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    Annexure 1account Closure Request Form PDF

    Uploaded by

    Shriram Joshi
    The document is a request form to close a savings or current bank account. It provides instructions for the bank to [1] close the specified account number, [2] pay out the balance by crediting another bank account, issuing a demand draft, or destroying unused checks and debit cards, and [3] delink any associated products from the closed account number. The customer confirms the details provided are true and requests the bank to process the account closure.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Annexure 1account Closure Request Form PDF

    Uploaded by

    Shriram Joshi
    518 views3 pages
    The document is a request form to close a savings or current bank account. It provides instructions for the bank to [1] close the specified account number, [2] pay out the balance by crediting another bank account, issuing a demand draft, or destroying unused checks and debit cards, and [3] delink any associated products from the closed account number. The customer confirms the details provided are true and requests the bank to process the account closure.

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    Original Title

    Annexure-1Account-Closure-Request-Form.pdf

    Copyright

    © © All Rights Reserved

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    The document is a request form to close a savings or current bank account. It provides instructions for the bank to [1] close the specified account number, [2] pay out the balance by crediting another bank account, issuing a demand draft, or destroying unused checks and debit cards, and [3] delink any associated products from the closed account number. The customer confirms the details provided are true and requests the bank to process the account closure.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    518 views3 pages

    Annexure 1account Closure Request Form PDF

    Uploaded by

    Shriram Joshi
    The document is a request form to close a savings or current bank account. It provides instructions for the bank to [1] close the specified account number, [2] pay out the balance by crediting another bank account, issuing a demand draft, or destroying unused checks and debit cards, and [3] delink any associated products from the closed account number. The customer confirms the details provided are true and requests the bank to process the account closure.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    CLOSURE OF SAVINGS ACCOUNT/ CURRENT ACCOUNT

    (please fill in capital Letters Only)

    DATE: ____________ SR No: _______________________

    For Bank Use:


    Customer Account Type: Resident Individual Non-Individual Non-Resident

    I/We

    hereby request you to close my/our Account Number

    opened and maintained with at ________________ branch and pay the balance as follows:

    credit to my/ our other account number _____________________________ (Equitas Bank Account
    only)

    RT RTGS/NEFT:

    Beneficiary A/c No:

    Beneficiary Name:

    Beneficiary Bank Name:

    Beneficiary Branch Name:

    Beneficiary Bank IFSC code:

    Beneficiary Bank Account Type:

    Ca Cancelled Cheque Leaf Attached

    D Demand Draft: collect DD at ____________________ branch

    Reason for Account Closure:


    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    Destroyed Enclosed

    Debit card(s)

    Unused Cheque(s)

    I am/We are aware that cheques will not be honoured by the bank after the account is closed and the
    bank will not be liable/ responsible for the return/ dishonor of cheques.

    De-linking/Re-linking or Close the products:

    I/We request you to delink products from my /our A/c No: ____________________________ and re-link
    the same to my other Equitas Small finance bank A/c No: ______________________________

    RTGS/NEFT DETAILS mention the


    beneficiary details like name, account
    credit account number, Mention number, IFSC code, bank name and
    TERM DEPOSIT only ESFB account number branch
    Locker SI instruction Mention delink account number
    ECS /NACH Mention delink account number
    FD interest payout Mention delink account number
    Gold loan Mention delink account number

    (or)

    Close the above products which is linked to my/ our account number __________________________

    I/We declare that above details are true and correct and the account is in my/our name.
    Signature (s) (Guardian in case of minor)

    (For Non-Individual customers, signatures as per MOP required. For Individual customers, all the account
    holders need to sign).

    Please note:
     Net banking PIN and debit card issued to customers will be delinked from the accounts closed
    above.
     In case of minor account, proceeds under the closed account will be released in the name of the
    minor. If the proceeds have to be released to the guardian, the latter to declare that the
    proceeds shall be used only for the benefit of the minor.
     For Individual accounts, DD for closure proceeds will be issued in the name of first holder.
    For Bank use only
    Branch use section CPC Use section
    Cheque book collected/destroyed: Yes/No OD Limit zeroed: Yes/No/NA

    Debit card collected/destroyed: Yes/No Memos Checked and actioned: Yes/No/NA

    Locker surrendered: Yes/No/NA Account in TOD is zeroed: Yes/No/NA

    Documents sent to CPC on: ___________ FASTag Regularized : Yes/No/NA

    BM/BOM approval: _____________ Inputter signature and emp id

    Signature verified by (sign &


    emp id)
    Authorizer signature and emp id

    Acknowledgement Slip

    We acknowledge the receipt of Account closure instruction from Mr./ Mrs./ Ms


    _____________________________ relating to customer ID _____________________ under service
    request number ______________________.

    DATE: ________________________ Bank Official (sign and stamp with emp id)
    __________________________________
    For Equitas Small Finance Bank Ltd.,

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