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Date:

The Manager,
Bank Alfalah Limited
Adyala Road Branch.
Rawalpindi.

Dear Sir,
SUB: REQUEST FOR ACCOUNT STATEMENT/OR & CERTIFICATE OF ACCOUNT

Account Number: __________________


Title of Account: __________________
Kindly provide me with a statement of account for the period as under:
From: __________________

To: __________________

o The statement of account may be delivered to me


o The statement of account may be delivered to Mr. _______________________________ whose signature is
appended below

Specimen Signature of Mr____________________________ is ______________________________

Please debit the above account in the respect of costs as advised in the Bank’s Schedule of Charges prevailing at this
time.

Thank you,
Yours truly,
______________________ ____________________

Signature Approved my BM/OM

Received Statement of Account as requested above _________________

Signature

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