To,
The Manager,
__________ (Bank Name),
__________ (Branch Address)

Date: __/__/____ (Date)

Subject: Application for bank statement

Dear Sir/ Madam,

Respectfully, I am ________ (Name) and I do hold a __________ (mention type of bank account) bank account in your branch bearing account number ________ (account number).

I am writing this letter to request you to issue a duplicate bank statement of my account for __/__/____ (Date) till __/__/____ (Date) due to _________ (reason for issuance of duplicate statement).

I request you to kindly issue the duplicate statement at your earliest. I am ready to pay all the applicable charges for a duplicate statement. As per requirements, please find all relevant documents attached for your ready reference.

Thanking you,
_________ (Signature)
_________ (Your name),
_________ (Contact number)

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