Request form ANNEXURE-A

Date :........
Place:
To,
The Branch Manager
State Bank of India
-------------------------Branch
-------------------------City

o Sub- Transfer of Saving Current Account (tick relevant account)

Sir/Madam,
Please transfer my/our following Saving/Current account

Currently maintained with_________Branch (Br. Code_____), Distt.______State______

To_________________Branch (Br. Code_____), Distt.______State______
o I/We authorize you to levy application service charge for account transfer. Presently
Rs..
o I/We hold only one account with the branch and want the CIF also to be transferred.
o I/We hold multiple accounts with the branch and do not want the CIF to be

transferred.
o I/We enclose proof of address/ self-declaration of address mentioned below
______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Signature

1 __________________ 2 __________________ 3 __________________

(Name_______________) (Name_______________) (Name_______________)

______________________________________________________________________
For office use
Balance as on date : Rs
Mode of operation verified by . Signature verified by .
Charges recovered Amount ..on..initial..
Request forward to transferor branch (Only if received at transferee Branch) on

We acknowledge the receipt of the request from Shrifor

transfer of account number_______________from_______________________Branch
to_______________Branch on_____________
Authorized Signatory