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    Casa Closure Form

    Uploaded by

    greatbt200
    Casa closure form

    Copyright:

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

    Casa Closure Form

    Uploaded by

    greatbt200
    9 views1 page
    Casa closure form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Casa closure form

    Copyright:

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

    Casa Closure Form

    Uploaded by

    greatbt200
    Casa closure form

    Copyright:

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

    Savings/Current Account Closure Form

    (All f ields are mandatory)

    Account number: Date: D D M M Y Y Y Y

    Name of the First Name Middle Name Last Name


    account holder:

    Reason for Closure of Account (please select any one reason)


    1. Def iciency in Branch Services 6. Moving to other Bank- Foreign/ Private Bank
    2. Monthly/ Quarterly/ Half yearly charges on higher side 7. Moving to other Bank- Nationalise/ Co-operative Bank
    3. Shifted to other location where there is No Axis Bank 8. Opening the account in some different scheme code
    4. Monthly/ Quarterly/ Half yearly balance on higher side 9. Deceased case/ Change in constitution/ Legal case
    5.
    Dissatisf ied with the present product offering 10.
    Other relationships with the Bank are closed

    Desired Mode for Receipt of Closure Proceeds


    Please select desired mode of remittance for receiving closure proceeds.
    1. NEFT/RTGS Account Type: A) Resident Savings Account B) NRI: 1. NRE 2. NRO C) Current Account
    Bank Details:
    Other Bank Account No: IFSC Code:
    Reconfirm Bank Account No:
    First Name Middle Name Last Name
    Name of the Account holder:
    2. To Another Axis Bank Account:
    3. By Demand Draft (Will be delivered only at the mailing address and cannot be made to third party accounts).

    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)

    Signature of Signature of Signature of Signature of


    Account Holder/ Authorised Signatory Account Holder/ Authorised Signatory Account Holder/ Authorised Signatory Account Holder/ Authorised Signatory

    Name Name Name Name

    Bank Use Only

    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.

    EMP No. S.S No.


    Designation: Name

    Acknowledgement

    We acknowledge receipt of Saving/Current account closure form by you in favour of


    Name of the First Name Middle Name Last Name
    account holder

    Account No. D D M M Y Y Y Y
    Date of Receipt

    Signature & Branch Stamp

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