Prescribed Form SL1-A
(Nomination under section 45ZE of the Banking Regulation Act. 1949 and Rule 4(2) of the rules of 1985 by joint hirers in respect of safety looker)
We ....[name and address)	nominate the following persons to whom
in the event of the death of one or more of us 	 (name and address of
branch/office in which the locker is situated) may give access to the locker and liberty to remove the contents of the locker particulars whereof are given below jointly with the survivor or survivors of
Locker Nominee
Nature of ...	Name ...
Distinguishing ....	Address ...
Mark or no 		Relationship with heirs if any ....
Additional details if any ....	Age ....
Place ....
Date 	
Witness	Signature thumb   of the hirers
Name and address ....
Cancellation Form is SL2