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    IDBI BANK Customer Request Form

    Uploaded by

    Vivek Sinha
    1. The customer has submitted a request form to IDBI Bank requesting multiple services: issuing duplicate account statements, issuing loose cheque leaves, processing debit card services, and issuing a signature verification certificate. 2. The customer also requested to change their mailing address and update contact details like mobile number, landline number, email and permanent account number in the bank's records. 3. Additionally, the customer sought to link their bank account number to their Aadhaar number and activate a deactivated bank account. The form required the customer signature and details for processing the requests.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    IDBI BANK Customer Request Form

    Uploaded by

    Vivek Sinha
    44K views2 pages
    1. The customer has submitted a request form to IDBI Bank requesting multiple services: issuing duplicate account statements, issuing loose cheque leaves, processing debit card services, and issuing a signature verification certificate. 2. The customer also requested to change their mailing address and update contact details like mobile number, landline number, email and permanent account number in the bank's records. 3. Additionally, the customer sought to link their bank account number to their Aadhaar number and activate a deactivated bank account. The form required the customer signature and details for processing the requests.

    Original Description:

    REQUEST FORM

    Copyright

    © © All Rights Reserved

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    1. The customer has submitted a request form to IDBI Bank requesting multiple services: issuing duplicate account statements, issuing loose cheque leaves, processing debit card services, and issuing a signature verification certificate. 2. The customer also requested to change their mailing address and update contact details like mobile number, landline number, email and permanent account number in the bank's records. 3. Additionally, the customer sought to link their bank account number to their Aadhaar number and activate a deactivated bank account. The form required the customer signature and details for processing the requests.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    44K views2 pages

    IDBI BANK Customer Request Form

    Uploaded by

    Vivek Sinha
    1. The customer has submitted a request form to IDBI Bank requesting multiple services: issuing duplicate account statements, issuing loose cheque leaves, processing debit card services, and issuing a signature verification certificate. 2. The customer also requested to change their mailing address and update contact details like mobile number, landline number, email and permanent account number in the bank's records. 3. Additionally, the customer sought to link their bank account number to their Aadhaar number and activate a deactivated bank account. The form required the customer signature and details for processing the requests.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Customer Request Form

    The Branch Head


    IDBI Bank Ltd: ___________________________Branch SOL_______ Date of Request: ____/____/____
    Customer Name: _______________________________________________________________________
    Cust ID____________________ Account No.:
    Dear Sir/Madam,
    (Please mark [ ] on appropriate boxes:
    Request you to kindly 1.

    Issue Duplicate Account Statement from Date____/____/____ to____/____/____

    2.

    Issue of Loose Cheque. No. of Leaf: ____ (only one cheque leaf allow)

    3.

    Process as under
    Surrender of Debit Card No
    Replacement of Debit Card No
    Regeneration of Debit Card PIN

    4.

    Issue Signature Verification Certificate required for


    _______________________________________________________________________________

    5.

    Change Mailing Address :


    New Mailing Address: ____________________________________________________________
    _____________________________Landmark _________________________________________
    State_____________________City___________________________ PIN Code
    Document provided for Proof of Address (Mandatory for change in mailing dress):- ___________
    _______________________________________________________________________________

    Document issuing Authority:________________________Place of Issue:____________________


    Contd. P.T.O
    For Branch Use Only
    Request Received Date: ____/____/____
    Request Processed Date: ____/____/____
    Request Received By: ___________________________________Employee No.:-____________________
    Signatures: -_____________________________
    Certified that this request letter is complete in all respect & all relevant documents are obtained & verified
    with mode of operation & signatures of the a/c. The request may please be processed
    Acknowledgement to the Customer
    Customer Name:-________________________________________________________________________
    Date of Request Received ____/____/____ Name of the Branch Official ____________________________
    Request type_________________________________________ Employee No_______________________
    Signature & Seal ________________________________________________________________________
    Thanks & Regards

    IDBI Bank Ltd

    _____________________Branch

    Contd.
    6.

    Issue New Cheque Book :_____ Nos (Indicate No. of Cheque Book(s) Required)

    7.

    Activate Account No
    The reason for deactivation was ____________________________________________________

    8.

    Update my following details in your records:i) Mobile Number ______________________________________________


    (For SMS Alerts customer needs to fill separate channel registration form)
    ii) Landline Number ____________________________________________
    iii) E-mail ____________________________________________________
    (In case e-statement is activated, physical statements will be disabled.)
    iv) Please update my Permanent Account Number (PAN) _____________________________
    (Please attach a self attested copy of pan card)

    9.

    Linking of Aadhar No. to my account (Declaration)


    I, the undersigned having Account Number ...,
    under Client ID No. ., with IDBI Bank Ltd., do hereby authorize IDBI Bank Ltd.,
    to link the same to my Aadhaar Number (Photo copy of the Aadhaar card duly self attested is enclosed)
    for electronic transfer of subsidies and also for using the Aadhaar number and bio-metric information
    for providing the Aadhaar Authentication Service.
    10. Any Other (Please specify):- ______________________________________________________
    _________________________________________________________________________________

    I have read, agree and understood the terms & conditions of various products/services as displayed in
    www.idbibank.com & as explained to me.
    Date____/____/____
    Place_____________

    Customer Signature________________________

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