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TSB Form 1

1. This document is an application form to open an account at the Treasury Savings Bank for different account types like TSB, STSB, PTSB, etc. 2. It collects information like name, address, customer ID, nomination details, and purpose of security account (if applicable). 3. Upon verification of KYC and ID proof, the selected account category and details like customer ID and account number will be provided upon approval.

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EldhoThomas
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1K views

TSB Form 1

1. This document is an application form to open an account at the Treasury Savings Bank for different account types like TSB, STSB, PTSB, etc. 2. It collects information like name, address, customer ID, nomination details, and purpose of security account (if applicable). 3. Upon verification of KYC and ID proof, the selected account category and details like customer ID and account number will be provided upon approval.

Uploaded by

EldhoThomas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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285/959/22 5,00,000 GPE © Govt.

of Kerala

SB FoRM No. 1
( Rules 57 & 67)
GOVERNMENT OF KERALA
TREASURY SAVINGS BANK
Application to Open an Account for
( Tick the category applicable)
TSB STSB · PTSB I TSA I TPA ·1 JPTSB *TFD
Name(s) in full
Address(es)
'

Customer ID

Object (in the case of Public Account)


Name of Pledgee (in the case of Security
Account /Term Deposit) ·
Purpose for which the Security is offered

TERM DEPOSIT
Amount (in words & figures)

Period & Rate of interest


* TSB account should also be opened for crediting interest on TFD
NOMINATION
SI. DOB Name & address of Guardian
Name & address of Nominee Relationship Share %
No. (if minor) (in case of minor)

'
Date:
Signature(s) of the Applicant(s) (in blue or black ink)

Application verified with KYC form and ID proof


Account opened
Category of Account TSB/STSB/PTSB/TSA/TP A/JPTSB/TFD
Customer ID
Account No.

Date: (Treasury seal) Signature of Passing Officer


[P.T.O.
DECLARATION

YWe hereby declare that the savings bank rules have been read by me/us and that YWe accept them
as binding upon me/us.
YWe further declare that YWe have no TSB Account opened by me/us on my/our on behalf at any
time, at any other Treasury.
YWe declare that YWe have no account on behalf of a Minor/Lunatic at any other Treasury Savings
Bank.
.
YWe declare that the minor was born on...................................... :.........................................................

YWe hereby undertake not to make any claim on the Treasury Savings Bank for the principal or any
.......... .
interest thereon except with the express written sanction of............................................................
....... .......... ................... ........ ....... ......... ............. ......·-......................................................................................
... .
(here enter ·the ·name of the pledgee)."......................................................-.................... :............. ;...............
of the
to whom the security is hereby pledged nor to -object to the payment by the Bank of the whole or part
_principal or interest to the said office on his claiming it.
I/We hereby declare the person(s) nominate d are entitled to receive after my death the balance
amount to the credit of my Account

1/We understan d that, if 1/We request repaymen t of term deposit before maturity the repayme nt
such
would be on forfeiture of 1% interest unless the bank at its discretion agree to pay interest when
interest will be @ applicable to term deposits for the period of which the deposit has actually run.

Station:

Date:

Signature of the Applicant (s)


Received the with-in mentioned Term Deposit Certificate

Signature of Depositor(s) with ~te

Countersigned
(in case of Pledged accounts)

Signature and official


address of the Pledgee

in the case
Note: Score out the declaration not applicable to the class of the deposit. Countersignature is required only
of security account and public accounts wherever applicable. · ·

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