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Service Request Form

This service request form allows customers to request various account services from their bank branch. It includes options to close accounts, request statements, transfer balances, stop payments on cheques, activate/deactivate internet and SMS banking, and request other miscellaneous services. The customer must sign the form to authorize the bank to take the requested actions and agree to comply with the bank's rules and regulations. The bank branch confirms it has verified the customer's identity and that all necessary approvals and documentation are in order before processing the requests.

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Mamun Rashed
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456 views1 page

Service Request Form

This service request form allows customers to request various account services from their bank branch. It includes options to close accounts, request statements, transfer balances, stop payments on cheques, activate/deactivate internet and SMS banking, and request other miscellaneous services. The customer must sign the form to authorize the bank to take the requested actions and agree to comply with the bank's rules and regulations. The bank branch confirms it has verified the customer's identity and that all necessary approvals and documentation are in order before processing the requests.

Uploaded by

Mamun Rashed
Copyright
© © All Rights Reserved
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 FORM

( Please tick mark the requested services and strike off the others ) Date:
Account Details Branch Name
Account Title / Name
Account Number _

Account Closing Services: Current A/C Savings A/C


Request for account closure Submitted debit card to destroy Submitted cheque book to destroy
Balance Transfer to Account _

Issuance Pay Order


Request for Bank Statement From To

Request for Certificate Solvency Maintanance No Objection No Liability Tax

Term Deposit Services


Type of Term Deposit Service FDR Scheme Deposit Other

Encashment Type Matured Encashment Pre- Matured Encashment* Interest Withdrawal


Fund Transfer to Account No _
Issue Pay Order (Specific Reason)

Locker Surrender Locker Serial No Key Number


Security Deposit Transfer to Account No _

Cheque Stop Payment Services


Cheque No Pay To
Date Amount
Reason

Internet Banking Activate Deactivate Email Address


SMS Banking Activate Deactivate Mobile Number

Please cancel Standing order for ________ (Currency & Amount) Due on ________ (Date) Favoring __________________
Any other services may be stated herein __________________________________________________________________________________________

I/We hereby request and authorize you to the above mentioned information and agree to comply with relevant rules and regulation of Trust Bank Ltd.

Signature of 1st Applicant Signature of the Joint Applicant


FOR BRANCH USE ONLY
Please mention here the Customer Information File (CIF) number:

We the undersigned confirm that all the related documents(s) are in order as per TBL Ops Manual/related circulars and all necessary approval(s) are
taken. We also confirm the physical presence of the client and signature.

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