CHECKLIST FOR TERMINATION OF ACCOUNT & REFUND OF DEPOSIT

Account No : ………………………………….. Name : ……………………………………………………………………
1. Original Deposit Receipt or Bon Form (Declaration of lost deposit receipt).
2. Identification Card/Driving License/Company Stamp.
3. Application Form.
4. A Copy of Death Certificate (Registered Customer)
5. Bon Form with RM 10 stamp duty.
6. If the account is registered under a company and the account holder does not have a
bank account, a copy the Registrar of Company (ROC) is needed together with a letter
from the company secretary or get a letter from Commissioner of Oath.

7. Others…………………………………………………………………………………………………………

Mode of Payment
Cheque Post Collect from the office
Cash Collect from the office
Postal Address :.……………………………………………………………………………………………………………………………….
..……………………………………………………………………………………………………………………………….

Contact No. :…………………………………………………..
* If you have a Maybank account, TNB can bank in directly to your account

Maybank Account No. : …………………………………………………. Branch : …………………………………………….


Declaration of Lost Original Deposit Receipt (If Required)

I, …………………………………………………………………………..hereby declare that I have lost the original deposit
receipt which has been issued to me.

Date Receipt No. Account



Yours sincerely, Total Amount :

……………………………………. Witness : ………………………………………………...
( I/C No : ) Date : ………………………………………………...

(*Please tick ‘X’)