NMB BANK LIMITED
Kegitrrred Camnrrlal Mank
To: The Manager Branch
1Slullka**|*********************"
ACCOUNT CLOSURE REQUEST FORM
As at the close of business today,.. . please close the following
account and deal with the balance as given below: CHECK LIST
Date. 32GPL ******
FOR BRANCH USE ONLY
..tußi oa
Account Name: *****'**********'"*****"'**.
CB Manager Advised (Where necessary)
Account No: Unused cheques obtained/destroyed
Card Centre Advised
No Uncleared Balances
No linked loan Account
Exchange Control File Removed
Balance Disposal (Tick the applicable) No Security Documents held
Linked Cards Obtained/Not uscd
Internet Banking disabled
. Transfer to Account [ ] 2. Pay Proceeds in Cash [ ]
3. Bank cheque [ Date Account closed
Account Number: '******'*''**''**'***''* '*****''***'***"|
Account Name:.
Other Instrnuctions:
Reason for Account Closure
1/We confirm that all outstanding cheque leaves have bcen
Card
retuned'destroyed.d the Cheque Guarantee Card/Access
No. .** urned.
CustomerSignature(s)_
Signature (Branch) . * ********
S/V......*********
NMB BANK LIMITED
Pgitered e m n r i a l Pan
To: The Manager Branch .r ***'**********
ACCOUNT CLOSURE REQUEST FORM
As at the close of business today. please close the lollowing
account and deal with the balance as given below CHECKLIST
Date 31222 FOR BRANCH USE ONLY
Account Name: MttdisSI Mee *******'******
CB Manager Advised (Where necessary)
Unuscd cheques obtaincd/'destroyed
Account No:
Card Centre Advised
No Uncleared Balances
No linked loan Account
Exchange Control File Rcmoved
No Security Documents held
Balance Disposal (Tick the applicable)
Linked Cards Obtaincd/Not uscd
Internet Banking disabled
1. Transfer to Account [12. Pay Procceds in Cash [1
Datc Account closed
3. Bank cheque [
Account Number
* * * * * ' * * * * * " * * * * * * ' * * * * * * * * * * * *
**
Account Name:
Other Instructions:
Reason for Account Closure
I/We cofirm that all outslanding chcque leaves have been
the Cheque Guarantee Card/Access Card
retumed/destroyee,nd
No... Felumed.
Customer Signature(s) Signature (Branch) ' * * * * ' * * * * * * * * * * * ' * *
* *******
S/V........... ........
