Signature Attestation Form

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Signature Attestation
<To be given on Bank’s Letter Head> or with <Bank Branch seal, employee name and number seal>
TO WHOMSOEVER IT MAY CONCERN
This is to certify that
Mr. / Ms. (Full Name) _____________________________________________________________________________________________
S/o or D/o : (Full Name) ___________________________________________________________________________________________
Residing at _____________________________________________________________________________________________________
_______________________________________________________________________________________________________________
PAN Number (as per Bank Records)
is holding the following account in our bank and branch
Bank Name ______________________________________________________________________________________________
Branch Name ____________________________________________________________________________________________
Bank A/c No
A/c Type (Please tick)
Savings
Current
NRE
NRO
FCNR
Others
MICR Code (09 digit)
IFSC Code (11 digit)
Signature of the above A/c holder as
per Bank’s records
Signature of the Bank Branch Manager:
(Verifying the Signature and above
mentioned particulars of the account
holder as per bank records)
Bank & Branch Seal
(With Branch Manager name and
employee code)
Date:
Pl
ace:

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