se ees 1. Please include the detals ofthe customer who has proposed fr the closure of his bank account. Vilage (o.of ments) T ] ay are IL | Balanoo at tho timo of oosing (Fs) IL I I I J “Aisi pore Anat Fs) i YES/NO | 38 charges ved ea oh es 7 wore essa The Viriage i les fn 6 months - Charges recovered YD 3monite a Produc Hal 2. Please note the detailed reasons stated by the customer for closure of hiafherexiaing HDFC Bank account ater ‘cussion with hiny her. ’3. Ploaso note down the defense put forth tothe customer for retaining the account. (for closures with reason codes in Sr. No, 1 107 only) lta camtrw op wan Haan Wt wea CAA SAW EM ae ta eo Rae Customer Decarton Uwe cont at wih ran mv accourt whe bak Fulneme Site ‘Checklist C) ATMCard received atthe branch and destroyed] Cheque leaves reenived athe branch [et ' Snd destroyed" from___to, (02) } (08 suas toeionc 1 Sgro trkonags 2 Sending inetustone deleted Co uper Gaver OD amt zerieed Itpeld by MCADONo, sa Balsnosinale gree tees Key Q recovered 1 walved off (Approval grid reference number_n case waived aff) ‘Amourt pala ee ls Branch Uve section {PU Ue Section De ta SmchCas ___| pamerrenapttcornttma [TT TT 1) ten Vid iy Mare Sate ‘Serene Vee 2 Name Sipeicw eye ont TT TTT norm Processed! ‘POD Noten rection oe HFC ant at cal ay Ca Predera eestor bon anc on eroerey | Graeone aera eta eevee | Sop terete ees cocreceter | Se i ereanet rare 731 sre06% | Lucknow ‘522 aranere Pm oaoereete [aR PraES, Asan, Coa, Haya, Karan, Kota, PTCA, MATT ec a EP] TS, OSS, PAD, gadhan, Tal Naay/ Pondehery UP Uterakrd Sar Pasha, Wed eengal/Sooim. 18K IMP MeghdayelTicare Arata Pros, Napuonitewram / Coa & Nager Havel Mona & Ou /Lalsnogvep Teanga: 1680267 e181‘COMBINED ACCOUNT CLOSURE FORM ‘Pia oa aan NA ea “dae we nro has 3 ker fen ise teal om Peas tx (te apps ole [Me] Predwct O)|Ne]——Preduct [ho | Product [Ne] Product 1 [savirgtureet Account | | 4 | Teng Accurt 7 eae 10 [Overecsr 2 Depot acco 5 | tm © | sierra ” 3 [Terma | Gai toer (ovate {ig ans ane Bt pce mpg oc wat cd cae alte ao pe iy cay as pte Fesrabosca hey ar Ss Sito cnn oa ease ge cell otdomaqen obrdonce oni ie tw fot eng ent alr cl eb ‘nies bees ne entneter vbr epbask ny se eked omer estes igre tormenta amen ct ccna ey ns ng ag Png Woodie cco te ew fon cong be some wach atseeahs Ba Eon el reset cache pela ‘Saving / Current Account “eslaes 4 wens Daye raeeponaeny [| corny trercnccery) | ]bemws oe 0 Toate reer sunt ent er vent eae 8 ac eof ears cr rohan earns “Vapetecirnt ronan mi fe nf cn me 28 pyre ra yy a (a caren nats uraed chute nun» mf hs bon ened outyed oy mus (am FO, a am nding ero ATA / Dat Cars soda mat 2 ‘Reser (Peas x ry one eat! murber} eanon (Pee tetany 2 ert umber {Carsten nets resuang mumple S203 + | Bet rte, tterm net crus awraas peat (Caren orang munpie seu) 1 | Soest rete ro emerson an same 12 | euntwen oan remet rare bch rit Seat «| truce wt sec oid rv ay st are re) 13 | hmnge ofa Mtr for Wome) 3 | conerte Saiyan Ero urged 1 | Upmton ofBar ect «| sere cng sts CAM gy rage =) 7 | Renan Depot ronence cones ated RD 1 | Tnstrndte «ron HFC Berk be oorSECTION A: CONSOUDATED ACCOUNT CLOSURE FORM FOR LINKED PRODUCTS (Pease tox 7 Jr approprate opens) {iv mquetyutocona myer [_] vestnrtccote ["] manent serecnscount [_] TesmaAerant ch fare Ine to my saving cument eccount T HOFC Securties Traaing Account Tadngecoowrtne [|] 111111111) ‘ineere 8 wom ame "invariances * Sanam etcetera ‘Tc cart Ten ww ewes oy ely cfeIPO)| stores into by naka wih HOES Case dad and hae ar ‘Maal Fand.and owe invecent Produc, as are 2 ‘endeondonsisuedby HOF Secunia is fomtme ine. OFC SecuttosLi, 3 we fare uncerake indemnity HDFC Secures Lied ptret wy clam rages rave, sccued fo ‘may eae cut of" in connection wih te tanacions (Shared ora done or ames prrke heranatonisare Shown seurgesnre eae a LTS TE STAT ‘Account Closure Request form - CDSL & NSDL (for Beniiclary Account Only sins sowaun ane Goour intatetey []B0 Jo» []cos. C]NsoL er cose owe [ ve the Sole Holder Joint Hoes / Guarani case! Minor request you to cose ry cur acount wht you fom the date ft _pplicsion. The detals of my.our account are glen bet. ‘Account Holder's Details orio (tere of Name ofthe 150S0le note Name otthe 2nd hot [Naw the rls ‘Comespendence ‘Adress erazayteciaet ‘nb re) Cty Town Vigo | sate Reason or dosing the account(andaty) [Option A |] Tham are ne halancasioinge ti acount Ti tranciorthe balances | [1] Transtr to anyother acsount (Submit uly ied DaiveryWetucton Sip grad ig] {teange nsaccour | — ey reid) 1B] ceperdetals gven | C1 Transtertomyour own ac Provide target alc datals anc anchse Geant Master Options pert ot Target NG dy stamped ans 8h) ‘Balance rena wie | L) Paty erataced ad ply wanstevou. Ti Rewnsertaces z AC Gf any) to be: [D. Trarsterred to another account (Number given below) _(] Net applicable Caancepmethage [Cléecnened Clewaed Elrcen Citacrh fSoisceforohtees) |] tenga tr Oerateatstan (| Pending cr Remaerleaton ‘aneiieeeinaes LCR ee ELE Loee on €or NADL oni erate ceva (Su uly ied Rea Tacoma Aut Fa etal and nt) Timor neananmenatiadaiseseaamxs []inenenie ames amy aace api aap a DECLARATION none tAsnn Crane ie SHIFTING OF AGcOUNTS: [hace Meads asma Soe eee eee eeeaeacaaa an mow Fa Bak in Oy oe aera Serattateone Seenelem = Name: Name: Name. =—— ra yeti Zeya account tarccutnimeer CELT T LETT) ‘Seema {tex Pt le Saree tele teers fa ene eve ot‘SECTION B: DE-UNKING & DELLINKING/RELINKING OF OTHER PRODUCTS TO ALTERNATE SAVINGS/CURRENT ACCOUNT Dore Card - Twines Dwar Daye (Greg Car number LITT [Tea cei my Cm Car om fi cing CASAC |] Pease otek ny Ct Car ory eng NC and kt A No. ‘nero alec teen HOFC Rak dai my 88 CA neue melodie or Misinumart deo [| $940 otal oustanding incing EMI or R200 whichaver i ighar D OR “Tota at oe ‘indica in yer card mony sale, onthe payant due cae Pelee Teciioe — eee 5 nea eee ee Engen” ndrctasane mysterio nenol_[ TT TTT 11111111 (Peese mention the details of the product for Reinking aquest) % Pree del UE We, owen se Car vm A connmoe 7 [toarReett lee eeiaaiie aan aaron eal 1 ete Saas ¥en oS Dasostory Acca Tekie | OP ID BBveny Bb martoneain 5 | Tne & condone cour | Cllent 1» | Tesng Arson 1 | FD for ere Papert ‘Santa el elon Fou teat e Se Ba ote Sates San Neorpetcimcien - 2. iene be ym emt an tp tn Ped |< senda aaron ean bt emt i ne heel Shp gor tee tng coca rae nem ey esenn AAeeeta «Tabata na abet i ort aly on ren rc cnt Sr Co ee i tiny en tr at Tyna cea sare sia shattered) oe coi ey Farah Se ean SOS teed Dus SPO SMa nse {Lim enti Sey sot rnb pp et at er enh hive ein wo ag eto _Eoner sigan ‘We understand your world mM ear cxo_ ‘Ste & Nerve of Bk at