Strictly Private and Confidential
Account Closure Instruction
Date :
To : CIMB Bank Berhad
Robinson Road, P. O. Box 0088, Singapore 900138
Attn: Account Services
I/We authorise you to close my/our account maintained with your bank.
Account Name: Account No.:
Please refund the sums owing to me/us from the above stated account, if any, as per my/our selection below:
Please tick one only.
Cash (Only applicable for account closure at Branch)
Crediting CIMB Account No.:
Account Name (If crediting 3rd Party CIMB Account):
Banker’s Cheque (Can only be paid to account holder(s)).
Self Collection
Send to my/our account mailing address
Third Party Authorisation
I/We hereby authorise the following representative to collect my/our account proceeds in Banker’s cheque on my/our behalf:
Name: NRIC/Passport/FIN No.:
Others (Please specify):
Signature of Principal Applicant Signature of Joint Applicant
Name: Name:
NRIC/Passport No.: NRIC/Passport No.:
Note: Your CIMB Clicks Internet Banking and ATM card will be terminated if you no longer maintain any deposit account with us.
FOR BANK USE ONLY
BRANCH: ATTENDED BY: VERIFIED BY: CHECKED & APPROVED BY:
DATE: DATE: DATE:
Thank you for banking with CIMB Bank. For assistance, please call CIMB At-Your-Service (65) 6333 7777
CIMB Bank Berhad (13491-P) or email AtYourService@[Link]
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