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P.O. S.B. Manual Vol. III - India Post

P.O. S.B. Manual Vol. III - India Post

P.O. S.B. Manual Vol. III - India Post

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79FORM – G[See sub-paragraph (6) of paragraph 12]Application for withdrawal by Nominees/Legal heirsUnder Public Provident Fund Scheme, 1968ToThe Agent/Ma nager/<strong>Post</strong>master………………….. (Name of Bank/ <strong>Post</strong> Office)I ………………………………………………………the nominee(s)/legal heirs oflate………………………………………..the subscriber to Public Provident Fund AccountNo…………………………….. wish to withdraw the entire amount standing to the credit of thedeceased in the said account.Please find enclosed:-(i) A certificate in regard to the death of subscriber.*(ii) Certificate in regard to the death of Shri……………………………. and Shri………………………………………… also the nominee(s) appointed by theSubscriber.**(iii) Succession Certificate/Letters of Administration with attested copy ofprobated will of the deceased subscriber issued by ………………..HighCourt.(iv) Passbook of the subscriber.@(v) Letter of indemnity@(vi) Affidavit.@ (vii) Letter of disclaimer on affidavit.Place:…………………..Date: …………………..Signature (s) or Thumb impression ofClaimant (s)FOR USE OF ACCOUNTS OFFICEWithdrawal of Rs…………………..(Rupees …………………………………………….) issanctioned.Date…………………Signature of Accounts OfficerRECEIPT TO BE SIGNED BY THE CLAIMANT (S)Received the sum of Rs……………………….(Rupees…………………………………) fromthe State Bank of…………………………../<strong>Post</strong> Office………………………..in full settlement ofour claim.Place:…………………..Date: …………………..* Delete if not applicable** Strike off if there is a valid nominationSignature (s) or Thumb impression ofClaimant (s)

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