Classification - Internal
Annexure A (On the letterhead of the entity in case of firms/Companies/other entities)
Date:
To
The Branch Manager
HDFC Bank Ltd.
_________________Branch
Dear Sir,
Sub: Request for issuing Third Party deposit
I/We Mr./Mrs./M/s._________________________________________ have entered into/agreed to enter
a contract No. ________________________ date ___________ with
Third Party Details:
Name (Third Party) - ____________________________________________________
Address - ______________________________________________________________
_______________________________________________________________
Purpose - ______________________________________________________________
One of the terms of the said contract requires me/us to obtain a Term deposit from a Bank in favor of:
Deposit Details:
Deposit Title -
____________________________________________________________________________
(Name of the Third-Party A/c Customer Name)
Principal deposit amount in Rs. ________________Rupees in words
_____________________________________________
Debit Account Number / Cheque Number ____________ Tenure - ______________________________
Terms & Conditions:
• I/We ____________________________________ confirm that the deposit in question has been made
and by way of security for due performance of my/our contract with ________________Department.
• I/We authorize the bank to mark a lien on the principal deposit amount favoring the concerned Dept
for securitizing the deposit.
• In case of demand of whole or part of the principal deposit amount by __________________ (Name of
the Department), the payment may be made to _____________________ (Name of the dept.)
according to Bank’s rules applicable to such deposits and excluding the interest earned on the same.
• If the deposit is not withdrawn, till date of maturity, it may be renewed as instructed by the said
department or by the undersigned (if the deposit already stands released) I/we undertake not to
redeem or demand payment under the said Fixed Deposit without the written consent of the
beneficiary.
Customer Name & Signature
____________________ ________________________
1stApplicant 2nd Applicant
1 Classification - Internal
May -2022 Issued by BOTC