To,

Bank of Baroda

F.No.___________
A/c.No.__________
L/F.No.__________

_________________________

Gentlemen,
______________200
Being desirous of opening a recurring deposit account with Bank of Baroda I/We
beg to hand you a sum of Rs.__________________________ towards the first monthly
deposit under the scheme of _____________________ Instalment.
I/We also hereby undertake to deposit a sum of Rs.____________________ every
month on before _____________ of month and agree to receive Rs. _________________
on___________________ or 30 days after the _____________________ Instalment is
paid by me /us whichever is later.
I/We hereby declare the BANK OF BARODA Recurring Deposit Account
Rules have been read by me/us and that I/We accept them as binding upon me/us.
Name (s) of the
Account holder (s)
Mode of operation
Occupation
Present Address

Permanent Address

:_____________________________________________________
:_____________________________________________________
:_____________________________________________________
:____________________________ Age_____________________
:_____________________________________________________
_____________________________________________________
_____________________________________________________
:_____________________________________________________
Yours faithfully

Introduced by ______________________
Address
______________________
______________________
______________________

(Signature in full)

Full names in Block Letters

Specimen Signature
_____________________ will Sign as
_____________________ will Sign as
_____________________ will Sign as
Accountant

______________________
______________________
______________________
Manager