Casa Closure Form
Casa Closure Form
Casa Closure Form
Declaration
1. The fund transfer will be governed by the Terms and Conditions given on our website www.Axisbank.com. 2. I/We understand that as per RBI Circular dated
October 14,2010 transfer of funds through electronic mode will be executed only on the basis of the account number of then beneficiary provided while
initiating the transaction. 3. I understand that this facility is available only at select location and banks covered under Electronic Funds Transfer Facility ordered
by RBI. 4. I/We declare that above details are true and correct and the account is in my/our name. 5. Standing Instruction/ Demat Account/ Locker/ OSC, SB
&Signature of Credit
Current A/cs, All Applicants
Card(s), etc is Mandatory
will (in case
be delinked from of more
the Account signatories,
6. I/We please
further declare use
that another
I/We form)
have already destroyed/authorise Axis Bank to destroy
all Cheque Leafs/Books and ATM/Debit Card linked to above account. 7. Cancelled cheque copy to be attached along with the request if the closure proceeds
are >₹25000. 8. If mode of remittance is not selected or Remittance through NEFT/ RTGS is returned due to any reason, then by default DD/ PO will be issued.
9. In case of company account necessary board resolution to be provided.
Signature of All Applicants is Mandatory (in case of more signatories, please use another form)
Approval enclosed for Lien Removal/ Charge reversal/CVS: Branch Head Cluster Head Circle Head Regional/Product Head
Certified that this request letter is complete in all aspect & all relevant documents are obtained & verified Mode of Operation and signature
of the A/c. The request may please be processed.
Operations Head Branch Head.
Acknowledgement
Account No. D D M M Y Y Y Y
Date of Receipt