Valued Clients May Please Note That The Delivery of The Requested Documents. Certificates, Confirmations Shall Be Made After Business Hours

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Date:______________

The Manager
HDFC Bank Ltd
Branch: ________________

Dear Sir/Madam,

Ref: Customer ID_________________/Account No._____________________

A) Please tick the relevant box for which request is to be made:


Statement of the period__________to____________. .
(Reason for the request ___________________________________________)
Interest Certificate CASA/FD Account number given above for the year ___________ to ____________
Balance Confirmation for A/c no given above ___________________________
Current FD balance(s) booked under my customer id ________________________
FD confirmation for FD no. _____________________, which I have not received by post
Form 16A in respect of Tax deducted under my customer id for the Financial Year__________
Signature Verification required on the enclosed forms. (Reason ___________________________________________)

You are requested to:

Kindly dispatch the document to my mailing address. OR


I shall personally collect the document from the Branch/handover the same to the person whose signature is
attested below
Please provide mailing address
_____________________________________________________________________________________________________

_______________________________________________________________________Tel No._________________________

Please Note:
In case the address provided does not match with the Bank’s record, please provide address change request. For address
change cases, customer needs to collect the documents from the branch.

I agree to the charges applicable for my above request to be debited to my account as given above.

Yours truly,

____________________________________ ___________________________________________
Signature of Customer/Authorized Signatory(s) Signature of the Bearer who will collect the Documents

Acknowledgement for receipt of requested document/s:

Signature of Customer/Authorized Signatory(s) / person who is authorized by the customer to collect the same

Valued clients may please note that the delivery of the requested documents. Certificates, confirmations shall be made after
business hours
B) Passbook

Issue of pass book for my account

I / we, request you to issue a Passbook (First time/ Duplicate for Savings A/c No. ___________________________

I/ we understand that the facility of getting account statement has been discontinued for passbook registered
customer. I/ we have read and agree to be bound by the Terms & Conditions of the Savings Account

I understand that there is a charge applicable for duplicate pass book issuance which would be debited
to the Account number mentioned above

Thanking you,

Yours truly,

_________________________________________

Signature of the Account Holder

C) Premature payment of Term Deposit

Re : Prepayment of Fixed Deposit number________________________________ __

We request you to kindly close the captioned deposit account held in my/ our name with your bank and

Credit the proceeds to my /our Account No. ……………………………………………………………………………… in the name(s)


…………………………………………………………………………and ………………………………………………………………………… or
Issue Manager’s cheques favoring in the name of the FD deposit holder(s)

We understand that as per the bank’s process the customers need to surrender the original renewed FD advice. However,
we are in immediate need of the funds and hence request you to process the request for closure of the captioned account
pending receipt of the renewed FD advice. I/we hereby agree and undertake that on receipt of the renewed advice already
dispatched to me/us, I/we shall destroy the same at our end. This letter of request for liquidation of the above referred FD
would discharge the bank of the liability on the said fixed deposits towards me/us and I / we will have no right of any claims
on the bank on the said fixed deposit.
Yours faithfully,

___________________________ _______________________________
First holder Joint Holder

*The Interest rate applicable for premature closure will be lower of:
The base rate for the original /contracted tenure for which the deposit has been booked OR
The base rate applicable for the tenure for which the deposit has been in force with the Bank.

The base rate is the rate applicable to deposits of less than Rs.1 Cr as on the date of booking the deposit.
For deposits > 5 Crs, the base rate is the rate applicable for 5 Cr deposits as on the date of booking the deposit.
For such premature withdrawals, including sweep-ins and partial withdrawals, the Bank will levy a penalty of 1%, on
the applicable rate.

PS: The request for premature withdrawal of the deposit (s) needs to be signed by all the deposit holders.

For Office Use only:


Address Confirmed with the system: _________ Charges collected: Yes/No
Reasons for not charging _________________
Customer Signature Verified by:

Name ___________________Signature_______________ Employee Code_____________ Date _______

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