PHILATELIC DEPOSIT ACCOUNT (DOMESTIC)
APPLICATION FORM Date :
To,
DIRECTOR
PHILATELIC BUREAU
MUMBAI G.P.O. - 400 001
 
Please open a Philatelic Bureau Account in my name.
 
Type of Customer(Please tick):
Private/Individual Stamp Dealer/Shop Company

PERSONAL DETAILS

Name of the Applicant : .............................................................................................................................
Mailing Address : .............................................................................................................................
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PIN Code : .............................................................................................................................

Not A Gift         This Is A Gift

I wish to take out a gift subscription in the name of:
Name of the Recipient : .............................................................................................................................
Mailing Address : .............................................................................................................................
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PIN Code : .............................................................................................................................

Frequency Of Settlement (Please Tick):
Once A Year Twice A Year 4 Times A Year 6 Times A Year

 
 
Signature