To
The Branch Manager,
_______ (Address)

Date: __/__/____ (Date)

Subject: Issuance of pay order

Respected Sir/ Madam,

My name is _______ (Name) and I hold a bank account in your esteemed bank since _______ (Year) having account number _____________ (Account Number).

It would be so kind of you if you could issue the requested pay order with the details mentioned below:

Payorder in Favour of: ____________ (favoring)
Amount: ______ /- (Amount)
Payable At: ______________ (Payable Location)
Debit Account No.: _______ (Account number)

I request you to kindly issue a pay order in favor of ____ (favoring) and debit the amount in my account no. _____ (account number) amounting ____________ for Pay order issuance. I hereby authorize the bank to debit the charges levied for pay order issuance. Please find enclosed _________ (Cheque, Pay order Application Slip Form/KYC, and any other supporting documentation) as per requirements.

Thanking you,

___________ (Signature),
___________ (Your Name),
___________ (Bank Account Number),
___________ (Contact)

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