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    Request Document PDF

    Uploaded by

    miriam chew
    This document is a request form for a customer to obtain copies of documents from their bank account. It collects information such as the customer's account name and number, contact details, and the type of document requested, such as bank statements or cheque images. The customer can choose whether they want the documents certified or delivered to them by courier or for collection at the branch. It also includes a declaration acknowledging fees and charges and provides spaces for signatures and details of the document delivery for the bank's records.

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

    Request Document PDF

    Uploaded by

    miriam chew
    67 views1 page
    This document is a request form for a customer to obtain copies of documents from their bank account. It collects information such as the customer's account name and number, contact details, and the type of document requested, such as bank statements or cheque images. The customer can choose whether they want the documents certified or delivered to them by courier or for collection at the branch. It also includes a declaration acknowledging fees and charges and provides spaces for signatures and details of the document delivery for the bank's records.

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    request-document.pdf

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    © © All Rights Reserved

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    This document is a request form for a customer to obtain copies of documents from their bank account. It collects information such as the customer's account name and number, contact details, and the type of document requested, such as bank statements or cheque images. The customer can choose whether they want the documents certified or delivered to them by courier or for collection at the branch. It also includes a declaration acknowledging fees and charges and provides spaces for signatures and details of the document delivery for the bank's records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views1 page

    Request Document PDF

    Uploaded by

    miriam chew
    This document is a request form for a customer to obtain copies of documents from their bank account. It collects information such as the customer's account name and number, contact details, and the type of document requested, such as bank statements or cheque images. The customer can choose whether they want the documents certified or delivered to them by courier or for collection at the branch. It also includes a declaration acknowledging fees and charges and provides spaces for signatures and details of the document delivery for the bank's records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Request For Document

    Part 1 My / Our Particular


    Account Name
    NRIC / Passport No./
    Business Registration No.
    Account No.

    Contact No.

    Person authorised to collect NRIC / Passport No.


    Part 2 My / Our Request
    1. I/we request a copy of the following document(s) :
    Cheque Image Image Return Document (Duplicate)
    Clearing Cheque (original) Deposit Slip / Credit Advice
    Withdrawal Slip / Debit Advice Security Document
    Statement of Account
    Others, please specify
    Additional Information on the document(s) requested [ e.g. statement for xx month, cheque number etc.]

    2. I / we request for certification of the document(s) requested


    No Yes

    3. Please deliver the document(s) to me/us as follows :-


    To collect at branch By Courier
    Part 3 Payment
    Debit from Savings Account / Current Account - - -
    Part 4 Declaration # Only applicable for Person authorised to collect
    I / We understand that the copy document is subject to the fees and charges. For I hereby acknowledge receipt of the copy of document requested.
    details of the charges, please refer to UOB Fees & Charges at our Name
    website: www.uob.com.my
    ID no. as per NRIC/PP

    Customer Signature Recipient's Signature


    Date: - - Date: - -
    D D M M Y Y Y Y D D M M Y Y Y Y
    Part 5 For Bank Use Only
    1
    OTC Attended By Approved By EWF Maker EWF Checker
    Offsite(with Biometric) 2
    Offsite(without Biometric) 3
    Offsite Collected By:
    Name Name Name Name

    Rec Date & Time Scan Date & Time QR Date & Time
    Mail In 4 Customer Signature Verified 1,2,3 Supporting Document, if any 1,2,3,4,5 Job Batch ID No. No. of Pages
    5
    Fax MyKad Biometric Verified 1,2
    Reason for copy document:
    For statement request For attention of
    Branch Code: Waived Service Fee Courier Fee Branch COC / CMOC GSU
    1006200071 (SVC-DEPCA) 1007622081
    Cost Centre: GL No. T&O Others
    1006200521 (SVC-DEP-SA) (RECY-COURIER)

    Charges (RM): Postage (RM): Total Charges (RM): Copy made on (ddmmyy)

    [DOC-01 : Rev 09/18]


    United Overseas Bank (Malaysia) Bhd. (271809K)

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