NC-51
FORM 2
DEPARTMENT OF POSTS
[See Rule 14(1)]
Serial No……………………
FORM OF APPLICATION FOR NOMINATION UNDER SECTION 6 OF THE
GOVERNMENT SAVINGS CERTIFICATES ACT, 1959
(This form will be filled in by the holder(s) and submitted with the certificates to
the Postmaster of the office where the certificates stand registered)

To
The Postmaster
………………………
Under the provisions of Section 6(1) of the Government Savings Certificates Act
1959, I/We ………………………. the holder(s) of Savings Certificates detailed on the
reverse hereby nominate the persons mentioned below, who shall be on my/our death, become entitled to the Savings Certificate(s) and to be paid the sum due thereon to the exclusion of all other persons. I/We hereby declare that I/We have not so far made any nomination in respect of these certificates. The certificates are enclosed.
Sl No
Name of the
nominee(s)
Full Address
Date of birth of nominee in
case of minor
As the nominee(s) at the serial number(s) …………………………….. above
is/are minor(s), I/We appoint Sri/Smt/Kumari ……………………………. (name and full
address) as the person to receive the sum due thereto in the event of my/our death during the minority of the nominee(s).
2
3 The Certificates detailed below are enclosed :-
Serial No.of
certificates
Denomination Date of Birth Office of issue
Address Yours faithfully
…………………………….
……………………………. Signature (or thumb impression, if
……………………………. Illiterate) of holder(s)
…………………………….
(in case of illiterate holder, father’s
name should be given)
Witnesses
Name
Address (1)
Name
Address (2)
NB : In the case of illiterate holders, the witnesses shall be persons whose signature are known to the Post Office.
Order of the Postmaster accepting the nomination
Date Stamp of
Post Office Signature of Head/Sub Postmaster