FORM 2
[See para 4(c)]
Form of Pass Book to be issued to the depositor under Deposit Scheme for
Retiring Employees of Public Sector Companies, 1991

Cover page
Obverse
Deposit Scheme for Retiring Employees of Public Sector Companies, 1991.
PASS BOOK
Serial No. .
Name and address of bank
Name of the Account Holder
Account No.
Ledger No.
Folio No.
COVER PAGE
REVERSE
Account No.
Name
Address
Date of issue
Particulars regarding nomination :
Sl. No. Name of the Nominee Permanent Address Date of birth of nominee in case of
minor
(Signature of issuing authority)
Manager
(Name of the Bank)
FORM OF PAGES INSIDE THE BOOK
Date Particulars Amount Amount
deposited
Amount
withdrawn
Int. paid Balance Signature
1 2 3 4 5 6 7 8