Freezing / Reactivation of SPEED-e facility Form

(For Password Users)

To,

DP Name : ________________

DP Id : ________________

Dear Sir/Madam,

Date : ___________

I/We request you to freeze/reactivate the SPEED-e facility as per the details given below:

 

(Tick 4 in the appropriate box below)

o

 Freeze my/our access to SPEED-e facility on a temporary basis

o

 Reactive my/our access to SPEED-e facility.

 

DP Id : ______________________________________

Client Id : ______________________________________

 

 

To be signed by the account holder(s) or SPEED-e User
 

Name

Signature

Sole/First Holder Name

 

  

Second Holder Name

 

  

Third Holder Name

 

  

 

 

SPEED-e User
 

Name

Signature

User Name

 

  

 

(Note : If the account is frozen by account holder , it cannot be reactivated by SPEED-e user)

 

Acknowledgment

Date : ______________

Received an application for Freezing/Reactivation of SPEED-e service from __________________________ having Client Id _____________.

 

 

(DP’s Stamp & Signature)