Account Closure Form
Account Closure Form
Account Closure Form
The Branch Head IDBI Bank Ltd. __________________ Branch Closure of Our Account with You We wish to close our Savings / Current / Term Deposit / _________________ Account No._________ with you as _____________________________ (reason for closure.) 2. We surrender the following to enable you to close the account: i) ii) 3. Unused cheques nos. from ____________ to____________ ATM card no. __________
We have following unrepresented cheques which may be dealt with according instructions written there against: Cheque No. i) ii) iii) iv) Favouring Amount Date Instructions
4.
Our following standing instructions may be dealt with as per the instructions written there against Particulars of Standing Instructions To be Dealt with (Cancel / Transfer to A/c no.) i) ii)
5.
6.
We have not availed any advance facility from any branch of the Bank OR We have availed following advance facilities from: Name of the Branch Nature of Facility i) ii) Limit (Rs) Outstanding (Rs)
1.
Please close our account as requested and pay us the balance by: i) Cash ii) Pay order / DD iii) Credit to our savings / current account no. _________________________
Place: _______________
Signature of the account holder and particulars on the application verified. Cheques nos. from ______________ to ______________ destroyed in our presence.
Relationship Manager
SOM/BH
IDBI Bank Limited, Regd. Office: IDBI Tower, WTC Complex, Cuffe Parade, Mumbai 400 005. Toll Free No.: 1800 - 22 - 1070 (MTNL / BSNL) and 1800 - 200 - 1947 (Others). www.idbi.com