Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt. A/C (DD/MM/YYYY
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt.A/C (DD/MM/YYYY
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt. A/C (DD/MM/YYYY
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt. A/C (DD/MM/YYYY
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt. A/C (DD/MM/YYYY ... Nomination I/We ..................................................................... (Name and address), the holder/s of Stock certificate/BLA No .................. for the loan .................... hereby nominate the following person/s who shall
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt. A/C (DD/MM/YYYY ... Nomination I/ We ..................................................................... (Name and address), the holder/s of Stock certificate/ BLA No. .................. for the loan .................... hereby nominate the following person/s who shall
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt. A/C (DD/MM/YYYY ... Nomination I/ We ..................................................................... (Name and address), the holder/s of Stock certificate/ BLA No. .................. for the loan .................... hereby nominate the following person/s who shall
Office use only
Date of receipt of Application (DD/MM/YYYY)
BLA No.
CIF No.
Date of Credit to Govt.A/C (DD/MM/YYYY ... Nomination I/We ..................................................................... (Name and address), the Holder/s of Stock certificate/BLA No .................. for the loan .................... hereby nominate the following person/s wHO shall