Close account request form - Personal - HSBC
Close account request form - Personal - HSBC
Close account request form - Personal - HSBC
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<strong>Close</strong> <strong>account</strong> <strong>request</strong> <strong>form</strong> - <strong>Personal</strong>Please complete the <strong>form</strong> in BLOCK CAPITALS. Please tick where applicable and ensure that no blank or partially completed <strong>form</strong>s/documents are signed and handed over to the Bank staff.Date:_______________________Customer name(s)AddressFuture correspondenceCityCountryTel (Off.)Tel (Res.) State PIN code E-mail Mobile_______________________________________________________________________________________________________________________I/We authorise you to close the <strong>account</strong> listed below. The balance in the <strong>account</strong>, after the recovery of any interest, tax or chargespayable by me, is to be repaid to me as indicated on page 2.Customer numberSavings/Current<strong>account</strong> numberFixed deposit number(s)Other <strong>account</strong>s**Please provide separate <strong>request</strong>s for closure of Demat <strong>account</strong>/Wealth management/Retail loans/Credit cards/Lockers.Please tick the reason for closure of the <strong>account</strong>.Code Reason for Closure Code Reason for Closure1. Account moved within <strong>HSBC</strong> 6. Accountholder deceased2. Unable to maintain the minimum balance/charges too high 7. Dissatisfied with the service/product features3. Inactive <strong>account</strong>/not being used 8. Resigned from corporate (salary <strong>account</strong>)4. Moved to non-<strong>HSBC</strong> bank location/inconvenient bank location 9. Others5. Interest rate not competitivePlease specify _____________________________________
<strong>Close</strong> <strong>account</strong> <strong>request</strong> <strong>form</strong> - <strong>Personal</strong>The Balance in the <strong>account</strong> is to be repaid as follows: (choose any one option only) Transfer vide NEFT/RTGS or Telegraphic Transfer (less applicable charges) as per the application enclosed.(Kindly complete separate NEFT/RTGS/TT application <strong>form</strong> as applicable)(NEFT - mandatory for all amounts below `1,000) Bank draft (less applicable charges) to be mailed to the future correspondence address. Transfer to my <strong>HSBC</strong> Account __________________________________________________________________________________________________________________________________________________________________I/We hereby declare that all the unused cheque leaves, debit/ATM cards have been destroyed by me/us.I/We agree and understand that any unpresented cheques, ECS and Standing Instructions in the <strong>account</strong> received by the Bank after thedate of <strong>account</strong> closure will stand dishonoured by the Bank and I/We agree to indemnify the Bank against any actions, proceedings, claimsand/or demands that may arise due to reason of such dishonour.I/We agree and confirm that I/We shall provide separate instructions to the Bank for closure of the Safe deposit lockers/Demat <strong>account</strong>s/Credit cards/Wealth management <strong>account</strong>s/Retail loans, if held by me/us.I/We agree and confirm that I/We shall provide suitable amendment instructions to concerned asset management company, in case the<strong>account</strong> being closed above is a settlement <strong>account</strong> for wealth management services availed of from the Bank.I/We agree and understand that the Bank shall have a right of set off and general lien over the amount payable to me/us after closure ofthe aforesaid <strong>account</strong> and the Bank shall be entitled to recover any outstanding amount including interest, charges, TDS and/or any otherrelated charges.I/We agree and understand that any charges as per the applicable tariff will be deducted from my/our <strong>account</strong>. Please refer to the applicablecharges on www.hsbc.co.inI/We agree and understand that the Bank accepts no responsibility for any loss, delay, error, omission or mutilation which may occur inthe transfer of funds or for any misinterpretation and I/we agree to indemnify the Bank against any actions, proceedings, claims and/ordemands that may arise in connection with such loss, delay, error, omission, mutilation or misinterpretation.Note: All <strong>account</strong>holders are required to sign this <strong>form</strong> and authenticate all corrections or amendments (If any).Sole/First <strong>account</strong>holder Joint/Second <strong>account</strong>holder Third and Other Joint <strong>account</strong>holdersFor bank use onlySignature of Authorising Official RMS Ref. # NameCARF 11/13Issued by The Hongkong and Shanghai Banking Corporation Limited, India (<strong>HSBC</strong>). Incorporated in Hong Kong SAR with limited liability.