FORM 2
[See rule 14(1)]
DEPARTMENT OF POSTS
Serial No. .
Form of application for nomination under section 6 of the Government Savings Certificates Act, 1959
(This form will be filled in by the holder(s) and submitted with the certificates to the Postmaster of the office where the certificates stand registered)

To
The Postmaster,
Under provisions of section 6(1) of the Government Savings Certificates Act, 1959, I/we the holder(s) of savings certificates detailed below, hereby
nominate the persons mentioned below, who shall, on my/our death, become entitled to the savings certificate(s) and to be paid the sum due thereon to the exclusion of all other persons. I/We hereby declare that I/we have not so far made any nomination in respect of these certificates.
Sl. No. Name of nominee(s) Full Address Date of birth of nominee in
case of minor
2. As the nominee(s) at serial number(s) above is/are minor(s), I/we appoint
Shri/Smt./Kumari (Name and full address) as the person to receive the sum due thereon in the event of my/our death during the minority of the nominee(s).
3. The certificates detailed below are enclosed.
Sl. Nos. of
certificates
Denomination Date of issue Office of issue
Address : Yours faithfully,
Signature (or thumb impression,
if illiterate) of holder(s)
(In case of illiterate holder, father's name should be given) :
Witnesses :
Name
Address (1)
Name
Address (2)
Note: In the case of illiterate holders, the witnesses shall be persons whose signatures are known to the post
office.
Order of the Postmaster accepting the nomination.
Date stamp of post office.
Signature of Head/ Sub-Postmaster