To,

The _____________, Date:

___ Bank, ____________ Br.,
_________________,
PIN - __________.

Sir,
Sub: Application for new Debit Card for A/c No. ________________.

This is to bring to your kind notice that I have lost my Debit Card for the abovementioned
account and accordingly I have lodged E-GD with ____________ PS having ID No.
______________ intimating about the lost Debit Card.

You are kindly requested to block the said Debit Card and issue me a fresh Debit Card for
my above mentioned A/c No. _________________. Necessary charges (if any) may
kindly be deducted from my said account.

Thanking You
Yours faithfully

Enclo:-

1. Copy of the E-GD.

2. Copy of the Passbook.