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DECEASED CLAIM Format of NOC from Legal Heirs

DCB 24-Hour Customer CareCall Toll Free: 1800 209 5363 Email: CLAIMF ormat of NOC from Legal Heirs (TO BE NOTARISED)Date :The Branch Manager,DCB Bank Limited_____ regarding settlement of CLAIM for the amount outstanding to the credit _____Account (s) of Mr. / Ms. _____ ,1)_____2)_____3)_____4)_____5)_____ 6)_____together with Mr. / Ms. _____ who has / have claimed from your Bank the amount mentioned above, are the only Heirs of the above mentioned DECEASED Mr. / Ms. _____ having _____ a/c bearing No. _____ with your said a/c holder died intestate on _____ leaving behind him/her, us, whose names are stated above under 1,2,3 & 4 etc. and the Claimant(s) as the only , whose names are stated under 1, 2, 3 & 4 etc. above, collectively give our, free and irrevocable consent to DCB Bank Limited and state that we have No Objection for your settlement of the CLAIM in favour of the above mentioned Claimant(s).

DCB 24-Hour Customer Care Call Toll Free: 1800 209 5363 Email: customercare@dcbbank.com Web: www.dcbbank.com DECEASED CLAIM Format of NOC from Legal Heirs

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