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Card Cancellation Request Form (DOC)

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Card Cancellation Request Form (DOC) Powered By Docstoc
					Branch: ______________


                   CAPTURED CARD RELEASE REQUEST

Card Type:         Credit Card            Debit Card               ATM Card               Others _______


Name of Issuing Bank: ___________________________________________________________


Card Capture ATM Location: _____________________________________________________


Date & Time of Card Capture: _____________________________________________________


Card Title: _____________________________________________________________________




                                                                                                             BB - CRD - CAP - 10 - 09
CNIC/PP No.: _________________________________________________________________



____________________________________                  _______________________________________
Card Holder’s Name                                    Signature & Date

Contact No: ______________________________________


____________________________________

Receipt signature of the customer


                                           FOR BANK USE ONLY



Card Number: __________________________________________________________________________

Card Handed Over to the Cardholder by:


Name: ________________________________              Signature & Date: ______________________________

N.B.: A Captured Card will be retained at the branch for two days (Off-Us local), seven days (Off-Us
International), and 30 days (On-Us), after which the card will be sent to the corresponding bank for their
onward action.

				
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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