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Account Closure Form

This document is an application form for closing a savings or current account and for repaying a fixed deposit. It requests personal details of the account holder such as name and account/customer ID numbers. It asks the applicant to specify how they want the balance in their savings/current account paid out and whether any cheque books or ATM cards associated with the account have been returned or destroyed. For fixed deposits, it asks for the deposit amount and how the applicant wants it repaid. Reasons for closure like unhappy with interest rates or service and relocation are also requested. Signatures of applicants and areas for bank use like verification and approval are included.

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Yunus Jamal
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1K views2 pages

Account Closure Form

This document is an application form for closing a savings or current account and for repaying a fixed deposit. It requests personal details of the account holder such as name and account/customer ID numbers. It asks the applicant to specify how they want the balance in their savings/current account paid out and whether any cheque books or ATM cards associated with the account have been returned or destroyed. For fixed deposits, it asks for the deposit amount and how the applicant wants it repaid. Reasons for closure like unhappy with interest rates or service and relocation are also requested. Signatures of applicants and areas for bank use like verification and approval are included.

Uploaded by

Yunus Jamal
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CLOSURE OF ACCOUNT APPLICATION FORM

REPAYMENT OF FIXED DEPOSIT APPLICATION FORM

Account/ Personal Details

Account No. Customer ID No. Full name


First name Middle name Last name

Customer ID No. Full name


First name Middle name Last name

Customer ID No. Full Name


First name Middle name Last name

Savings/ Current Account

Please close my/our savings/current account held by me/us and pay the balance in the account by: Cash Manager's Cheque

Cheque Book : I/We am/are enclosing all unused cheques from the cheque book(s) issued to me/us. I/We confirm that the unused cheques have been destroyed by me/us. I/We confirm that I/we do not have any unused cheques with me/us.

ATM Card : I/We am/are enclosing the ATM card(s) issued to me/us. I/We confirm, that my/our ATM Card(s) has/have been destroyed by me/us. I/We confirm, that the ATM Card(s) has/have not been issued to me/us.

Fixed Deposit

Please repay my/our Simple/Reinvestment/Cluster deposit account held by me/us for Rs. ____________by : Cash* Manager's Cheque Credit to my/our saving's account number

Note : Repayment of deposits exceeding Rs. 20,000/- will be made by Manager's cheques, provided the maximum deposit with the bank does not exceed Rs. 20,000/- and as per current Income Tax rules.

Reasons

Unhappy with interest rates. Moving residence, no branch near residence/office. Moving from the city, no convenient branch in new city. Kindly give us your new address :

Unhappy with service (please specify)

Unhappy with products (please specify)

Comments

1st Applicant Signature 2nd Applicant Signature 3rd Applicant Signature Date

For Bank Use Only

Branch Cheque Book Destroyed/Not issued Balance in a/c Disbursed by Cash Manager's Cheque No. Dated ATM Card Destroyed/Not issued Service Charges (if any)

Date

Fixed Deposit

Phonebanking Delinked Super Saver OD limit zeroised ATM Card Delinked from Base 24

Yes Yes Yes

No No No

Signature Verified (Personal banker)

Approval (Branch manager)

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