Annexure I - ACCOUNT CLOSURE REQUEST
To, Date : DD / MM / YYYY
India Post Payments Bank Ltd.,
Branch:___________________
Subject: Closure of Account No:________________________ Customer Name:______________
Reason for closure ___________________________________________________________________________________
Please close my aforementioned account with your ___________________ branch.
Note: All linkages/standing instructions to the above account shall be suspended.
POSA DELINKING REQUEST (APPLICABLE ONLY FOR POSA LINKED IPPB ACCOUNTS)
Kindly delink following POSA account from my IPPB Account no _____________________________
POSA CIF : __________________________
POSA Account Number : ______________________________
DESIRED MODE OF RECEIPT OF THE BALANCE AMOUNT
To another bank account by electronic transfer
Other bank account No
Reconfirm Account No
Name of account holder ____________________________________________________________________________
Account Type Savings Account Current Account
Bank Name _____________________________________________________________________________________
Branch Name _______________________________________________ IFSC Code ____________________________
To any other IPPB account
IPPB Account No Branch Name _________________________________________
Name of Account Holder _____________________________________________________________________________
DECLARATION & SIGNATURE
I understand, agree and acknowledge that India Post Payments Bank shall act solely on the basis of my instructions without an y
responsibility and liability upon the Bank.I further declare that I have already destroyed the QR card provided to above account. It is
my responsibility that all the ECS / Auto debit mandates linked to this account are amended.
(Signature of Account Holder) (Name of Account Holder)
------------------------------------------------------ FOR BANK USE ONLY ---------------------------------------------------
Service Request No._______________________ Branch Sol ID ________________________________
End User ID _____________________________ Name of the End User ________________________
Request Processed On _____________________ Signature of Branch Official _____________________
Employee ID of Branch Official _______________ Account Closed On_____________________________