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Account Conversion Request
Account Conversion Request
Date:____________________
Client Code_____________________
I hereby surrender the following existing facility associated with my previous account:
Please change the nominee of my existing account to new account of the following:
Updates If any:
Name of Spouse: ______________________________________________________________
I/We agree to be bound by the terms and conditions set out by Sanima and agree that the account(s) will be governed by and
are subject to the terms and condition. I/We also agree that all deposits that may be placed by me/us with the Bank are subject
to the prevailing rules and regulations of Nepal Rastra Bank and are governed by law in effect from time to time.
…………………………………..
Minimum Balance
Check, whether the following facilities are deleted from the system of the previous account?
Scanned By ______________________