Form of nomination

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....lip;…. [In block letters] Surname ………………………… 2. Sex ………………………… 3. Religion …………………… 4. Father's name …………………… ………&....

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....;…………………… Post Officer………………… District ……………….. State …………………………… I hereby nominate the person(s) mentioned below to receive the *amount that may stand to my credit in the p....

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....hellip;…………….. at ……………………….. Two witnesses to signature ……………………………………. Signature of employee 1. …………………………. 2. …&helli....