APPLICATION FORILINKING AADHAR NUMBER TO BANK ACCOUNT nd
CONSENTEOR AADRAAR BASEDAUTHENTICATION
Ta
The Branch Manager, Dae:
.Bank
Branch
to niy propased
iagName
bankaccount number.
(Existing
of the acCount halder) /Sw/d/0sselsioaR{O..... wish to tink ny Aadhaar numher
The particulars ol the Aadhaar /UID letter are as under (self-attested copy enclosed)
Aadhar/UID number.
Name of the Aadhaar Holder as In Aadhaar Card.
Z. herehy state & undertake thatI have no objection in authenticating myself w:th Aadhaar based Authentication system
I
and hereby my voluntary consent as requíred under the Azdhaar Act 2015
give and Regulations framed thereunder for
linkíng / seeding my Aadhaar number to my bank accoust & to provide my idenuty informatíon (Aadhaar number,
biometric information & demographic fnfornation) for Aadhaar based authentication far the purpose of avatirg of thy
hanking services tncluding operaticn of account & for deivery of subsidies. beneñts and services or any other facility
relateg to banking cperatians
Defails ofthe accontsto bohnked with Andhaar
3 I kerey give ny volunnary consent in inking ny Aadhaar Nurmber to ali miy existing bankaccounts un to my cHsomer
protle as per the details befuw
Anamber l: Accasnt number 2:
Account twnver3: Accourt number s:
ecdi isNPCLNapner:(cktNiay ane from the three below:
I hereby Aadaaar enatriet bank accoust far reteiving Governent payment actross schemes that am
autnorise t0 Use
chgible & payment usiag the Aadhaer based nformation
fot any ather to seed my Aadhaar number in the AadhasrMspper
of NPCi wauld ise to receive my direct benefits into my atcounit no, maiateined with your bark. ! .
i
inderstand tat ifniore than öne Benetir ranster is due to ire, I wili receíve all Beneit Trnsfersin this accoUnt.
hercby çer tify tat iny Aadhaar aun:ber is aleady seeded in NPCI Mapper with (Naare of Bank}
and I reqest you to change the NPCI Mapper seeding to your bank
hereby cerify hat my Aadnaar nunber is already seeded In NPCL Mapper with (Name of Bant!
having IN ... and l do niat want to change the Aadiaar Mapper to your bank.
5.1furtther request vou tu register my molile number.. to ny aboveacuaLt rumker. SMS aerts n:ay he sént in
Nis mobile number. Pleese also register ny enail-id.
6.f Jave been explained about tie nature af intg rimation thit may be shared uporn authentication. hase been giver to
T
understand that my infornnatior subriítted to the tank herewith shall not be used for any pupose other than mentoned abav.
or as per requirements of faw.
7 Inereby declare thatal the above infornation valuntarlly furnisthed by me is true, correct and complete.
Yours faltthally
(Signature/aumb tmprcssion of customer)
Name (ifconsentseot through BC/BDO/vo]
Fathers /Spouse Name: Ihereby authorise the Eanking Chrrespos deat
Adi.ess Gi tho custoner.
tosubmit the above consent leter to he hank.
(Signnture/Thunb Irapresston of custumer)
