FORECLOSURE REQUEST FORM

To, Date:
The Manager,
IDBI Bank Ltd,

Sub: Foreclosure of Home Loan / Personal Loan/Auto Loan/Education Loan

Detail of IDBI Bank Loan A/c for closure:

Loan Account No:

Customer ID :

Detail of IDBI Bank loan A/c other than above:

1 2 3
Loan Account No:
Customer ID :

Dear Sir,

Reference to my above mentioned loan account/s with your bank, I/We want to close my/our loan a/c. In this regard I/We enclose here
with three months latest bank statement* along with a cheque /Draft/ for:

Amount Rs :
Cheque /DraftNo :
Dated :
Drawn on:

Towards full & final settlement of my loan a/c for closure stated above.

I/We declare that the I/We have submitted the details of all loan accounts with your bank. I understand that post closure of loan, any one of
us /General Power of Attorney holder (GPA) can collect the Original documents by submitting a valid original Identity proof to the bank.

If there is any excess refund, kindly credit it to my Savings /Current Bank Account as per details below.

Bank Name
Account Number
Beneficiary Name
IFSC/NEFT Code
Branch Name

Please consider the above and close the account at the earliest.

Thanking you.
Yours truly,

Signature
Name of Applicant
Contact No :
Email id:
Encl a.a: Bank Statement /Cheque/Draft (*Applicable for Home loan only)
For Bank Use: (To be filled in and authorized by an IDBI Bank Branch officer)

I/We hereby certify that the particulars of the customer/s furnished above are correct and as per our records.

Signature of Authorised Official of the Bank

Bank Stamp: Name ::
Branch: Designation::
Date: EIN::