Da Forms: Da-1 To Annexure-15 Page 28
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35ANNEXURE-11
APPLICATION FOR DECEASED CLAIM
(To be used when account has nomination or is a joint account with survivor
clause)
From
___________________
___________________
___________________
To
The Branch Manager,
The South Indian Bank Ltd.
___________________ Branch
Dear Sir,
Re: Deceased Account
Late Shri/Smt……………………..
Account No(s)……………
I/We advise the demise of Shri/Smt. _______________________ on
__________________. He/She holds the above account(s) at your branch.
The
account
is
in
the
name(s)
of:____________________________________________________________
A. In case of Nomination
I,…………………………………………………son/daughter
of
Shri………………..………residing at ……………………………………………
……………………………………………………………………. am
(ii)
the registered nominee in the above account(s).
(iii)
the person authorized to receive payment on behalf of Master /
Miss ………………………………….. who is the nominee in the
above account(s) and is a minor as on the date of this claim.
Please settle the balance in the account in the name of the nominee. I receive
the payment as trustee of the legal heirs of the deceased.
B. In the case of joint account
I/We Request you to delete the name of deceased person and continue the account
in my /our name(s) with same mode of operations.
I/We submit photocopy of the following document(s) together with originals. Please
return the original to us after verification.
Death Certificate issued by
______________________
Identity proof (required in nomination cases)
________________
Place:
Yours faithfully,
Date:
(Claimant(s)]
28
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business