Bank Account Transmission Request for Legal Heirs
Applicant Details
Full Name of Applicant:
Relationship to Deceased:
Contact Address:
Phone Number:
Email:
Deceased Account Holder Details
Full Name:
Account Number:
Branch Name:
Date of Demise:
List of Legal Heirs
Heir 1 Name:
Heir 1 Relationship:
Heir 2 Name:
Heir 2 Relationship:
Add more as required...
Declaration
Declaration Statement:
Signature of Applicant:
Date:
For Bank Use Only
Remarks:
Authorized Signatory: