Cheque Book Application

Company Letter Head

The Manager

(Bank’s Name)

(Bank’s Branch)

Date :

Re: Cheque Book Application

With reference to the above, I/We hereby confirmed that my/our cheque book application had been lost/stolen.

Therefore, I/We would like to request for a cheque book for our usage and hereby agree and undertake to absolve you from and save you harmless and indemnity you from and against all liabilities, claims demands, losses, damages, cost charges and expenses which you may sustain incur and be liable to or arise from the lost/stolen of the said cheque book application.

Thank you.

Yours truly

……………………………………………

(Company’s Rubber stamp where applicable)