SB/CQE-4(a)
DEPARTMENT OF POSTS
Requisition for fresh cheque book for Savings Account
NB : As a safeguard against fraud, application for a fresh cheque book must be made on this form only by the depositor(s)
To Dated ……………..
The Post Office Saving Bank ……………………………………… Post Ofice
1. Please issue a fresh cheque book for my/our Savings Account No…………..
standing open at your office
2. The cheque book should be delivered/sent by post to :-
Name ………………………………
Full Address ………………………………
………………………………………………………
………………………………………………………
Signature(s) of Depositors
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TO BE FILLED IN BY THE POST OFFICE
Cheque Book containing Received cheque book
………………….. cheques issued containing cheques
Noted in ledger/ledger card of Account No……… No……… to …………
Initials with date Signature of
of Postmaster Depositor/Messenger