Application form for an Individual for appointment as Authorized Agent under MPKBY. To The Deputy Commissioner, U.T., Chandigarh. Subject: - Application for Appointment as Authorized Agent. Sir, I request that I may be appointed as an authorized agent under the 'Mahila Pardhan kshetriya Bachat Yojana' for canvassing and securing deposit in P.O 5-years Recurring Deposit Accounts on a commission (at such rate as may be notified by the government of India from time to time) in the __________________ area (House no.___________ to ______________ which consist of _______________ families). 2. I agree to abide by all the rules and regulations regarding the appointment of authorized agents at present in force and as may be amended from time to time under the above said Agency Scheme. 3. I shall provide a security to Rs. 500(Rupees Five hundred only) as the case may be in shape of 6 years National Savings Certificate duly pledged to President to President of India. 4. The agreement (From ASLAAS-3) will be executed by me immediately on hearing from you about the approval of my appointment as an authorized Agent. 5. I enclose herewith in triplicate, my specimen signature. Yours faithfully, (Name and full address of applicant) Date: ______________ Place: ______________
