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DPS Closing Application Form

The document is a request form addressed to the Branch Manager of Bengal Commercial Bank for the encashment or partial interest payment of a fixed deposit account held by Sudhir Chandra Mondol. It specifies the type of encashment as premature and includes instructions for payment and cancellation of standing instructions. The form also indicates that the original FD receipt is attached and requires signatures from the applicants for processing.

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61 views1 page

DPS Closing Application Form

The document is a request form addressed to the Branch Manager of Bengal Commercial Bank for the encashment or partial interest payment of a fixed deposit account held by Sudhir Chandra Mondol. It specifies the type of encashment as premature and includes instructions for payment and cancellation of standing instructions. The form also indicates that the original FD receipt is attached and requires signatures from the applicants for processing.

Uploaded by

sffiroz2
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

Date 2

D D0 3
M0 M 2
Y Y0 2Y 5Y
FIXED DEPOSIT/SAVINGS SCHEMES ENCASHMENT /PARTIAL INTEREST PAYMENT FORM

Branch Manager
Bengal Commercial Bank Ltd. Account Number: 1 1 0 4 5 0 1 0 0 0 1 8 1
Rampura Sub-Branch
Branch .................................
Account Title SUDHIR CHANDRA MONDOL

Dear Sir/Madam,
Kindly make arrangement to close /Transfer partial interest the following Fixed Deposit/Savings Scheme maintained in
My/Our name:

Type of Encashment

Mature
Premature
Partial Interest Payment

Premature
Fixed Deposit/Savings Scheme Type: Bengal DPS Maturity:
1104231000086
and credit the proceeds to Account number ______________________ SUDHIR CHANDRA MONDOL
A/C Title__________________________
or issue pay order in the name of ___________________________________

Please cancel any standing instructions on this account and pay the total balance with accrued interest (if applicable),
after realization of all applicable charges, as per the following instructions:

Cash Fund transfer to above mentioned transactional account


Pay Order
Others (Specify):

The original FD Receipt is attached and duly discharged by me/us.

1st Applicant’s Signature(s) 2ndApplicant’s Signature(s)

FOR BANK USE ONLY

FD Receipt (encl.) Charges Realized: BDT Interest Paid (If Applicable)Zero


Standing Instructions Cancelled Loan Accounts Checked Zero Balance Confirmed

Approved By
Signature(s) Verified and Received By
(Sign and name seal)
(Sign and name seal)

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