PHILATELIC DEPOSIT ACCOUNT APPLICATION FORM Date : To, The Senior Post Master (Philately) Head Post Office Ernakulam - 682 035   Please open a Philatelic Bureau Account in my name.

Type of Customer(Please tick): Private/Individual Stamp Dealer/Shop Company PERSONAL DETAILS Name of the Applicant : ............................................................................................................................. Mailing Address : .............................................................................................................................   .............................................................................................................................   ............................................................................................................................. PIN Code : ............................................................................................................................. Not A Gift         This Is A Gift I wish to take out a gift subscription in the name of: Name of the Recipient : ............................................................................................................................. Mailing Address : .............................................................................................................................   .............................................................................................................................   ............................................................................................................................. PIN Code : ............................................................................................................................. Frequency Of Settlement (Please Tick): Once A Year Twice A Year 4 Times A Year 6 Times A Year     Signature