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APY Vol. Exit-3

PENSOIN FROM

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udayasankarsahoo955
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7 views1 page

APY Vol. Exit-3

PENSOIN FROM

Uploaded by

udayasankarsahoo955
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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ATAL pENStSnJ y0"fAfirA {epy} * ,q(cstiNT ilLnsuxH FORM

{VCILUNTARY EXIT}

To,
Bank Branch Name Lakhiaba "ok"
The Branch [\4anager,
Branch
Branch

Dear Si#[/adam, Tuma Name Lakhiba


I hereby request that my account opened under Atal Pension Yojana may be closed. The
details are as follows:

PRAN

Name of PRAN Holder MANDAKINI NAYAK

Savings Bank Account for credit of 0000000000000000


Corpus (Pension Wealth)"

Reason for Closure (Please select) Account Number "ok"


Tik Mark daba
l_ | Not able to pay contributions I Requir.e Funds urgently

1ll otners (specify


* ln case a subscriber, who has avalled Government co-contribution under APY, chooses to voluntarily exit APY
before the age 60, helshe shall only be refunded the contributions made by hirn/her to APY, along with the net
actual income earned on his/her contributions (after deducting the account maintenance, assets management
etc. charges), whereas, the Government co-contribution, and the income earned on the Government co-
contribution, shall not be returned to such subscribers.

Date:
Place: Signatureff humb lmpression* of Subscriber Tuuma Signature
(- LTI in case of male and RTI in case of female)

li
ACKNOWLEDGEMENT * AGCOUNT CLOSURE FOR ATAL PENSION YOJANA (APY) il-,
(To be filled by the Banki
$
s
Narle of the Subscriber:

P itA tt i li
N;rne of the Bank:
[).,i]ii Branch
li. ecr:ivi ng Officers N aryre
Stamp and Signature of the Bank
D;.'ie of Receipt

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