The Branch Manager,
____________ (Name of the Bank),
____________ (Branch Address)

Date: __/__/____ (Date)

Subject: Request for duplicate passbook

Dear Sir/Madam,

I, ____________ (account holder’s name) have a (type of account- savings/ any other) account __________ (account no.) in your bank. I have erroneously lost/ misplaced/ damaged my bank passbook.

Hence, I hereby request you to kindly issue me a duplicate passbook with the statement from __/__/____ to __/__/____ (transaction dates). I hereby authorize the bank to debit charges from my account in this regard (if applicable).

As per the requirements, I am also enclosing ___________ (customer request form/KYC/ any other applicable documents) along with this application.

Thanking you in advance.

______________ (Signature)
______________ (Name),
______________ (Account Number)

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