Prescribed Form SL1
(Nomination under section 45ZE of the Banking Regulation Act, 1949 and rule 4(1) of the Rules of 1985 by sole hirer in respect of safety locker]
I 	 (name and address) nominate the following persons to whom in
the event of my/minors death	(name and address) of the 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 :

Locker	Nominee	
Nature of ....	Name ....	
Distinguishing mark if any ....	Address ....	
Additional details if any ....	Relationship with hirer if an	
	Age 		
Place 			
Date		
Witness	Signature/thumb of the hire	
		
Name and Address			
Cancellation Form in SC2