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Account Closure Form

The document is an application form for a customer to request either reactivation or closing of their bank account. It requests information like the account number, reason for reactivation or closing, transaction details, and how to handle the remaining balance. The customer must also return their debit card and chequebook if closing the account.
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0% found this document useful (0 votes)
81 views1 page

Account Closure Form

The document is an application form for a customer to request either reactivation or closing of their bank account. It requests information like the account number, reason for reactivation or closing, transaction details, and how to handle the remaining balance. The customer must also return their debit card and chequebook if closing the account.
Copyright
© © All Rights Reserved
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

Application for Reactivation & Closing of Account Reset

Subject to local regulations and Bank’s Terms & Conditions


governing various transactions & accounts as updated from time to time on Bank’s website

Date: d d / m m / y y y y My / Our Account Number


The Manager,
United Bank Ltd.
Branch:
Manama, Bahrain. Title:

Reactivation
I/We would like to request you to kindly Reactivate my/our above account which has become dormant/inactive due to
non activity and debit any associated bank charges for the same from my/our above mentioned account.
Reason for Non-Activity:

Reason for Reactivation:

Details of transaction being conducted for Reactivation:

Closing
I/We would like to request you to kindly Close my/our above account and debit any associated bank charges for the same
from the same account. The balance of the account if any may be treated as follows:
Paid in Cash to me/us.

Issue Pay Order in favour of:

Transfer to UBL Account Title | Other Bank Title:

Account # : at Branch & Bank:

I hereby agree to transfer the remaining amount, i.e, to bank account

Reason for Closing the Account:

Cheque-book submitted: Yes No If yes, Cheque serial number from: to

Debit Card submitted: Yes No If yes, Debit Card number:

Thank you.

Account Holder Signature/Company Stamp Joint Account Holder Signature/Company Stamp

Account Holder Name Joint Account Holder Name

For Bank Use Only


Application Delivered to Bank: In Person by Customer Through Mail/Messenger Through Fax

Charges Recovered:
NA Waived Yes
BAH - 00010 - 122019 -V1

Account: Reactivated Closed


Cash Paid PO Issued Transfer
No Liability (Clearance Attached)
Cheque Book Destroyed
App Received By Sign Verified By Input By Supervised by:
Name & Signature Name & Signature Name & Signature ATM Card Destroyed Name & Signature

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