SB/CQE-4(a) DEPARTMENT OF POSTS Requisition for fresh cheque book for Savings Account NB : As a safeguard against fraud, application for a fresh cheque book must be made on this form only by the depositor(s) To Dated ....... The Post Office Saving Bank ............... Post Ofice 1 Please issue a fresh cheque book for my/our Savings Account No...... standing open at your office 2 The cheque book should be delivered/sent by post to :- Name ............ Full Address ............ ..................... ..................... Signature(s) of Depositors TO BE FILLED IN BY THE POST OFFICE Cheque Book containing Received cheque book ......... cheques issued containing cheques Noted in ledger/ledger card of Account No... No... to .... Initials with date Signature of of Postmaster Depositor/Messenger