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APPLCATION FOR REINVESTMENT OF MATURTY VALUE

The Sir Post master/Post Master/Sub Post Master

______________________________ Post office

Sir,

My foiling Accounts/Certificates standing in the books of your post office are going to mature on___________ Detail of the maturing
instrument is given below.

S. No. Account No. Certificate /Registration No. Scheme Maturity Value

Total

I want to invest/reinvest Rs.___________ to the following scheme (s) as per detail given again. Each direct /through authorized agent
___________________ whose agency No. is___________

S. No. Name of scheme Amount Account No. /Registration No

(to be filled by post office)

Total Amount invested

Balance amount(if any)

It is requested that passbooks/certificates of invested amount and balance amount if any return to me/ to may agent on Cheque /credit into
my savings account No._____________ standing in your post office.

(The New account opening form /certificate purchase form dully filled along with the reinvestment)

(Signature or thumb impression of the depositor)


Date:

Note: In case of the unlettered depositor, thumb impression should be attested by the gusted officer whose name and address should be
noted.

For the use of Post office

Balance Amount Rs.____________ ___________________ paid by cash/cheque No.__________ of credit into saving account number
_____________ on _____________

(Signature of PM/ Amp/Spam)

RCEIPT TO BE GIVEN BY AGENT

Received Cheque for Rs.________________

(Signature of Agent)

Serial No.______to is issued by post office.

Date stamp of post office