Directorate of Small Savings-Tamil Nadu
Online Form to enroll as Tamil Nadu Small Savings Agent
To
To
The Assistant Director,
Small Savings Wing,
The Greater of Chennai
No.1, Veerbadran Street
Chennai-600 002
The PA (Small Savings) to Collector
Ariyalur
Chennai Corporation
Coimbatore
Cuddalore
Dharmapuri
Dindigul
Erode
Kancheepuram
Karur
Krishnagiri
Madurai
Nagapattinam
Kanyakumari
Namakkal
Perambalur
Pudukottai
Ramanathapuram
Salem
Sivagangai
Thanjavur
Theni
Thiruvallur
Thiruvarur
Tuticorin
Trichirappalli
Thirunelveli
Tiruppur
Thiruvannamalai
The Nilgiris
Vellore
Villupuram
Virudhunagar
Sir/ Madam,
I request you to enroll me as Small Savings Agent in Tamil Nadu Districts Concerned. The particulars are furnished here under
:
SNo
Type of Agency Required
Candidature
SAS (Common)
MPKBY (Only for Women)
Name
*
Father/Husband Name
*
Date of Birth
*
Sex
*
Sex
Male
Female
Present Address (with Proof)
*
Permanent Address $
Educational Qualification
*
Certificate Register No. and Date
*
Saving Bank Account No, Name of the Bank and Branch
*
Post office in which proposed to be attached $
Details of NSC to be pledged
Rs.500 for MPKBY
Rs.2000 for SAS
*
AADHAAR No $
Ration Card Number $
Nearest Police Station
*
Mobile No
*
Email-ID $
*
Mandatory
$ Optional
1. I hereby understand that the enrollement/Renewal period is 3 years from the date of enrollement/Renewal.
2. I also understand that my Enrollment/Renewal may at any time be cancelled without any prior notice in the event of any complaint received
Place:
Dated:
Signture of the applicant
List of Enclosures
1. Form AAS-I(For SAS) or Form ASLAAS-1(B) for MPKBY
2. Nomination Form 3 copies
3. Conduct Certificate 2 copies
4. Form of Agreement
5. Indemnity Guarantee Proposal Form
6. Declaration Form of Agent
Refer Website of Small Savings Department viz. www.tnsmallsavings.com
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