PHILATELIC DEPOSIT ACCOUNT APPLICATION FORM

Simply complete this form and return it to us to set up your mail order account with us. 

No :.....................................Rank :..............................Name of the applicant:...................................................................

Mailing Address : ...................................................................................................................................................................

......................................................................................................................................................................................................

Pin .............................................................

Name of recipient (if different from above):....................................................................................................................

Delivery  Address :................................................................................................................................................................

......................................................................................................................................................................................................

Pin .............................................................

Mode of Payment (minimum Rs. 200/-)

     Part II Deposit in SB A/C No. 001444

     Bank Cheque(Delhi Cheque only)*

     Demand Draft*

     Postal Order*

  No.................................................Date:........................................Amount...........................

 * Payable to OIC (Phil) , 1 CBPO

     (Please tick)

ORDER FORM

   Date :                                                                                                                                      Signature of applicant.

 N.B.

 1.  Please ensure that there is sufficient balance in your a/c to ensure regular receipt of new issues.