Tamilnadu Transport Development Finance Corporation Ltd.

(A Government of Tamilnadu Undertaking) Tamil Nadu Tourism Complex (Fourth Floor) Near Kalaivanar Arangam, Wallajah Road, Chennai 600 002 Phone : 25392930, 25392931, 25392932 P.B. No.2215 INTEREST PAYMENTS THROUGH ECS FACILITIES AVAILABLE FOR MAJOR CITIES

APPLICATION FORM FOR DEPOSIT AND RENEWAL Please tick the appropriate box
SCHEMES PERIOD IN MONTHS INTEREST PAYMENT

1. Scheme 1 - PIPS (Periodic Interest Payment Scheme) 2. Scheme 2 MMS (Money Multiplier Scheme)

24 48 36 60 12 48 24 60 36

1. Monthly 2. Quarterly 3. Annually 3. On maturity

FOR OFFICE USE / HEAD OFFICE T.R.No. Date .. Date of Deposit Amount Rs. Date of Maturity . Cashier

Deposit amount Rs. . (Rupees . cheque / DD No. & Date Name of Bank FDR / DC No. (In case of Renewal) Name & Address of the Primary Depositor (in Block Letters) Date of Birth Mr/Ms/Mrs Age .. . . . [ADDRESS PROFF MUST BE ENCLOSED] Phone No. if any Name of Joint Holders (In Block Letters) Date of Birth 1. Mr/Ms/Mrs

FDR / DC No.
BRANCH OFFICE Date of Deposit .. T.R.No. Date.. Amount Rs. .. ABM BM MODE OF REMITTANCE

1. City cheque 3.Renewal 2. DD

4. Combination CATEGORY

Pin

individual

Company TN Govt. Pvt.Edn.& other Instn Govt. Depts. Others

3 5 7

Company Others Universities Govt.Boards

4 6 8

..

Age

..

2. Mr/Ms/Mrs

..Age ..

TAX to be deducted

YES

NO

NA

Minor

ACCOUNT CODE Major Joint

If No IT Exemption Certificate / Form 15H/15G to be furnished along with PAN Otherwise Tax will be deducted as applicable

STATUS Resident NRI FDR/DC Nos. of other Deposits with the Company INITIAL OF TDFC OFFICERS

PAN No.
INTEREST MODE FOR DEPOSITORS OUTSIDE CHENNAI

1. Post dated Interest Warrantrs 2. Periodical IWs to my Bank as detailed below

Name ad address of Bank for Chennai depositors and also depositors outside chennai desiring direct credit of I.W. to Bank A/c / ECS PIN SB A/c No. C/A No.

BANK (ECS) CODE DECLARATION 1. I/We hereby deposit with you in Fixed Deposit as per particulars given above. 2. I/We hereby declare that the amount is not being deposited out of the funds acquired by me/us by borrowing or accepting deposits from any other person. 3. I/We have read the terms and conditions of the deposit or had them read out and translated to me/us and understood them and agree to abide by them. 4. This form downloaded from www.tdfc .in website and I/We have read the terms and conditions. Signature of Joint Depositors 1. 2.

Date:

SIGNATURE OF PRIMARY DEPOSITOR