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Form B
BANK OF INDIA
…………….BRANCH
Form ‘B’ [See Paragraph 5(3)]
Acknowledgement Receipt
Application No………………………….
Date ………/………/…………………
Received from Mr/ Mrs /
Ms………………………………………………………………………………………Cash/
Demand Draft/ Cheque No./ Electronic Transfer /………………………………… dated
……/………/…… drawn on (Bank and branch)
……………………………………………………………………
………………………… for ___ grams totaling an amount of `..……………
(Rupees………………… …………………..…………………………… only) for the
purchase of Sovereign Gold Bond for a period of 8 years, interest payable on basis of
the nominal value of `…………………………
(Rupees………………………………………………………………………………………
…………………………………only).
(Stamp / Seal of the Receiving Branch)