Documente Academic
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Date: D D M M Y Y Y Y
To
ICICI Bank Limited,
RPC Mumbai,
Autumn Estate, 5th Floor, 'A' Wing,
Near Mhada, Chandivali, Andheri (E)
Mumbai - 400 072, INDIA.
Please close my/our NRE/NRO Savings Account/s. My account details are given below
Reason for Closure Returning to India Charges levied Account opened with another bank Any other:
Also, I request you to de-link my I-direct trading account linked to the above account (if applicable).
Please make payment of the balance amount by (please Many one of the following options)
Transfer to another ICICI Bank account, Alc Holder's Name:............................................................................................................................................
Alc No.: ................................................................................................ (*refer to point 4 in notes)
Pay Order(PO)/Demand Draft (DD) payable at...................................................................................................................................................................
a) Send PO/DD (in INR) to the address mentioned below
Receiver's Name ......................................................................................................................Tel No. ............................................................................
COUNTRY CODE + AREA CODE + NUMBER
DD to be mailed to (address) :............................................................................................................................................................................................
.............................................................................City ..............................................Country.................................PIN code.............................................
b) Send PO/DD (in Foreign Currency:............................................) to my correspondence address (OVERSEAS) as per bank records.
SIGNATURES*
(as per Bank's records)
Notes
1. For account closure related charges.
2. A mandate holder cannot request for an account closure.
3. *Signatures of a II account holders are mandatory for account closure.
4. Closure proceeds of NRO Savings account cannot be transferred to an NRE or any third party account.
5. Applicable service tax will be levied on repatriation of closure proceeds.
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