SB 10(b)

APPLICATION FOR TRANSFER OF …………………. ACCOUNT

To

The Postmaster
…………………………………
…………………………………

I request that my Account No…………………………………. standing on

the books of the …………………………………………….. Post Office Savings Bank
may be transferred to the books of the ………………………… Post Office Savings
Bank. The Passbook has the balance of Rupees …………………………………………
…………………………………………… (in words) …………………………………….
Three specimen signatures are given below :-

Dated : …………………… Signature of Depositor

Specimen Signature

1 …………………………. Countersigned Postmaster …………………………

Date …………………

2 …………………………. Countersigned Postmaster …………………………

Date …………………

3 …………………………. Countersigned Postmaster …………………………

Date …………………

Received application for transfer of ………………………….. Account

No…………………………………….. in the name of …………………………………..
standing on books of the …………………………………………. Post Office Savings
Bank (with the relevant passbook showing) a balance of Rs…………………. (Rupees
…………………………………………………… only) The entries in the Passbook have
been checked and the passbook returned to the depositor.

Date Postmaster’s Signature ………………

Stamp
Name of Post Office ………………