CUSTOMER INFORMATION UPDATE TEMPLATE - Jamaica National

JAMAICA NATIONAL BUILDING SOCIETY
CUSTOMER INFORMATION UPDATE TEMPLATE
Name:
Address:
Account Numbers (s):
BRANCH:
From:
Home Telephone No.
Mobile No.
Identification Type:
Identification No.
CHANGE OF SERVICING BRANCH
To:
Kindly accept this as your authority to transfer the following accounts to the branch indicated above.
ACCOUNT NUMBER(S):
CHANGE OF ADDRESS
Kindly update the address on your records to read the following:
Old Address
Current Address
Address: Address:
CHANGE OF NAME
Please be advised that my name has been changed as indicated below:
Title, First Name & Middle Name(s) Surname.
Previous Name
Current Name
Title, First Name & Middle Name(s) Surname.
The change of name was ocassioned by
and dated
as per certificate numbered
I agree to hold the Jamaica National Building Society and its staff harmless and indemnified from and against all claims
proceedings, losses, damages and expenses which may occur as a result of these instructions.
FOR OFFICIAL USE:
Confirmed by:
Witnessed by Notary Public / J.P. :
(for change of name)
Signature of Customer
Signature and Official Stamp/Seal
Received by:
Name: __________________________
Signature: ______________________
Date: __________________________
Approved By:
Name: __________________________
Signature: ______________________
Date: __________________________
What documentary evidence did you receive to indicate changes:
Adjustment done on:
Signature Card:
Yes
No
Banking System:
Yes
No
Other:
Yes
No

J-TPS-603-F12-Ver 1-March 2, 2012
No