SB - 7
WITHDRAWAL FORM Payment Order
PASSBOOK MUST ACCOMPANY THIS FORM Date

Name of the Post Office ………………………… Pay Rs………………………………………………………………... (in words)
Account No : ………….. Date :
………………… Interest …………………………………..…………………… (in case of closure)
Pay Self/Messenger whose signature is given below
the sum of Rs…………………………………….
……………………………………...… (in words)
Rs…………………… (in figures)
Balance afater withdrawal Rs…………….. (in
figures) Signature of Postmaster
Name of Messenger
………………………………….. Acquittance
Signature of Messenger …………………………….. Received Rs …………………………………………………….
Signature or thumb impression of depositor Date Signature
Date
Stamp