Customer Request Letter Template Page 2

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6.
DEBIT CARD / CREDIT CARD (strike out which is not applicable)
a.
I have filled up the form but not received the Card. Please check and issue the Card.
b.
Lost Card – My Debit/Credit Card is lost. The 16 digit Card No. is _________________________________.
Please Hot
List the Card. (please fill up separate appln. form for obtaining new Card).
c.
Card expired. New Card not received.
d.
ATM – Cash not dispensed/partly dispensed - ATM ID ______________________Transaction Date: ______________
Amount `__________________.(Please attach Transaction Slip)
7.
INTERNET BANKING/MOBILE BANKING/TELE BANKING(strike out which is not applicable)
a.
I have filled up the form but not yet received the User ID for Internet Banking/Mobile Banking / Tele Banking. Please issue.
b.
My User Profile is Blocked. Please unlock.
c.
I have forgotten my User ID and Password for Internet Banking / Mobile Banking / Tele Banking. Please reissue.
8.
FIXED DEPOSIT / KAMADHENU DEPOSIT / RECURRING DEPOSITS:
Account Number_________________________________date of Deposit: ____________________
a.
Deposit Receipt not received.
b.
Tenure of the Deposit wrongly mentioned. Correct Tenure: ________________months/years.
c.
Rate of Interest not correctly applied. / Preferential rate not given.
d.
Periodical FD interest not credited to account / pay order not received.
e.
Nomination not registered / not cancelled / variation as requested not effected.
9.
TAX DEDUCTED AT SOURCE:
a.
TDS Certificate Request for the FY ___________________________________
b. Interest Certificate request for the FY _______________________________
c. TDS Certificate not received for the FY ______________________________
d. Form 15H/15G submitted at branch on _______________but tax deducted.
e. Mismatch in Tax deducted and Tax remitted. Please verify.
10.
PENSIONERS' GRIEVANCES:
Pension not credited
Life Certificate not updated
Pension/DA arrears not paid
Commutation not restored
PPO Copy not received
Family pension not released
11.
STANDING INSTRUCTIONS
Following standing instructions not executed:
Instructions date:_______________________Amount : ` _______________________ Periodicity : ____________________
From
: A/c No.____________________________ of ______________________________
To
: A/c No.____________________________of _______________________________
12.
ACCOUNT MODIFICATION:
Account Number: _______________________________
Name : ________________________________________________
a)
Documents submitted for KYC Compliance. KYC details not updated.
b)
Date of Birth not updated though proof of Date of Birth submitted on________________.
c)
Conversion of individual account into joint account not made.
d)
Status of account not changed from Minor to Major.
e)
Addition / Deletion of Joint Account holder not made.
f)
Mode of Operation wrongly mentioned from the one mentioned in the a/c opening form.
g)
Sweep-in/Sweep-out instructions not executed.
13.
OTHERS (Please specify): _________________________________________________________________________________
______________________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Date:___________________
SIGNATURE OF THE CUSTOMER/S
For Branch Use:
Please affix Date Seal with time here
We confirm that all the requests of the
Verified
customer/s are addressed
Signature of the attending Officer/Manager
Signature of Branch-in-charge/Sr Manager /manager
___________________________________________________ cut here ___________________________________________________
ACKNOWLEDGEMENT
We acknowledge having received customer request letter from ________________________________________________
___________(full name) A/c No. _________________________________________________requesting for point no._________
Sl.No. _______
Plese affix date seal with time
Signature of the Officer

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