PHILATELIC DEPOSIT ACCOUNT

APPLICATION FORM

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

Type of Customer (Please tick):

  Private / Individual   Stamp dealer / shop   Company  

PERSONAL DETAILS

Name of applicant : ..................................................................

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

And/Or

I wish to take out a gift subscription in the name of:

Name of recipient : ....................................................................

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

Once a Year Twice a Year Four times a year Six times a year

ORDER FORM

  ITEM   QUANTITY
i Mint Commemorative Stamps  
ii Mint Commemorative Stamps without personalities series  
iii Mint Definitive Stamps  
iv Top marginal block of 4  
v Bottom marginal block of 4  
vi Full sheet  
     
2    
i First Day Covers affixed with stamp and cancelled  
ii First Day Covers without personality series  
iii First Day Covers – blank  
     
3    
i Information Brochure – affixed with stamp and cancelled  
ii Information Brochure- blank  
     
4    
i Annual Stamp Pack  
ii Special Annual Stamp Pack of Personalities Only  
iii Children’s Special Annual Stamp Pack  
iv Special Collector’s Stamp Pack (Thematics) for gifts  
v First Day Cover Pack (Annual Thematic)  
     
5 Postal Stationery (From limited seven bureau only)- Delhi. Calcutta,  Mumbai,  Chennai,  Bangalore,  Hyderabad, Ahmedabad  
     
6 Mini sheet/souvenir sheet  
     
7 Any other item  

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.
2. Please note mail order service is for new issues only.
3. Please specify the bureau you choose in the address portion.

FOR OFFICE USE 

A.C. No. allotted

Other particulars: