5.account Closure Form

This document is a personal account closure form from BRAC Bank Limited. It requests closure of a specified personal bank account and includes instructions for disposing of unused check leaves and ATM/debit cards, surrendering locker keys, canceling standing instructions, and paying out the total balance plus interest. The customer must sign to authorize the closure and select a payment method of cash, funds transfer, remittance, pay order, or other option.

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5.account Closure Form

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mehedikamla7

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BRAC BANK

LIMITED

p____/____/________
Account
Branch Manager
Number:
BRAC Bank Ltd.
Account
Branch:
Title:

PERSONAL ACCOUNT CLOSURE

Dear Sir/Madam,

Kindly make arrangements to close the following personal account maintained in my/our name:

Account Type:

Account Number:

Account Title:

Unused cheque leaves to are attached for disposal.

ATM/Debit card(s) and are attached for disposal.
Key for my/our locker facility is surrendered.

Please cancel any standing instructions on this account and pay the total balance with accrued interest (if
applicable), after realization of all applicable charges, as per the following instructions:

Cash Fund transfer to above mentioned account no

Remittance (encl: application form) Pay Order (encl: application form)
Other (specify):

Accountholder’s Signature 2nd Accountholder’s Signature

(if joint)

FOR BANK USE ONLY Customer ID:

• Signature(s) Verified • Charges Realized: BDT • Interest Paid (if applicable)
• Standing Instructions Cancelled • Deposit/Loan Accounts Checked • Locker Facility Checked
• Zero Balance Confirmed • ATM/Debit Card Destroyed • Unused Cheques Destroyed

Received By Action Taken By

N.B. All joint-accountholders are required to sign regardless of mode of operation.

* Ac Holder physically Present.

RB-CSF BRAC BANK LIMITED

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5.account Closure Form

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5.account Closure Form

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BRAC BANK

PERSONAL ACCOUNT CLOSURE

Unused cheque leaves to are attached for disposal.

Cash Fund transfer to above mentioned account no

Accountholder’s Signature 2nd Accountholder’s Signature

FOR BANK USE ONLY Customer ID:

Received By Action Taken By

N.B. All joint-accountholders are required to sign regardless of mode of operation.

* Ac Holder physically Present.

RB-CSF BRAC BANK LIMITED

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