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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: ____________

When to use this letter

Use this when someone needs a statement that carries the bank's stamp and signature: an embassy, a lender, a court, a tax officer. It is also the way to get a statement for an old period that the app does not show, or when you do not use net banking.

Before you send it

How to send or submit it

Give it at your branch with the passbook. Say plainly whether you need each page stamped and signed, and how many copies. Ask when to collect it and whether there is a charge for old periods or extra copies.

Mistakes that get it sent back

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.

More bank application formats

All bank application formats How to write an application