Account Closure Form
Account Closure Form
Date_ _ /_ _/ _ _ Account No.
Branch Name: Branch Code:
Customer Account Type: Individual Non-Individual NRE/NRO Deposit Account (Fixed/Recurring)* Minor Account
I / We_____________________________________hereby request you to please close my/our account and confirm that all unused cheques issued to
me / us have been enclosed / destroyed by me / us No. from______________to________________. I / We also authorise the bank to destroy all the
unutilised cheques, if any, in the system.
I / We are enclosing / destroying the ATM / Debit Card(s) issued to me / us.
All Standing Instructions in this account will be cancelled & NACH or Cheques if any will be returned on closure of the account.
Reason for closure of Account
___________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
Pay the proceeds by:
DD/PO
Credit to AU
Fincare
BankBank
Credit to Other Bank Account (Please submit the proof)
Customer Name:
Account Number:
IFSC Code:
Bank Name & branch:
*In case FD/RD Pre closure panel charges may be applicable as per schedule of charges (SOC).
Names and Signature of all applicants: in case of more signatories please use an additional form
Sr. No. Name Signature
Authorised Signatory
Authorised Signatory
Authorised Signatory
BANK USE ONLY
Date of Account Opening:
Following have been destroyed:
ATM card destroyed Y N
Unused cheque leaves destroyed Y N
In case of company account necessary board resolution obtained. Y N
The following have been delinked from the account.
Standing Instruction No. _________________Locker No. ___________
Approval enclosed for lien removal / charge reversal Certified that this Request Letter is complete in all respect & all relevant
documents are obtained & verified Mode of operation and signatures of
Signature: Designation:
Operations Head Branch Head Emp Code__________
ŵƉůŽLJĞĞEŽ͘
;EĂŵĞŽĨƚŚĞĞŵƉůŽLJĞĞͿ
sĞƌƐŝŽŶͲϭͺDĂLJ͚Ϯϯ
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Acknowledgement:
We acknowledge receipt of Savings / Current account no closure form by you in favour of
Version-2_May ‘24
Name of account holder: Account No.:
Branch Stamp and Sign: Date of Receipt:
&ODVVLILFDWLRQ,QWHUQDO