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 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.

Place :

Date : 29-04-2024