (If Nominee is a
Depositor, if any
Minor)
2. As the nominee is a minor on this date, I appoint Mr. /Ms. …………………………………………………………………….
…………………………………………………………………aged………… (Name, address and age of Guardian) to access the
Locker on behalf of the nominee in the event of my/minor’s death during the minority of the nominee.
Signature(s)/Thumb impression(s) of Sole Hirer
Place: ……………………. FOR OFFICE USE ONLY
Date: ……/……./20…..
Nomination Changed in Locker No ……………….
(1)__________________________________________ with New Nomination No………………………………..
(2)__________________________________________
Branch /Service Manager
Name(s), Signature(s) and Address of Witness(s)
* Where the locker is hired solely in the name of a minor, the nomination should be signed by a person lawfully entitled to act on
behalfof the minor.
NOMINATION FORM SL 3A
(Variation of Nomination by Joint Hirers of Safety Locker)
Variation of nomination under Sections 45ZE and 52 of the Banking Regulations Act, 1949 and Rule 4(7) of the
Banking Companies (Nomination) Rules, 1985 by Joint Hirers in respect of Safety Locker
We……………………………………………………………………………………………………………………………………(Names
and Addresses of Joint Hirers) cancel the nomination made by us in favour of
………………………………………………………………………
……………………………………………………………. (Name and Address of Nominee) and hereby nominate the following person
to whom in the event of the death of one or more of us, DCCB,…………………………………. Branch, may give access to the locker
and liberty to remove the contents of the locker, particulars whereof are given below, jointly with the survivor or survivors of us.
SAFETY LOCKERS DETAILS
Nature of Distinguishing Locker No Additional Details, if any
NOMINEE DETAILS
Date of Birth
Relationship With
Name Address Age (If Nominee is a
Depositor, if any
Minor)
2. As the nominee is a minor on this date, we appoint Mr. /Ms. …………………………………………………………………….
…………………………………………………………………aged………… (Name, address and age of Guardian) to access the Locker
on behalf of the nominee in the event of our death during the minority of the nominee.
Signature(s)/Thumb impression(s) of Joint Hirers
Place: ___________
Date: ……/……./20….. FOR OFFICE USE ONLY
Nomination Changed in Locker No ……………….
(1)__________________________________________ with New Nomination No………………………………..
(2)__________________________________________
Name(s), Signature(s) and Address of Witness(s) Branch /Service Manager
