FORM-C
APPLICATION FOR WITHDRAWALS UNDER THE
PUBLIC PROVIDENT FUND SCHEME, 1968
The Chief / Branch Manager
State Bank of India
____________________
____________________
32694958090
I wish to withdraw from my Public Provident Fund Account No…………….………..…………
408404 (Rupees……………………………………………………..…Only). A period
A sum of .................... four lakh eighty four thousand and four
12 years has expired from the end of the Financial Year in which initial subscription was
of ……….
made.
2. *Certified, that the amount sought to be withdrawn is required for the use of
………………………………………who is alive and still a Minor.
*(To be given only when withdrawal is sought from a Minor’s PPF Account)
3. The Pass Book is enclosed. Verified by pdfFiller
07/26/2024
26 07 24
Date:……/……/20… Signature / Thumb Impression of
(Subscriber / Guardian)
FOR OFFICE USE ONLY
Date of Initial Subscription ……/……/………….
Amount Available in PPF Account …...………………..
Date on which last withdrawal was allowed ……/……/………….
Amount Available for withdrawal in accordance
with paragraph 9(1), 9(3) of the Scheme …………………..
Withdrawal of a sum of ………………. Sanctioned.
Date: ……/……/20….. Branch / Service Manger
Received a sum of ……………/- (Rupees……………………………………………………………..)
by way of withdrawal from Public Provident Fund Account No…………………………………
( ) *Credit the Amount to my SB A/c No_____________________
Revenue
Stamp
( ) *Issue a DD/BC Favouring ____________________________
* Tick any One
Signature / Thumb Impression of
Date :……/……/20..… (Subscriber / Guardian)
SBI FORMS BY 4577 825
