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Cheque Reqn

The customer requests that the bank courier a cheque book containing a specified number of cheque leaves to their mailing address. The customer authorizes this and agrees not to hold the bank liable for any issues with the delivery. The request form must be filled out by the customer in the presence of bank staff and includes fields for account details, signature, and office use only sections for processing the request.

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joseaureliano
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© Attribution Non-Commercial (BY-NC)
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251 views1 page

Cheque Reqn

The customer requests that the bank courier a cheque book containing a specified number of cheque leaves to their mailing address. The customer authorizes this and agrees not to hold the bank liable for any issues with the delivery. The request form must be filled out by the customer in the presence of bank staff and includes fields for account details, signature, and office use only sections for processing the request.

Uploaded by

joseaureliano
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Date : ___________________

Please supply a Cheque Book of _________ cheque leaves. I / We authorize the Bank to courier the same at my / our risk and consequence to our mailing address. I/We shall not hold the Bank liable in any manner whatsoever in respect of such despatch of Cheque book.

Mr. / Ms Signature of Account Holder(s A/c. No. :

Tel. / Mobile No. : Signature Verified


P.S. : This request form is to be filled by the customer(s) in the presence of Bank staff.

FOR OFFICE USE ONLY


Received On : ___________________________ Time : _____________________

Validity Check Done on : ( Any two ) Customer Address PAN No. Mother's Maiden Name Signature on ATM / Debit Card Customer's Date of Birth Name(s) of other Joint Holders on the A/c E Mail ID Photo ID Card

Reason for using Request Form : ___________________________________________________________________

Validation Done / Signature verified / System Input By : __________________________________________________

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