Account Closure Form

The document is an account closure form for a bank. It contains fields for the customer to provide their account details, instructions on closing specific accounts or all accounts under a master number, how to handle account balances, reasons for closure, linked services to be cancelled, and spaces for signatures and bank use.

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Kumar Vijay

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Account Closure Form

Uploaded by

Kumar Vijay

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

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Service Request – Account Closure Form

Date: _//_ Branch: _________________

Present Account Details

Account Name:
Master Number:

Account Closure Instructions

 Close all Accounts under Master
Master Number:
 Close the below Accounts
Account Number
Account Number

Account Number

Balances on Accounts
 Withdraw Cash  Credit another SCB account  By Cashier Order
 Other Instructions
SCB Acc Number
Beneficiary Name:

Reason for Closing Accounts

Services on Accounts
By closing the above mentioned accounts, I understand that the following services linked to the mentioned accounts would be cancelled
with immediate effect.
 Debit Card  Cheque Book  Personal Loan  Standing Orders

 Insurance  Blocked Charges  Sweeps Others _______________________

A/c holder Signature 1 A/c holder Signature 2

For Joint accounts: if mandate is both to sign, both signatures are required

For Bank Use only

Relationship Number:
 Customer in Person
Signature Verified by: ___________________________________
Supporting Documents checked by: ________________________
Approved By:_____________________________________________

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Account Closure Form

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Account Closure Form

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Service Request – Account Closure Form

Date: _____/________/_____________ Branch: _________________________

Present Account Details

Account Closure Instructions

Reason for Closing Accounts

 Insurance  Blocked Charges  Sweeps Others _______________________

A/c holder Signature 1 A/c holder Signature 2

For Bank Use only

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Date: _//_ Branch: _________________