Tamilnadu Transport Development Finance Corporation Ltd - DOC by hcj

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									                            Tamilnadu Transport Development Finance Corporation Ltd.
                                                           (A Government of Tamilnadu Undertaking)
                                                          Tamil Nadu Tourism Complex (Fourth Floor)                                  INTEREST PAYMENTS
                                                   Near Kalaivanar Arangam, Wallajah Road, Chennai – 600 002                       THROUGH ECS FACILITIES
                                                       Phone : 25392930, 25392931, 25392932 P.B. No.2215                          AVAILABLE FOR MAJOR CITIES

                          APPLICATION FORM FOR DEPOSIT AND RENEWAL
Please  tick the appropriate box
              SCHEMES                           PERIOD IN MONTHS                     INTEREST PAYMENT                             FOR OFFICE USE /
1. Scheme 1 - PIPS                            24 48                          1. Monthly                                       HEAD OFFICE
                                                                                                                       T.R.No. …………… Date ………..
(Periodic Interest                                                               2. Quarterly         
Payment Scheme)                               36 60                                                                 Date of Deposit ……………………
                                                                                 3. Annually          
2. Scheme 2 – MMS                             12 48                          3. On maturity                       Amount Rs. ………………………
  (Money Multiplier                           24 60                                                                Date of Maturity ………………….
   Scheme)                                    36                                                                      Cashier
                                                                                                                       FDR / DC No.
Deposit amount Rs. …………………. (Rupees ……………………………
……………………………………………………………………………….                                                                                                       BRANCH OFFICE
cheque / DD No. & Date ……………………………………………………                                                                            Date of Deposit …………………..
Name of Bank ………………………………………………………………                                                                                  T.R.No. ……………Date………..
FDR / DC No. (In case of Renewal)                                                                                      Amount Rs. ……………………..
Name & Address of the Primary Depositor (in Block Letters)
                                                                                            Date of Birth              ABM                BM
Mr/Ms/Mrs ……………………… Age ……..                                                                                                     MODE OF REMITTANCE
                                                                                                                       1. City cheque 3.Renewal
………………………………………………………………….
………………………………………………………………….                                                                                             2. DD      4. Combination 
………………………………………………………………….
[ADDRESS PROFF MUST BE ENCLOSED]                                                                                                          CATEGORY
                                                                                                                                                      Company TN
                                                                                                                          1         individual    2
Phone No. if any                                               Pin                                                                                       Govt.

                                                                                                                                                       Pvt.Edn.&
                                                                                                                          3      Company Others   4
Name of Joint Holders (In Block Letters)                                                                                                               other Instn
                                                                                           Date of Birth
                                                                                                                          5        Universities   6   Govt. Depts.
1. Mr/Ms/Mrs      …………………..… Age ……..
                                                                                                                          7      Govt.Boards      8      Others
2. Mr/Ms/Mrs        …………………..…Age ……..
                                                                                                                                      ACCOUNT CODE
                                                                                                                        Minor  Major  Joint
TAX to be deducted             YES        NO            NA                                                                       STATUS
If No IT Exemption Certificate / Form 15H/15G to be furnished along with PAN Otherwise                                   Resident NRI 
Tax will be deducted as applicable
                  PAN No.                                                                                              FDR/DC Nos. of other Deposits with the
INTEREST MODE FOR DEPOSITORS OUTSIDE CHENNAI                                                                           Company
                                                                                                                       ………………………………………
1. Post dated Interest Warrantrs                                                                                    ………………………………………
2. Periodical IWs to my Bank as detailed below                               
                                                                                                                       INITIAL OF TDFC OFFICERS
Name ad address of Bank for Chennai depositors and also depositors outside chennai desiring direct credit of I.W. to
Bank A/c / ECS
                                                                PIN

SB A/c No.                                           C/A No.


  BANK (ECS) CODE

                                                                   DECLARATION
1. I/We hereby deposit with you in Fixed Deposit as per particulars given above.
2. I/We hereby declare that the amount is not being deposited out of the funds acquired by me/us by borrowing or
  accepting deposits from any other person.
3. I/We have read the terms and conditions of the deposit or had them read out and translated to me/us and understood
   them and agree to abide by them.
4. This form downloaded from www.tdfc .in website and I/We have read the terms and conditions.
Signature of Joint Depositors
1. ………………………………………………
2. ………………………………………………
Date: ……………………………………                                                                            SIGNATURE OF PRIMARY DEPOSITOR

								
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