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LOCKER APPLICATION CUM AGREEMENT FORM

CMYKCMYKLOCKER APPLICATION CUM AGREEMENT FORMCMYKCMYKLOCKER APPLICATION CUM AGREEMENT FORMSAFE DEPOSIT LOCKER APPLICATIONP lease grant me/ us a Safe Deposit LOCKER No of type_____and allow access to me/ us as indicated IndusInd Bank Account Holders:The annual LOCKER rent of ` may please be recovered in advance each year by debit to my/ our Account IndusInd Bank Fixed Deposit Holders (Non-Account Holders):I/ We hereby undertake to maintain a deposit of ` (as advanced rent for 3 years) with the Bank in Fixed Deposit Account No. till the continuance of the LOCKER facility. The deposit shall be pledged as security deposit which shall be withdrawn only on surrender of the LOCKER . In case of non-payment of LOCKER rent for any year, the Bank may recover the same out of accrued interest/ principal amount of fixed deposit pledged for the above said of Operation:SinglyEither or SurvivorJointlyOthers (Specify)_____FOR BANK S USEDate:DDMMYYYYS ignature & ECN of IndusInd EmployeePage 1 Name of Holder(s)CIF of Holder(s)Signature of Holder(s)Name of Holder(s)CIF of Holder(s)Signature of Holder(s)Name of Holder(s)CIF of Holder(s)Signature of Holder(s) LOCKER No:Key No:CMYKCMYKP aste Stam

LOCKER APPLICATION CUM AGREEMENT FORM SAFE DEPOSIT LOCKER APPLICATION Please grant me/ us a Safe Deposit Locker No of type_____and allow access to me/ us as indicated herein. For IndusInd Bank Account Holders: The annual locker rent of ` may please be recovered in advance each year by debit to my/ our ...

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Transcription of LOCKER APPLICATION CUM AGREEMENT FORM