dormant-account-activation-form (1)

Registered address - 9 Raffles Place, #50-01 Republic Plaza, Singapore 048619 Company Reg No.T03FC6380G

Page 1 of 1

RB/DA/2017

Date:

ICICI Bank Limited, Singapore Branch

Sub: Request for activation of my Account(s) mentioned below

_______________________________________________________________________________________________________________________

Dear Sir,

I/We,____________________________________________________________, confirm that I/we have not operated my/ our above

mentioned account(s) for a period of more than 12 months for the following reason:

_______________________________________________________________________________________________________________________

I request you to activate my above account(s).

Thanking you. Yours sincerely,

__________________________________

(Signature)

Name:_________________________________________________________

Customer ID:___________________________________________________

Annexure 2A - Request for Activation of Dormant Current / Call/ Savings/ Term Deposit Account

(DD/MM/YYYY)