Authority to Close Account

Name of Financial Institution:

NATIONAL AUSTRALIA BANK

Address of Financial Institution:
Level 32 500 Bourke St MELBOURNE VIC 3000
Department:

ACCOUNTS

Instructions:

I/We authorise and direct you to close my/our account described below and to pay the account balance by
cheque to me/us.

Account holder name/s:

HABIBA ABDALLA AHMED

Account number:
BSB
0 8 3 0 0 1 6 7 7 8 2 5 2 6 6

Please send the cheque for the account balance to:

Postal Address
UNIT 9, 3 GRANDVIEW AVENUE MARIBYRNONG VIC
Postcode: 3032

When the account is in joint names, please make the cheque payable to all account holders and send it to
the above address.

Signature

Thank you for your assistance.

Yours faithfully,

Signature Signature

Name Name

HABIBA ABDALLA AHMED

Date: Date:

24/03/2022