NIFMT PRINTABLE FORM

Bank Account Addition / Deletion Form

Use this form to request addition, replacement or deletion of bank-account details associated with an application or membership. Requests are subject to verification and approval.

Application / Form Number

Application Date

Security notice: Do not provide online banking passwords, PINs, OTPs, CVV numbers or full payment-card details. Attach only documents specifically requested through an approved secure process.

Member Details

Member / Applicant Full Name *

Membership / Application Reference

Registered Email *

Registered Mobile Number

Project Name

Request Type *

Existing Bank Details (for identification only)

Existing Account Holder Name

Existing Bank Name

Existing Account Last 4 Digits (optional)

Requested Effective Date

New Bank Details (complete for add / update only)

New Account Holder Name

Bank Name

Branch Name

New Account Last 4 Digits (optional)

IFSC Code (if applicable)

Supporting proof supplied

Reason / Additional Instructions

Declaration

I confirm that the request is genuine and the details provided are accurate. I understand that changes take effect only after verification and written confirmation by the authorised office.

☐ I have checked the details and understand that approval is not automatic.

Member Signature / Date

Authorised Representative / Date

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