Bank Account-Aadhaar Linkage Application Form
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1BANK
The Branch Manager
Bank …………………
Branch……………………….
………………………………..
…………………………………..
Date:
Dear Sir/Madam,
Bank Account No …………………………………. in my name
Linking of Aadhaar / UID Number with the account
I am maintaining a Bank Account number …………………………….. with your
Branch (Branch name…………………………………). I submit my Aadhaar number
and voluntarily give my consent to;
o Seed my Aadhaar/UID number issued by the UIDAI, Government of India in my
name with my aforesaid account.
o Map it at NPCI to enable me to receive Direct Benefit Transfer(DBT) from
Government of India in my above account. I understand that if more than one
Benefit transfer is due to me , I will receive all Benefit Transfers in this account
o Use my Aadhaar details to authenticate me from UIDAI
o Use my mobile number mentioned below for sending SMS alerts to me
The particulars of the Aadhaar/ UID letter are as under:
Aadhaar/ UID number: ………………………………………………..
Name of the Aadhaar Holder as in Aadhaar card: ………………………………………
I have been given to understand that my information submitted to the bank herewith
shall not be used for any purpose other than mentioned above, or as per
requirements of law.
Yours faithfully,
(Signature/ Thumb impression of the account holder)
Name: ………………………………….
Mobile No. …………………………
Email: ………………………………….
Enclosure: copy of the Aadhaar letter self-attested,
…………………………………………………………………………………………………
…………...........................
Confirmation of insertion / linking of Aadhaar number with Bank Account:
The
Account
number
…………………………………
of
Shri
/
smt
…………………………..
with
-------------------(Bank)
Branch
………………………
has
been
linked
with
Aadhaar/UID
number
…………………………………. And mobile number _____________________
Date …………….
(Bank’s authorized official)
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