Transcription of Account Closure Request - dcbbank.com
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Account Closure Request - dcbbank.com
Date:YYYYMMDDthRegd. Office: DCB Bank Limited, 6 Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai - 400013 Cheque all unused cheque book(s) issuedDestroyed all the unused cheque book(s)Do not have any unused cheque book(s)ATM / Debit / PayLess the ATM / Debit / PayLess Card(s) issuedEnclosed the ATM / Debit / PayLess Card(s) issuedDo not have any ATM / Debit / PayLess Card(s)The Branch Head DCB Bank LimitedBranchFixed Deposit Account NumberAmount: `Along with the Closure of the above mentioned Account , please close the following Fixed Deposit(s) ( FD ) linked to it (ONLY in case of PayLess Account )Linked FD (select the FD that needs to be closed)Fixed Deposit Account NumberAmount: `Fixed Deposit Account NumberAmount.
We acknowledge receipt of ‘Account Closure Form’ from for Account No.(s) (Signature of Branch Official) Acknowledgement (customer Name(s)) on D D M M Y Y Y Y Name of Branch Official Acknowledging Request:
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