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OD Closer Form

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FIXED DEPOSIT/RECURRING DEPOSIT

LIQUIDATION FORM

Please fill in Black Ink & in CAPITAL LETTERS only Date


D D M M Y Y Y Y

CUSTOMER DETAILS
Name of Primary Applicant/Authorised Signatory 1

Name of Second Applicant/Authorised Signatory 2 (if any)

Name of Third Applicant/Authorised Signatory 3 (if any)

FIXED DEPOSIT
I/We request you to please liquidate the below mentioned Fixed Deposit held in my/our name as per instructions below
Fixed Deposit Account Number Principal Amount `

Liquidate the entire Deposit amount

Liquidate a part of the Deposit for an Amount of ` on


The remaining amount will continue as an Fixed Deposit at the contracted rate. This facility is not available for D D M M Y Y Y Y
Fixed Deposits with Principal Amount greater than Rs. 1 Cr

Proceeds will be credited to IDFC FIRST Account Number


Proceeds will be credited to alternative
account number through Funds Transfer

Bank Name

Account Name

Account Type IFSC Code

RECURRING DEPOSIT
I/We request you to please close the below mentioned Recurring Deposit held in my/our name as per instructions below

Recurring Deposit Account

Proceeds will be credited to IDFC FIRST Account Number

DECLARATION & SIGNATURE(S)


I/We hereby undertake to abide by the General Terms and Conditions and Schedule of Charges as available on our website
www.idfcfirstbank.com

Sign as per Account Rule

Signature Signature Signature

Name of First Account Holder/ Name of Second Account Holder/ Name of Third Account Holder/
Authorised Signature Authorised Signature Authorised Signature

FOR BANK USE ONLY

Service Request No.

Employee ID

Name of the Branch Official


CB-BB/55/05-2017/0

Signature of the Branch Official


Sourcing Branch Code

A4 Size

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