Account Confirmation Letter Form

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Account Confirmation Letter Form

Bank Details

I will collect from: * Select branch where you want to collect your statement from

Mode of Collection: *

Accounts to be Confirmed: *

Account Type	Account Number	Show Balance	Action

Personal Information

Your Full Name: *

Your CID Number: *

Your Mobile Number: *

Your Email ID: *

Document Upload

Upload Signature: * Sign on blank paper, scan/photo and upload

CID or Valid ID: * For Bhutanese: CID front and back required

Proof of Residency: (Any Bill paid copy/VISA copy/ STUDENT ID copy)(Applies only for Bhutanese Living Abroad)

Authorization (Optional - If someone collects on your behalf)

Authorized Person's Name:

CID Number:

Mobile Number:

Passport Number:

Indemnity

I declare that the information and documents provided are true and correct. I request the Bank to issue the account confirmation letter and authorize deduction of applicable charges from my account.

Confirm Any Account Number for Charges: * Enter any of the accounts listed above for fee deduction.

Agreement: *

I Agree I Disagree