Form

Submission of Intimation of Death for the Purpose of Claim Request in Deceased Cases

Name of Deceased Depositor/Customer *

Date of Death *

Type of Account

Account Number *

Branch Name *

Nomination

Contact Number of Nominee/Claimants *

Email ID of Nominee/Claimants

Comments

Upload Request Letter

Upload Orignal Death Certificate

I declare that I am authority to apply for this Death Claim settlement. I confirm that information filled above is correct and I am in possession of all the required documents and information for submission to Branch. I will visit the Branch within 3 days for completion of all formalities. I am aware that this is only an application and does not constitute completion of settlement process. The settlement of claim will be as per Bank’s Death Claim Settlement Policy.