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Application for bank statement

Use this to ask your branch for a signed statement of your account for a period, for example for a loan, a visa or income tax work.

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To The Branch Manager, [Bank Name], [Branch Name] Date: [Date] Subject: Request for a statement of account Respected Sir/Madam, I hold a [savings/current] account, number [Account Number], in your branch. I need the statement of this account from [From Date] to [To Date] for [Purpose, for example a home loan application]. Kindly give me the statement with the bank's stamp and signature. Thanking you, Yours faithfully, [Your Name] Account No.: [Account Number] Mobile: [Mobile Number] Signature: ____________

Before you send it

This is a general format, written by us, to save you time. If the bank has its own printed form, use that form. Last checked: 11 November 2026.

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