ANNEXURE - II
[Pragraph 10.2]
Particulars to be furnished
by the bank in respect of its request for an Extension Counter (E.C)
PART
- I
1. Name of the bank
2. Name
of the institution & its full postal address where Extension Counter is sought
to be opened.
3. Name & address of the base office of the bank to
which E.C. is proposed to be attached.
4. i ) Distance between the
base office and the proposed extension counter.
ii) Distance
between the proposed E.C. and the nearest office of the applicant
bank (including E.C., mobile office, satellite office etc.)
iii) Distance
between the proposed Name of Type Distance E.C. and the nearest offices
/ bank of extension counters, mobile office offices etc. of *Other
banks
(including urban-Co.op. banks) _______ _______ ______
(i) *
Other than the bank
(ii) applying for the
(iii) counter
(iv) Particulars
of Employees' Co-op. Credit Society, if any, functioning in the premises.
5. i
) Name of the Principal Banker to the institution at which the Extension
Counter is sought to be established.
ii) Whether the institution has agreed
to provide accommodation for housing the E.C?
iii) Whether the institution
has any objection to the members of the public other than the
staff / employees / workers / institution being allowed access for availing
of banking facilities within the campus /premises at the extension counter?
If so, the reasons therefor.
(A LETTER FROM THE COMPETENT AUTHORITY OF THE
INSTITUTION AS IN THE PRESCRIBED PROFORMA GIVEN IN PART II OF THE APPLICATION
SHOULD BE ENCLOSED IN SUPPORT OF THE ABOVE)
6. i) Name/s of the banker/s
other than the Principal Banker to the Institution referred
to in 5 (i)
ii) The type of accounts & extent of deposits maintained
by the institution with each of the above banker/s.
7. i) Number
& types of clientele specifically attached to the institution whose banking
needs are to be catered to
(Please give separate figures)
Staff/Workers/Students/Teachers/Others*
(specify) TOTAL :________________
ii) Estimated
No. of other general public etc. whose requirements are to be met :________________
8. (a) Amount of deposits expected within two years of operation
at the counter from :
First Year Second
year
No. of Amt. No. of Amt.
A/cs. A/cs.
i) Staff/
Workers/ Students / Teachers * of the institution itself
ii) The institution
iii) The
General Public
(b) Daily
quantum of cash transactions
Number Amount Number Amount
* Delete whichever is not applicable
9. Reasons
for opening an E.C.
10. Nature of transactions to be conducted at the
proposed E.C.
11. Amount of rent, if any, payable (excluding incidentals)
by the bank, rate of rent & areas offered
for locating the extension
counter.
12. Amount of commercial rate of rent
as prevalent in the
area or as approved
by State/Central Govt.
13. Brief calculations
as to the viability/
economics of the proposal for a period
of 3 years.
Date:________________
(Signature
& Seal of the applicant bank)
Declaration to be made by the competent
authority of the institution in the premises of which the E.C. is proposed to
be opened
PART - II
Date:__________
1. We
have requested____________________________ to open its extension counter in the
(Name of the bank)
premises of_____________________________________________
for the benefit of the
(Name & full address of the institution)
following
persons attached to the above institution. @
* Workers ………….. Please
indicate
* Staff/Employees ………….. actual numbers
*
Students ………….. separately
* Teachers …………..
@ (Where
there are more than one institution being managed by the authority issuing this
letter which are also to be benefitted by the E.C., the names of these institutions,
their distance from the proposed location of the extension counter, the number
of students/staff etc. attached separately to each of the institutions,
the name and the distance of their bankers should also be indicated separately).
* (Strike
out whichever is not appilcable)
2. (a)______________________________________________________
is our
(Name of the bank and place)
principal
banker.
We also deal with the following
bankers (give names of bankers and their distance from the institution).
1.___________________________
2.___________________________
3.___________________________
(b) Extent
of our Accounts with the principal banker and other bankers as on________________________
(latest position please)
Name of the
bank Type of account(s) Amount
_______________ maintained______ (Rs.
in )
1.
2.
3.
4.
3. We
undertake to provide necessary accommodation for the extension counter within
the premises of our institution (mentioned at S. No. 1 above).
4. We
have no objection to allow outsiders to have access to the extension counter.
5. If
the extension counter is proposed to be allowed to a bank other than the principal
banker, the reasons therefor.
6. Whether a similar letter to any other
banker for the purpose has been issued :
(Signature of Competent
Authority on behalf of the institution mentioning designation and seal, if any)
To
be filled in by the applicant bank The
information furnished by the institution in para 1 is verified by us and found
to be correct.
(Signature & seal of the applicant bank)
This
certificate should be submitted in original, by the applicant bank to Reserve
Bank of India alongwith its application for E.C. in the prescribed proforma.
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