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Card Cancellation Request Form

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Card Cancellation Request Form Powered By Docstoc
					                                                                                 Branch:
                                                                                 CRO:
                          CARD CANCELLATION REQUEST
Customer Name: ___________________________________________________________
  Credit Card, Basic                Credit Card, Supplementary                  E-Card
Card Number:

Card # 2 (                  ):

CNIC Number (Current):

NIC Number (Old):

Reason for Cancellation Request: PLEASE ATTACH CUT CARD AT THE BOTTOM

   Do Not Want to Pay AMF ____________________________________________________

   Sales Mis-commitment _______________________________________________________

   High Mark Up Rate _________________________________________________________

   Low Credit Limit ___________________________________________________________

   Collections Issue ____________________________________________________________

   Service Issues _______________________________________________________________

   Pledge Release; Account #: __________________________ Tide #: __________________

   Others _____________________________________________________________________


___________________________                 _______________               _______________________
Card Member’s Signature                     Date                          Contact Number/s

For Bank Use Only
Outstanding Balance: __________________________________________________________
Recommended Action: _________________________________________________________

Space for Cut Card Attachment




Front Desk -- GIME Updated --- IMPR --- GIME Updated (Cards) --- ECCMS Logged ---- CLU (Cards) ----
CMU / Concerned Dept.---- Actinn by CMU/Concerned Dept. / Scan & File--- Info to Cm by IMPR
FD-CANX-V1-08-08

				
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Description: Same Base Account Opening Request Form Account Statement / Bank Certificate Request Form Account Closure Request Form Authority Letter Card Cancellation Request Form Captured Card Release Request Form Card Conversion / Upgradation / Clubbing Request Form Card Replacement / Renewal / Reinstatement Request Form Direct Debit Form General Services & Complaints Form