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Account-Closure UCB

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0% found this document useful (0 votes)

83 views1 page

Account-Closure UCB

Uploaded by

sajjad147

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Account Closure Form

The Head of Branch

____________________ Branch

CIF Number

Account Number

Name (English; Block Letters) ___________________________________________________________________________

I/We request to close my/our above mentioned account

Account Closure Reason: ___________________________________________________________________________

Debit Card: Surrendered Self Destructed

Cheque Book: Surrendered Self Destructed

Mode of Payment of the remaining balance

Pay order Transfer to A/C Number

Cancellation of Standing Instruction: Cancellation of Locker

_____________________ __________________________
Signature of the Account Holder Signature of 2nd Account Holder
(In case of Joint Account)
For Branch Useanch Use

Debit Card Destroyed

Cheque Book Destroyed

Necessary balance available at customer account for deducting all closing related charges

______________________________ _______________________
Checked by (Concerned Branch Officer) Approved by (OM/HOB)
For Operations Use
System Given Amount Execution Date : ___/___/20___
AMC Applied Settlement A/C
TAX Deducted
ED Deducted For Account Closure A/C Number:

Net Paid Amount

Applied Interest Rate Cheque Book Closed (If)

Verified By Verified By Approved by

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Account-Closure UCB

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Account-Closure UCB

Uploaded by

Account Closure Form

The Head of Branch

Name (English; Block Letters) ___________________________________________________________________________

I/We request to close my/our above mentioned account

Account Closure Reason: ___________________________________________________________________________

Debit Card: Surrendered Self Destructed

Cheque Book: Surrendered Self Destructed

Mode of Payment of the remaining balance

Pay order Transfer to A/C Number

Cancellation of Standing Instruction: Cancellation of Locker

Debit Card Destroyed

Cheque Book Destroyed

Net Paid Amount

Verified By Verified By Approved by

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