HDFC Bank - Instruction Request Form
PERSONAL DETAILS
*NAME ______________________________________________________
HDFC Bank - Instruction Request Form
PLEASE INDICATE THE INSTRUCTION THAT YOU WISH TO SEND BY TICKING THE APPROPRIATE BOX(S)
1) Account statement request
PLEASE FILL INSTRUCTION DETAILS IN THE RESPECTIVE SECTION
Please Note:
• Fields indicated by * are mandatory.
• HDFC Bank accepts instructions only in the specified format available on the website
www.hdfcbank.com/nri
• Signature on the request form should match with the signature on the records of HDFC
Bank.
• An email confirmation will be sent to you on receipt of your request on the email id
maintained on the Bank records. In case you wish to change/update your email id, please
send a letter to your Home Branch. We will not be in a position to act on your request if your
email id is not available on the Bank records.
• Any cancellation/overwriting needs to be counter signed.
• Signatures on the request form need to be as per the account operating instructions
maintained on the account.
• HDFC Bank will not be in a position to process incomplete requests.
ACCOUNT STATEMENT REQUEST
*CUST ID I__ I__ I__ I__ I__ I __I___I___I___I
*ACCOUNT NO I__ I__ I__ I__ I__ I __I___I___I___I___I___I___I___I___I
(*Mandatory fields)
Savings / Current Account No: I__ I__ I__ I__ I__ I __I___I___I___I___I___I___I___I___I
Statement Period:
From:_____________ To:___________
DD/MM/YYYY DD/MM/YYYY
I understand that there is a charge applicable for the above, which I authorize the Bank
to debit my above account as applicable.
Details of service charges are available on www.hdfcbank.com/nri
(I / We accept the enclosed Terms and Conditions of this service)
____________________ _______________________ ___________________
(First applicant) (Second applicant) (Third applicant)
HDFCAND
TERMS BankCONDITIONS
- Instruction Request Form
• These terms and conditions are in addition to the terms and conditions provided on the Website
www.hdfcbank.com/nri
• Customers should send their documents in sealed packets/envelopes to our P.O Box service using
their local postal service. Please DO NOT use a courier service to send documents to our P.O. Box.
• G3 Worldwide, will open the P.O. Box and collect all packets / envelopes and courier the documents
to the G3 Worldwide office in India from where the packets / documents will be sent to HDFC Bank
Ltd, Mumbai.
• HDFC Bank Ltd. will not be responsible for any loss arising out of documents / instructions being sent
to the wrong address or documents / instructions lost in transit.
• Confidentiality of the documents sent by the customer will be maintained.
• Users of the P.O. Box facility are availing the service at their own risk.
• Neither HDFC Bank Ltd nor G3 Worldwide will be responsible or liable to the user or any other third
party for the envelopes / packets or its contents during the transit from the user to the P.O. Box
address.
• On receipt of the envelopes / packets in the P.O. Box, G3 Worldwide will be responsible till it is shipped
and delivered to HDFC Bank Ltd. - CPU, Mumbai. By availing the service, the User shall be deemed to
have agreed to entrust the transshipment to India at his sole risk and discretion to G3 Worldwide and
HDFC Bank Ltd., is not liable or responsible for any loss or destruction of the envelopes / packets in the
hands of G3 Worldwide.
• User is aware that HDFC Bank Ltd. will not process the documents without furnishing this form duly
filled. All instructions have to be sent to HDFC Bank Ltd., by filling this form. HDFC Bank Ltd. is neither
responsible to return the documents or keep it in safe custody, in case of incomplete information.
• On receipt of the request, an email confirmation will be sent to the user on the email id maintained on
the Bank records. In case the user wishes to change/update the email id, please log on to net banking
or send a letter to your Branch. We will be unable to action the request if an email id is not available on
the records of HDFC Bank Ltd.
• In the event that user instruction/s cannot be carried out owing to any discrepancy or otherwise, HDFC
Bank Ltd. may inform the user by e-mail, provided the users e-mail id has been provided to HDFC Bank
Ltd. HDFC Bank Ltd. is not responsible for non-receipt of such e-mail on account of any incorrect e-mail
id or system error or non-acceptance by the computer system of the user.
• HDFC Bank Ltd. shall in its sole discretion destroy the documents after one month of receipt without
any further reference or notice to the user and the user agrees that HDFC Bank Ltd. is not liable or
responsible to either user or any other person for such destruction.
• User agrees that he / she shall be solely responsible for the contents of the envelopes / packets and
shall indemnify HDFC Bank Ltd. for any loss or damage suffered to it on account of handling the
contents or merely the form being addressed to it in view of legal, regulatory or contractual
requirements of the user.
• I / We have read the terms and conditions and I / We confirm that I / we am / are not sending any
monetary instruments, excluding but not limited to, cheques, drafts or dividend warrants through this
service. I understand that HDFC Bank can reject any document that is not mentioned in the above form.
