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    Legal Evidence

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    AAO NPS MAH
    This document is an application form for legal heirs or nominees to claim settlement of a deceased depositor's account under a National Savings Scheme. It requests withdrawal of the entire amount standing in the account and provides documentation required to support the claim, including death certificates, succession certificates, and letters of indemnity or affidavit. The form must be signed by claimants and witnesses for identity verification and includes spaces for sanctioning of the claim and withdrawal amount by post office authorities.

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    Legal Evidence

    Uploaded by

    AAO NPS MAH
    144 views2 pages
    This document is an application form for legal heirs or nominees to claim settlement of a deceased depositor's account under a National Savings Scheme. It requests withdrawal of the entire amount standing in the account and provides documentation required to support the claim, including death certificates, succession certificates, and letters of indemnity or affidavit. The form must be signed by claimants and witnesses for identity verification and includes spaces for sanctioning of the claim and withdrawal amount by post office authorities.

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    LegalEvidence

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    This document is an application form for legal heirs or nominees to claim settlement of a deceased depositor's account under a National Savings Scheme. It requests withdrawal of the entire amount standing in the account and provides documentation required to support the claim, including death certificates, succession certificates, and letters of indemnity or affidavit. The form must be signed by claimants and witnesses for identity verification and includes spaces for sanctioning of the claim and withdrawal amount by post office authorities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    144 views2 pages

    Legal Evidence

    Uploaded by

    AAO NPS MAH
    This document is an application form for legal heirs or nominees to claim settlement of a deceased depositor's account under a National Savings Scheme. It requests withdrawal of the entire amount standing in the account and provides documentation required to support the claim, including death certificates, succession certificates, and letters of indemnity or affidavit. The form must be signed by claimants and witnesses for identity verification and includes spaces for sanctioning of the claim and withdrawal amount by post office authorities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Form-11

    (See Rule 15 of Government Savings Promotion Rules, 2018)


    Application for settlement of an account of the deceased depositor by nominee or legal
    heirs under National (Small) Savings Scheme
    To
    The Postmaster
    ……………………………..

    1. I/we________________________the nominee(s)/ legal heirs of late_________________,


    the depositor to Account no./Savings certificate(s) ____________________________________
    ___________________________________under_______________________(Name of scheme),
    apply for withdrawal of entire amount/transfer of the account/certificate(s) in my/our name
    standing to the credit of the deceased in the said account. In support of the claim, I hereby
    submit the following documents:-
    (i) Death certificate of depositor/s.
    (ii)Death certificate of Sh./Smt.…………………………,also the nominee(s) appointed by the
    depositor(s).(***)
    (iii)Succession certificate//letters of administration with attested copy of probated will of the
    deceased depositor issued by_____________________competent court. (**)
    (iv) Letter of Indemnity (*)
    (v) Affidavit (*)
    (vi) Letter of disclaimer on affidavit (*)
    (vii) Pass book/deposit receipt/statement of account

    Signature/thumb impression of Claimant/s


    (Thumb impression should be attested by a person known to the Post office)
    Address_____________________________________________________________________
    Mobile No.__________________________
    .
    ( Self Attested copy of ID and Address proof of claimant (s) must be attached)

    Witness (1)………………………………..(Signature)
    Name &
    Address……………………………………………………………………………………..
    ………………………………………………………………………………………………
    Mobile Number……………………………………………
    (Self Attested copy of ID and Address proof must be attached)
    Witness (2)………………………………..(Signature)
    Name &
    Address……………………………………………………………………………………..
    Mobile Number……………………………………………
    (Self Attested copy of ID and Address proof must be attached)

    Witnesses accepted

    Signature of Sr. PM/PM/SPM/GDS BPM

    Date …………………………..
    (*) To be produced by legal heirs, in the absence of nomination for claims upto Rs.5 lakh.
    (**) Strike off if there is a valid nomination.
    (***) Strike off if not applicable
    For office use only

    Claim has been sanctioned by competent authority vide Sanction Memo No.________________
    ____________________________dated_______________(copy attached).
    (to be filled if claim is sanctioned by any administrative authority)

    Withdrawal of Rs.___________________(Rupees_________________________________only)
    or transfer of account/certificate(s) in the name of claimant(s) is sanctioned.

    Signature of Postmaster
    Date
    --------------------------------------------------------------------------------------------------------------------

    Acquittance
    (to be filled by claimant/s)

    Received Rs ._____________(In figures)__________________________________________


    _______________________ (in words) By cheque bearing no__________________
    Dated______________/by transfer to PO Savings Account No._____________or Bank Account
    No ____________(IFSC code) in full settlement of my/our claim.

    OR
    (In case of RD/TD/Savings Certificates)
    Please transfer the account/Certificate(s) in my/our name for which Account Opening Form
    (AOF) alongwith Annexure-II (KYC Form) and KYC documents are submitted.

    Signature/thumb impression of claimant/s


    (Thumb impression should be attested by a person known to the Post office)

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