THE BANK OF RAJASTHAN LTD. ……….………………….. Br.

Date…….……………….

       I/We request you to Open undermentioned (3) account      CALL     FIXED      ARAVALI ……….   JANHITESHI (Interest payable monthly/quarterly to be credited in……………………….)  In the name of …………………………………………………………………………………..

      I/We agree to be bound by the Bank’s Rules & regulations governing such accounts from time to time. Payable to      Me       Either/any one of us/survivor      Jointly to us.

     I/We do prefer/not prefer nomination in the deposit account.

Special Instruction, if any :

Name

Signatures (Specimen)

Please Affix

Passport Size

Photograph of

Account holder (s)

(Minor A/c Only) :

Date of Birth ………………………...

Date Attaining majority …………….

Verified

Authorised Signatory

A/c No .

Name of A/c

Name of Depositor/s

Address & Occupation

Telephone

Off.

Resi.

Introducer’s A/c No………………..

Name ………………………………

Signature ………………………….

Nomination Register Folio No.                 S. R. No.

                -------------------------                    ------------

Name of Nominee …………………………………….

Verified

          Spl. Asstt./ Officer

In the event of death of any joint depositor prior to maturity of the deposit the Bank will, at the request of the surviving depositors be at liberty though not

bound and at its absolute decretion to add/delete/substitute any names therein repay the deposit before maturity or to grant an advance against the security thereof, on such terms as the Bank may in its absolute discretion decide & such repayment before maturity shall constitute a valid discharge to the Bank.

Signature of A/c holder …………………………………………………………………………..