FORM - 4
APPLICATION FOR EXTENSION OF ACCOUNT
To,
The Manager
DIBRUGARH
Sir,
1. My PPF account number 11027830134 has matured on 31 Mar 2024 .
2. I request for extension of my PPF account number 11027830134 for a further block period of five years.
3. I have understood the terms and conditions applicable to the account during the period of extension under
the said scheme as amended from time to time and shall abide by them.
I hereby declare that I, and the minor (in case of a minor account) continues to be Resident Citizen of
India at the time of commencement of the block period of five years.
Date: 01 Apr 2024
Signature of the account holder/guardian
Place:
Name: SRIKANTA BHATTACHARJEE
Address: NEW GANGAPARA, JOYMOTI
PATH,PO DIBRUGARH, PIN
786001,DIBRUGARH
This PPF Extension form is approved by the customer digitally through YONO SBI on 01:04:2024 23:22
FOR OFFICE USE ONLY
11027830134
The account number ............................... 01 Jul 1998 with ..................................................
which was opened on.......................... Rs. 505437.62
Five Lakh(s) Five Thousand Four 31 Mar 2024
(Rupees ....................................................................... ) and matured on ........................ , has been extended for a period
5 years with effect from .....................
31 Mar 2024 to ....................
31 Mar 2029 under rule ..... Public Provident Fund Scheme, 2019
12 of the .....................................................................
of ...
scheme.
Necessary entries have been made in the records and pass book/deposit receipt/ statement of
account.
Date: 01 Apr 2024 Signature of Postmaster/Manager