POSB Manual Vol I
SB GENERAL RULES
SB 55
POST OFFICE SAVINGS BANK
APPLICATION FOR NOMINATION OR CANCELLATION OR VARIATION OF
NOMINATION

I/We the depositor(s) of Savings/Cumulative Time Deposit/Recurring Deposit/1/2/3/5 year Time Deposit Account No………………… hereby nominate the person(s) named below under Section 4 of the Government Savings Bank Act 1873, to be sole recipient(s) of the amount standing at the credit of the said account.
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Name and address If nominee is minor of nominee --------------------------------------------------------------------------
Date of Birth Name and address of person who may receive the said amount during the Nominee’s minority
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$ The name(s) of nominee(s) may not be entered in the passbook
& This nomination supersedes the previous nomination made in respect of the said account which stands registered under No……….. on ……………. (date)
@ No nomination has been previously made in respect of the said account, which is in force
# I/We, the depositor(s) of savings/cumulative time deposit/recurring deposit/1/2/3/5 year time deposit account no……………… hereby cancel the nomination made in respect of the said account which stands registered under No…………… on …………….. (date)
The Passbook for the account is enclosed.
Signature(s) or thumb impression, if
If illiterate and name(s) of depositor(s)
Witness
Signature …………………………………………….
Name and address …………………………………………….
Signature of Signature of Signature of
Branch Postmaster Sub Postmaster Head Postmaster
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Strike out if no nomination is required
& Strike out if no previous nomination is in force
@ Strike out if a previous nomination is in force
# Strike out if nomination on variation thereof is required
$ Strike out if not required
Name of the Post Office Account No……….