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ICSE Class X Notes 2026 : Mathematics (St. Patrick's Academy, Bangalore)

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ACCOUNT CLOSURE / FIXED DEPOSIT PREMATURE WITHDRAWAL FORM A/c No: Date: D D M M Y Y Y Y 1. Please ll the details in CAPITAL LETTERS 2. Please strike-o as NA for details which are not applicable I/We request you to close my / our Savings / Current Account: N A M E O F F I R S T N A M E O F S E C O N D O F T H I N A M E *If there are more than 3 holders then please ll up the additional form H O L D E R H O L D E R R D H O L D E R CURRENT ACCOUNT / SAVINGS ACCOUNT CLOSURE I understand that at the time of Account Closure: Access to all channels linked to this Account will be disabled. All the Standing Instructions in this Account will be cancelled. I/We have surrendered/destroyed ATM/Debit Card associated with this Account. All ATM/Debit Card(s) linked to this Account will be cancelled. Closure proceeds shall be the amount that is left over after deduction of Account Closure charges as applicable. My existing Sweep In Accounts along with the Savings/Current Account will be closed and the relevant penal charges will be applicable on the Sweep In Deposits on closure of Account. I/We shall be responsible for amending all the ECS/Auto debit mandates linked to this Account. I have surrendered unused cheque leaves. All the used/unused/not paid/ post-dated cheques which are surrendered/not surrendered will be treated as cancelled/destroyed. For lockers linked to this Account, I con rm that I have surrendered my locker/s linked to this Account. For Dormant/Inactive Accounts: In case my Savings Bank Account/ mentioned above is/are dormant/inactive, the same will be activated to process the Account Closure request. Pay the proceeds by By Cash (As per current Income Tax rules, if the Account Balance at the time of account closure exceeds ` 20,000/- the payment will not be made through cash) By Demand Draft Credit to another Bank Account Bene ciary Account No.: Credit to Induslnd Bank Account Bene ciary Account No.: Bene ciary Bank Name & Branch: Bene ciary IFSC Code: Bene ciary Bank Address: Reason for Account Closure: 1. Miscommunication / Misconduct by Sta 7. Moving out of City to a Non-IndusInd location 2. Unhappy with Service delivery standards 8. Close and Reopen another Account 3. Salary Account - Left Job 9. Account opened incorrectly 4. High Balance requirement & other charges / Features not o ered 10. Deceased 5. Distance from the Branch 6. Bus Slump / Co-closed / Ceases to exist / Insolvency 11. Minor to Major 12. Customer initiated OD Account Closure Page 1 FIXED DEPOSIT PREMATURE CLOSURE Fixed Deposit No.: Partial Closure# Full Closure # Please specify amount Maturity Proceeds: Credit to Induslnd Bank Account Other Name of the Bank: Account No.: IFSC Code: I hereby authorise IndusInd Bank Ltd., to execute the above mentioned requests and update all records linked to my IndusInd Bank Account. I have read all Terms and Conditions applicable and understood the Schedule of Charges (SOC) at www.indusind.com (In case of Current Account, rubber stamp required) Signature of 1st holder (In case of Current Account, rubber stamp required) Signature of 2nd holder FOR BANK USE ONLY Branch Employee Name : Customer Segment : AMB for last 3 months : Pioneer Exclusive Other Month 1______________________ Month 2______________________ Month 3______________________ Account Closure Approved by ECN & Name : Balance in Account : Account Cosure proceeds paid : ___________________________ ____________________________________________________________ (after deduction of closure charges (if applicable) Mode of Payment : Cash / DD / IFT / NEFT DD / UTR No. : ___________________________ ECN Stamp & Signature Branch Seal CUSTOMER ACKNOWLEDGEMENT Date: D D M M Y Y Y Y ECN Stamp & Signature Closure Request A/c: Branch Seal FD: For charges and fees, please refer to our schedule of charges (SoC). Terms and Conditions apply. Page 2 ACFDPWF/03-2023 Branch Employee Name:

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