To, F.No.

___________
Bank of Baroda
A/c.No.__________
L/F.No.__________
_________________________

Gentlemen, ______________200
Being desirous of opening a recurring deposit account with Bank of Baroda I/We
beg to hand you a sum of Rs.__________________________ towards the first monthly
deposit under the scheme of _____________________ Instalment.

I/We also hereby undertake to deposit a sum of Rs.____________________ every

month on before _____________ of month and agree to receive Rs. _________________
on___________________ or 30 days after the _____________________ Instalment is
paid by me /us whichever is later.

I/We hereby declare the BANK OF BARODA Recurring Deposit Account

Rules have been read by me/us and that I/We accept them as binding upon me/us.

Name (s) of the :_____________________________________________________

Account holder (s) :_____________________________________________________
Mode of operation :_____________________________________________________
Occupation :____________________________ Age_____________________
Present Address :_____________________________________________________
_____________________________________________________
_____________________________________________________
Permanent Address :_____________________________________________________

Yours faithfully

Introduced by ______________________
Address ______________________ (Signature in full)
______________________
______________________

………………………………………………………………………………………………
Full names in Block Letters Specimen Signature

_____________________ will Sign as ______________________

_____________________ will Sign as ______________________
_____________________ will Sign as ______________________

Accountant Manager