@a5. / PanNo.: sian aTaSa 4. / Driving Lic. No. : sara feafa 3 aeac at / in case of er Re ee ss B do 3m aster Bank of Baroda me wne # , i 3 Pim Bee oF am / Name: WA | Tel. No. : yet. 4. / Mobile No. : Brench Address : an died a. / saa 3a Insurance Policy No. / Valid upto : ‘atid 4. / Passport No. : $3 S1-5aT / E-mail address : ee aiHigat / NOMINATION — Name of@ompir ‘suahh era /Useful Tips: ee RSA BSA ST FAM SA / Utise nomination facity. rage # fafa a8 HIT HAG cet passbook Sei SEI SHS Et A HAE IT Fe /Issve standing instructions wherever possible. serge H aah oh a0 BecTeH FH /Do not put signature ary where on passbook wEge same aie ai and 2 agua € acl 2, at Frattta sea 1 ee a aa a aes cre geie rege ath #1 foona {58 the passbook. 12 passbook is lost or spoled, a dupicale passbook wl be given with ices: balance ater payment of sbpulated charges. FF _AIFS BAIA FI TAMIA FAA / We welcome your suggestions. Sn Sach ai rat Ay aftr & moe A ae wes 8 BTS gE /comact branch | * PARADISE RESIDENCY NEAR GLA ONTVERSTTY manager in case of diffculies. MATHURA, UP oe rN visit http://www.bé nin ast UTTAR PRADESH: 281406 Ss xs @ YRS : Bank of Baroda, Tel: - (0265) r Cae. 1P0°(eifea Wa eT /BRANGH MANAG