S.B FORM No.1 (D)
GOVERNMENT OF KERALA
Treasury Savings Bank
Application for cancellation/variation of nomination in TSB/TFD account
Account Holder Details
Account Numbers
1.
Nomination Details
(Max 4 nominees)I/We being the depositor(s) or guardian hereby nominate the person(s) named below, to be recipient(s) of the amount standing at the credit of the above mentioned account in the event of death.
Nominee 1
Guardian Details (for Minor Nominees)
If any nominee is a minor, appoint a guardian to receive the sum during the minority of nominee(s).
Previous Nomination Status
Witnesses
Witness 1
Witness 2
S.B Form No.1 (D) - Kerala Treasury Savings Bank
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