"Account Closing Form - Standard Chartered"

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▌ACCOUNT CLOSING FORM ▌
Please use BLOCK LETTERS.
* Delete as inappropriate.
Please “
“ where applicable.
Branch
Date
Personal Information
Account Name:
Currency
Account Number
Currency
Account Number
3.
1.
4.
2.
Account Termination Details
*I / We wish to close the above mentioned account with immediate effect.
Currency
Amount:
Please arrange for the credit balance of
from the account to be paid as follows :
Currency
Account Number:
Credit to another account with SCB
Account Name:
Remit the proceed to other Bank by *Demand Draft/ Cashier Order:
Currency
Account Number:
Beneficiary Account Number:
Beneficiary Name:
Name of Bank:
Address:
Withdraw the proceeds in cash.
Other instructions:
With the closure of the above mentioned account, I understand that the following facilities linked to this account will be cancelled with immediate effect:
Personal Loan
Credit Card and Personal Credit
Others (Please specify):
*My/ Our reason for closing the above account is:
Signature of Account Holder (1 – PRIMARY):
Signature of Account Holder (2 - JOINT):
Signature of Account Holder (3 - JOINT):
Signature of Account Holder (4 - JOINT):
Name:
Name:
Name:
Name:
Passport/ ID Number
Passport/ ID Number
Passport/ ID Number
Passport/ ID Number
Note: a. For cancellation of Credit Card Account, please return the above mentioned Credit Card to the Bank.
b. With the cancellation of the Principal Credit Card, the Supplementary Credit Card Account(s) will be cancelled.
For Bank Use Only
Signature Verified by:
Processed by:
Checked by:
Receiving/ Processing Branch:
Processed on:
Reason Code:
Master No:
Relationship No.:
Branch Officer Signing No.
1.
1.
(
)
▌ACCOUNT CLOSING FORM ▌
Please use BLOCK LETTERS.
* Delete as inappropriate.
Please “
“ where applicable.
Branch
Date
Personal Information
Account Name:
Currency
Account Number
Currency
Account Number
3.
1.
4.
2.
Account Termination Details
*I / We wish to close the above mentioned account with immediate effect.
Currency
Amount:
Please arrange for the credit balance of
from the account to be paid as follows :
Currency
Account Number:
Credit to another account with SCB
Account Name:
Remit the proceed to other Bank by *Demand Draft/ Cashier Order:
Currency
Account Number:
Beneficiary Account Number:
Beneficiary Name:
Name of Bank:
Address:
Withdraw the proceeds in cash.
Other instructions:
With the closure of the above mentioned account, I understand that the following facilities linked to this account will be cancelled with immediate effect:
Personal Loan
Credit Card and Personal Credit
Others (Please specify):
*My/ Our reason for closing the above account is:
Signature of Account Holder (1 – PRIMARY):
Signature of Account Holder (2 - JOINT):
Signature of Account Holder (3 - JOINT):
Signature of Account Holder (4 - JOINT):
Name:
Name:
Name:
Name:
Passport/ ID Number
Passport/ ID Number
Passport/ ID Number
Passport/ ID Number
Note: a. For cancellation of Credit Card Account, please return the above mentioned Credit Card to the Bank.
b. With the cancellation of the Principal Credit Card, the Supplementary Credit Card Account(s) will be cancelled.
For Bank Use Only
Signature Verified by:
Processed by:
Checked by:
Receiving/ Processing Branch:
Processed on:
Reason Code:
Master No:
Relationship No.:
Branch Officer Signing No.
1.
1.
(
)