FORM-B
(See sub-rule (3) of rule 4)
APPLICATION FOR EXTENSION OF AN ACCOUNT UNDER
SENIOR CITIZENS SAVINGS SCHEME, 2004
To,
The Chief / Branch Manager
State Bank of India
____________________
____________________
____________________
APPLICATION FOR EXTENSION OF AN ACCOUNT FOR THREE YEARS
WITH EFFECT FROM ___/___/20____(DATE/MONTH/YEAR)
Sir / Madam,
1. I, _________________________ Son/Daughter/Wife of ________________________, a Depositor
of account No._____________________, (hereinafter referred to as the ‘said account’) hereby
apply for continuation of the account under the Senior Citizens Savings Scheme, 2004
(hereinafter referred to as ‘the said scheme’), for a further period of three years from the date of
maturity of my above-said account.
2. I have understood the terms and conditions applicable to the account during the period of
extension under the Senior Citizens Savings Scheme Rules, 2004 as amended from time to time.
3. I shall close the account immediately on completion of the extended period and get back the
deposit standing at my credit in the account after adjustment of the interest paid in excess, if any,
and any other charges recoverable in connection with the said account.
Date
: ___/___/20___
(Signature of the Depositor)
_______________________________
Place : ____________
_______________________________
_______________________________
(Name and Address)
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FOR THE USE OF BRANCH
The account No ______________________ which was opened on ___/___/20___ with
___________
(Rupees ___________________________________ Only) under the Senior Citizens Savings Scheme,
2004 and matured on ___/___/20___, has been extended for a period of three years with effect from
___/___/20___ to ___/___/20___ Rate of interest @ _____% per cent per annum as applicable under
the scheme to fresh deposits opened or to be opened on the date of maturity, shall be applicable
during the extended period of the deposit.
Necessary entries have been made in the Pass Book No ______ accordingly.
Date
: ___/___/20___
(Branch / Service Manager)
SBI FORMS BY 4577825