FORM SL3
[Vide para 1.5.2 (iii) (a)]
Variation of nomination under section 45ZE of the Banking Regulation Act, 1949, and the Rule 4(6) of
the Banking Companies (Nomination) Rules, 1985, by Sole Hirer in respect of Safety Lockers
I, __________________________________________________________________________________
(name and address)
cancel the nomination made by me in favour of ______________________________________________
____________________________________________________________________________________
(name and address of nominee)
and hereby nominate the following person to whom in the event of my/minor's death, ________________
______________________________________________________________________may give access
(name and address of branch/office in which the locker is situated)
to the locker and liberty to remove the contents of the locker, particulars whereof are given below.
Locker Nominee - New
Type of Locker Additional Name, Address Relationship with Age Nominee’s date
Locker No. Details, if any & Contact No. Hirer, if any of birth (if minor)
Place:
Date: Signature/Thumb impressions of hirer*
Name(s) Signature(s) and Address(es) of witness(es)@
* Where the locker is hired solely in the name of a minor, the nomination should be signed by a person
lawfully entitled to act on behalf of the minor
@ Thumb impression(s) shall be attested by two witnesses
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ACKNOWLEDGEMENT – SL3
We acknowledge receipt of variation of nomination made by you in favour of _______________________
(name of new nominee)
_________________________________________________, age _____ years, in respect of the Locker
(address of new nominee)
no. ______ hired by you.
Yours faithfully,
Date:
Signature of Bank official with seal