SB-7 WITHDRAWAL FORM

Application Side(To be filled by depositor) (For office use only)

PAYMENT ORDER

Date D D M M Y Y Y Y
Name of the Post Office………………………………………….
Date D D M M Y Y Y Y
Transaction ID ……………………………………………
Type of Account : SB TD MIS SCSS NSS, Others……….
Account No.
Pay ₹……………………………(In figures) Rupees
NATURE OF PAYMENT :- Interest Withdrawal …………………………………………………………………………………………….(in words)
Please pay to me / messenger (whose name and signatures are given below) the sum
of ₹………………………………………………(In figures)
₹…………………………………………………………
(In words).
Balance after withdrawal
₹--------------------------------------------(in figures) Date Stamp Signature of Postmaster
(to be filled by depositor/messenger)
ACQUITTANCE
Signature or thumb impression of account holder(s)/guardian
Received
₹……………………………(In figures) Rupees
Name of Messenger ………………………………………………………………….. ………………………………………………………………………….. (in words).
Signature of Messenger ……………………………………………………………

Signature of account holder(s)

(Required only if payment is required through messenger)
Note:- Aadhaar Seeding required for availing DBT benefits in POSB A/C
Date:- Signature or thumb impression of account holder
(enclosed prescribed form)
/guardian /messenger
guardian

Mobile No. …………………………………… PAN No. …………………………….(if applicable)

Initial of PA Initial of APM/SPM
Attested By________________________________________(Name & Address)
Note:- Please submit passbook along with this form.
(Attestation is applicable in case of thumb impression)