Professional Documents
Culture Documents
Customer Request Form B
Customer Request Form B
The term “RBL Bank” or “the Bank” shall mean The Ratnakar Bank Limited.
(For Bank Use Only) Branch Branch Code Date D D MM Y Y Y Y
PLEASE USE BLOCK LETTERS AND ATTACH SELF-ATTESTED DOCUMENT PROOFS AS PER REQUIREMENT.
TICK & SIGN AS APPLICABLE AND STRIKE OUT THE IRRELEVANT PORTIONS
Customer Name T A H E R B H A I A L I B H A I R A J K O T WA L A T R U S T
Cust Id 2 0 7 9 4 0 Account Number 3 0 9 0 0 0 7 2 1 4 8 0
CHEQUE RELATED
Stop Payment of Cheque:
Cheque Number Cheque Date Reason for Stop Payment
1 DD MM Y Y Y Y
2 DD MM Y Y Y Y
3 DD MM Y Y Y Y
Date: D D MM Y Y Y Y
Ver : SCGS/August/2013
Place:
(For Branch Use Only) - I hereby certify that the customer has signed in my presence and the signature has been verified from Bank's records
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