of joint account holder in Fixed Deposit Account To Date DDMMYYYY Bajaj Finance Limited 4th Floor Bajaj Finserv Corporate Office Viman Nagar Pune 411014 Fixed Deposit Number ID: 947030
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Request for Deletion of joint account holder in Fixed Deposit Account To Date: DD/MM/YYYY Bajaj Finance Limited 4th Floor, Bajaj Finserv Corporate Office, Viman Nagar, Pune 411014 Fixed Deposit Number _________________________ Existing Customer ID________________________________ I/We, existing holders of aforementioned fixed deposit account request you for deletion of joint account holder (s) in the manner given below: - Proposed Name to be deleted in the aforementioned Fixed Deposit Account 2 nd Holder 3 rd Holder Mode of Holding (after Deletion ): Joint Anyone or Survivor Declaration : I / We have read, understood and agree to abide by the terms & conditions relating to the change requested by me/us, as may be in force from time to time. 1st Holder Sign & Date Existing 2 nd Holder Sign & Date Existing 3 rd Holder Sign & Date 1st Holder Sign & Date Proposed 2 nd Holder Sign & Date Proposed 3 rd Holder Sign & Date