Application for Aadhaar Linking with Bank Account
APPLICATION FOR LINKING/ SEEDING AADHAR NUMBER
AND RECEIVING DBT BENEFITS INTO BANK ACCOUNT-(NPCI MAPPING)*
The Branch Manager, Date:
……………………….Branch
……………………….Bank
Dear Sir,
Account No. _________________ in A/c Name _______________ Linking / Seeding of Aadhaar in
NPCI-Mapping for Receiving Direct Benefits
I am maintaining a Bank account No. ______________ with your Branch.
2. I submit my Aadhaar number and voluntarily give my consent to:
- · Use my Aadhaar Details to authenticate me from UIDAI.
- · Use my Mobile Number mentioned below for sending SMS Alerts to me.
- · Link the Aadhaar Number to all my existing/new/future accounts and customer profile (CIF) with your Bank.
(Signature/Thumb Impression of customer)
OPTION FOR RECEIVING DBT BENEFITS ( TICK ONE)
I I wish
to seed my account No. _______________ with NPCI mapper to enable me to
receive Direct Benefit Transfer (DBT) including LPG Subsidy from Govt.
of India (GOI) in my above account. I understand that if more than one
Benefit transfer is due to me, I will receive all the benefit transfers
in the same account.(for customer who have not so far seeded account with NPCI Mapper)
·
I I already have an account with ________________
(name of Bank) having IIN Number**__________, and seeded with NPCI
Mapper for receiving DBT from GOI. I request you to change my NPCI mapping(DBT Benefit Account) to my account with your Bank.
I
I I already have an account with another bank
________________(name of Bank) having IIN Number**__________, and seeded
with NPCI Mapper for receiving DBT from GOI. I do not want to change my NPCI mapping(DBT Benefit Account) from the existing Bank.
· I do not wish to seed my accounts from your Bank with NPCI Mapper (I will not be getting DBT).
3.
I have been explained about the nature of information that may be
shared upon authentication. 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.
4. I hereby declare that all the above information voluntarily furnished by me is true, correct and complete.
Yours faithfully
[if consent sent through BC/BDO/VO]
(Signature/Thumb Impression of customer)
