3437 No.

:PPF00040 8925
Form

Application for opening a Public Provident Fund Account under Public Provident Scheme, 1968.
To,

HDFC Bank Limited

AJAY CHAUDHARY
0000.00
50000
50000.00
I hereby apply for opening an account under Public Provident Fund Scheme 1968 in my name and tender herewith
Rs in cash / cheque / funds transfer as the initial subscription.

Permanent address of the Subscriber.

21 CHAUDHARY ENCLAVE FREE HOLD SECTOR 23 SANJAY NAGAR GHAZIABAD
201002 UTTAR PRADESH

I agree to abide by the Provision of the Public Provident Scheme, 1968 and amendments issued thereto from time to time.

Savings Account Number: 50100246224233

Customer ID : 116033397

PAN Number : ARXPC6146P

• I hereby declare that I am not maintaining any other Public Provident Fund account.

• I also declare that I shall adhere to the ceiling on deposits as provided by the Central Government from time to time which is Rs 1,50,000/- in a
Financial Year at present in each of the following type of Public Provident Fund account: Individual Self account and Account(s) on behalf of
Minor(s) of whom I am guardian.

Signature not required since this document is authenticated through Netbanking.

213-04-2022
13-04-2022
Date: