Name & Address of Previous Bankers

Date:

Dear Sir/Madam,
The person whose signature and account information appears below, has opened a Current/ Saving / Fixed Deposit Account with us
and has given you as reference. We would appreciate your verifying the signature and providing the information requested below,
which will be treated confidentially and without liability on your part.
Yours sincerely,

ACCOUNT INFORMATION
Savings Account No.
Current Account No.
Fixed Deposit Account No.
Signature
1
Full Name
1
Address

BRANCH SALES / SERVICE MANAGER

2
2

3
3

Mail to

REPLY

HDFC BANK LTD..

We confirm that the signature above tally with our records. The remarks and information given in confidence
and without liability on our part.
Savings Account
Current Account
Fixed Deposit

ACCOUNT CONDUCT
Satisfactory

Unsatisfactory

AVERAGE BALANCE
< Rs. 5000

Rs. 5000 - Rs. 25000

> Rs. 25000

FACILITIES GRANTED (IF ANY)

(a)_______________________________________________________
(b)_______________________________________________________
NAME & ADDRESS ____________________________________

AUTHORISED SIGNATURE & STAMP

OF THE BANK

OF ACCOUNT HOLDER : _______________________________

_____________________________________________________________
_____________________________________________________________

C36/V1.0/01-09-04/P0189

(c)_______________________________________________________