Note Exchange Form Download PDF: Rs 500 1000 Old Note Request Slip / Form (Annex-5)

Note Exchange Form Download PDF: Reserve Bank of India has issued the complete guideline and Request Slip for the exchange of Hold Rs 500 & 1000 Rupee Notes. Before going to exchange Rs 500 1000 Old Note from any Bank you need to download Note Exchange Form from RBI website ( After the Ban on Bank Note of Rs. 500 and Rs.1000 all people want to exchange or deposit their old Notes to the bank. RBI (Annex 5) Request Slip / Note Deposit Form is available on Reserve Bank website. One can download Note Exchange Form / Request Slip for the exchange of Old High Denomination Bank Notes in denominations of Rs.500 and Rs. 100/- Notes.

Update: 14.11.2016:  ATM cash withdrawal limit increased to Rs 2500 per day. 

After launching the new Rs. 500 notes on Sunday, the government increased the daily limit of withdrawal from ATMs from Rs. 2000 to Rs. 2500 and exchange limit from Rs. 4,000 to Rs. 4,500 in Bank. Weekly limit of Rs 20,000 for withdrawal from bank accounts increased to Rs 24,000/-. 

Download Note Exchange Form / Request Slip PDF: 

Lots of ATMs out of cash because of Ban on Rupee 500 & 1000 notes. The customer need not to panic in this situation. You can download RBI Note Exchange Form to exchange old 500 and 1000 notes. There is no limit to deposit your cash in Bank. Below 2.5Lakh deposit of cash in Bank is Tax-Free (under the Graham Scheme). After that, you have to pay 200% on Tax is deducted from your deposit money. Customer can exchange and depositing old notes in bank up to December 30, 2016.  

According to the latest announcement, the Reserve Bank of India has extended the use of OLD Rs 500/ Rs 1000 notes in Govt Hospital, All Medical Shops, Dairy Milk Shops and Road Tolls are also free till 14th Nov 2016. Petrol Pump also accepts old notes. 
In terms of Gazette Notification No 2652 dated November 08, 2016 issued by Government of India, ` 500 and ` 1000 denominations of Bank Notes of the existing series issued by Reserve Bank of India shall cease to be legal tender with effect from 9th November 2016, to the extent specified in the Notification.

Note Exchange Form /Request Slip for the exchange of Old High Denomination Bank Notes in denominations of Rs.500 and Rs. 100/- Notes. 
note exchange form download pdf rs 500 1000 note Request slip

Required documents during Exchange or Deposit of OLD Rs 500 / 1000 Notes:
Aadhaar Card, 
Driving License, 
Voter ID Card, 
Pass Port, 
NREGA Card, 
PAN Card, 
Identity Card Issued by Government Department, 
Public Sector Unit to its Staff.

Important Points to Deposit / Exchange Old 500 & Rs.1000/- Notes:

Where Can I go to exchange the 1000 / 500 Rupee Notes: 

The exchange facility is available at all issued offices of RBI and branches of commercial banks / RRBs / UCBs / State Co-operative Bank or at any Dead Post Office or sub-Post office. For exchange up to 4000 in cash you may go to any bank branch with valid identity proof. For exchange over 4000, which will be accorded through credit to Bank account only, you may go to the branch where you have an account or to any other branch of the same bank.

In case you want to go to a branch of any other bank where you are not maintaining an account, you will have to furnish valid identity proof and bank account details required for electronic fund transfer to your account.

Read Complete Guideline published by RBI - Click here

Old Notes Exchange
Rs. 4000  4500
10th Nov – 24th Nov
Bank Note Withdrawal
Rs. 10000 Daily
10th Nov Onwards
Bank Note Withdrawal
Rs. 20000  24000 Weekly
10th Nov Onwards
ATM Note Withdrawal
Rs. 2000 2500 Daily
10th Nov – 18th Nov
ATM Note Withdrawal
Rs. 4000 Daily
19th Nov Onwards
Old Note Deposit
No Limit
10th Nov – 30th Dec
Cashless Online Shopping
No Limit
8th Nov Onwards

For more information about RBI Note Deposit Form for Rs 500 and 100  to Exchange or Deposit old Rs.500 and Rs 1000 notes, you need to login Reserve Bank of India website i.e. and download the same. You may also approach the control room of RBI by email or on Telephone No. 022 22602201/ 022 22602944.