New NF 993
New NF 993
New NF 993
Kindly update my Permanent Account Number in your records : PAN (enclose proof of PAN)
Please tick in the appropriate box.
1. CHEQUE STOP PAYMENT REQUEST:
a. I/We have lost the cheque book containing leaves from__________________to______________ Please stop
payment of the same and issue new cheque book.
b. I/We have issued a cheque no.___________________dated _______________ for `________________________
favouring _____________________________________________________ . Please stop payment of the cheque.
2. CHEQUE BOOK REQUEST:
a. I/We have not received cheque book for my/our new account. Please issue cheque book.
b. I/We have not received Personalized Cheque Book.
c. I/We have lost the cheque book requisition slip. Please issue a cheque book.
3. DEPOSIT OF CASH /CLEARING CHEQUE / OUTSTATION CHEQUE / TRANSFER OF FUNDS
a. I/We have remitted cash amounting to `______________________ at ___________________ branch for credit of
A/c No. _____________________________. Amount not credited/short credited. Please verify.
b. I/We have deposited the Cheque No. ____________________ Amount `___________________Date of Deposit
___________________Drawee Bank and Branch ___________________________________________
- Credit not received in my/our account. Please verify and credit.
- Returned cheque not received. Please verify and return the cheque.
c. An amount of ` ________________________remitted on __________________________ (date) through RTGS/
NEFT not credited to beneficiary's account. Please verify.
d. An amount of ____________________________remitted on________________________(date) through RTGS/NEFT
by_____________________bank/branch for credit of my/our a/c.no.______________________________________
not credited. Please verify and credit.
e. Details of transaction required –
Debit: Date________________________Amount ` _________________________ Payee/Charges____________________
Credit: Date _______________________ Amount `___________________________(cash/transfer entry)
f. Charges – Amount ` ___________________ Date _____________________________Wrongly debited. Please verify.
g. Following Transaction through Internet Banking not effected:
Nature of Transaction:____________________________________ Date__________________Amount `_____________
Beneficiary Name _______________________________________ A/c No. _______________________________________
4. PASS BOOK/PASS SHEET:
a. Pass Book– I/We have not received Passbook for new account. Please issue pass book.
b. Duplicate Pass Book – I/We have lost the pass book. Please issue duplicate pass book with entries
from_______________________ to ________________________.
c. Pass Sheet - I/We have not received the pass sheet for my/our account. Please issue pass sheet
from________________________to _______________________.
d. Duplicate Pass Sheet – Please issue duplicate pass sheet from_________________to____________________.
e. Please register my e-mail address and send the pass sheet – Periodicity – Monthly / Bi-monthly / quarterly/
Half-yearly /annually.
5. CHANGE OF ADDRESS:
a. Please update the contact information (residence/office) in your records. I/We am/are enclosing proof of
my/our new address. My/Our new address is_____________________________________________City ____________
PIN_______________Tel No.________________Mobile No.__________________E-mail Id _________________________
b. Change of address intimated on _______________________(date) not yet effected in the system.
2
Date:___________________
SIGNATURE OF THE CUSTOMER/S
For Branch Use: Please affix Date Seal with time here
We confirm that all the requests of the Verified
customer/s are addressed
Sl.No. _______ Plese affix date seal with time Signature of the Officer