Affidavit

It is declared / affirmed that the following deceased invested his amount in following National Savings products
and after his death we have been allowed to receive the value of certificates / accounts in proportion stated
against my name as per SUCCESSOR CERTIFICATE issued from the court of _______________ dated
______________. It is therefore requested to make payment of me/transfer of following National Savings Products
to my name.

Name of Date of Name of Nominee Name of Scheme Date of Certificate Amount Share
and Reg No.
Decease Death Issue No.
d

I hereby undertake and affirm that there is no Court case / Application / Dispute pending in any court of law regarding this
investment. In Future, if any other successor come for the said amount at any stage, I myself will be bound to Indemnify the
Successor and National Savings with cost and damages. And make him payment in accordance his share please. The particulars
of the following National Savings Products are mentioned below:
Verification:
It is certified at Lahore on this 16 th Day Feb, 2024 that the content of above stated Affidavit are quite correct
and true to the best of my knowledge and belief and nothing is hidden.

………………………………..
DEPONENT

Witness No.1 Witness No.2

Name : _____________________ Name : _____________________
CNIC No.___________________ CNIC No.____________________
Address ____________________ Address ____________________
____________________ _______________________
It is Certified that _______________________________ CNIC No.
____________________________S/o____________________________________R/o
_____________________________________ is well known to me. His / Her
signature and thumb impressions are attested below for Office Record.
Specimen Signature:

1. _______________________________________________________________

2. ________________________________________________________________

3. ________________________________________________________________