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Fund Transfer Form-Cd20

1) This is an application form for fund transfer from a National Bank credit card to another bank account. 2) It requests information such as the card number, amount to transfer, account details of the recipient including name, account number and bank details. 3) The cardholder must declare that the information provided is correct, authorize the debit from their credit card, and accept the terms regarding cut-off times and liability.

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0% found this document useful (0 votes)
212 views1 page

Fund Transfer Form-Cd20

1) This is an application form for fund transfer from a National Bank credit card to another bank account. 2) It requests information such as the card number, amount to transfer, account details of the recipient including name, account number and bank details. 3) The cardholder must declare that the information provided is correct, authorize the debit from their credit card, and accept the terms regarding cut-off times and liability.

Uploaded by

meraxul
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

{Form#CD20}

Card Division, Shimanto Square (5th Floor), 80 Pilkhana, Road 02,


APPLICATION FORM FOR
Dhanmondi R / A, Dhaka 1205
Contact:8802-9650830, 01701215206-7 Ext 160-167
FUND TRANSFER
Hot Line: 01711287222, 01713048666, Fax: 880 -2-9650820 ( [Link]@[Link] )
Web: [Link] | Email:[Link]@[Link]

Date: Card No. :


D D M M Y Y Y Y

Amount: Taka (In word): ………………………………………………………………………………………….………Only.

Branch Name: ………………………………………………………………………………………… Branch Code:

For Account Credit Only 


Account Name: …………………………………………………………………………………………
Account No. :

For Pay Order Only 


Beneficiary Name: …………………………………………………………………………………………………………………………………………………………………

Bank Name: .…………..……………………………………………………………… Branch Name: ……………………………………………………………………


Routing No.: .…………..……………………………………………………………… A/C No. : ……………………………………………………………………………
A/C Name: ……………………………………………………………………………………………………………………………………………………………………….…

 I, hereby declare that the information provided above are correct and I belong to the mentioned NBL Credit Card.
 I, hereby authorize Card Division, National Bank Limited to Debit my NBL Card with charges and vat as applicable
and Credit to the account mentioned above as well.
 I agree that the request submitted after the cut off time will be executed in next batch or next working day as applicable.
 I, hereby agree and understand that the procedure for crediting the account is subject to the regulation and guidelines
of National Bank Limited and Bangladesh Bank..
 I, further acknowledge that National Bank limited will admit no liability for any consequences arising out of erroneous
details provided by me.

Cardholder’s Name: ……………………………………………………………………………


Mobile No. : ……………………………………………………………………………
Name:

PA No.
___________________________________
(Verified by) Signature & Seal
[Signature on the Fund Transfer Application Form must be the same as Credit Card opening form.]
Cardholder’s Signature

Verified & Approved By | Transaction ID:

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