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Consent-form-aadhaar- seeding-revised

Course: History Ancient India Ancient Kashmir

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Students shared 30 documents in this course
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CONSENT FORM FOR AADHAAR SEEDING AND AUTHENTICATION
The Branch Manager Date:
Bank …………………
Branch……………………….
………………………………..
…………………………………..
Dear Sir/Madam,
Bank Account No in my /our name
Linking of Aadhaar / UID Number/s with the account and authenticating with UIDAI
I/We am/are maintaining a Savings/Current/BKCC Bank Account number …………………………….. with your
Branch (Branch name…………………………………). I/we submit my Aadhaar number/s and voluntarily give my/our
consent to seed my/our Aadhaar number/s with my/our aforesaid account and authenticate with UIDAI for; (select
appropriate requests through tick mark)
NON-TRANSACTIONAL purposes only (as KYC).
Mapping it at NPCI to enable me/us to receive Direct Benefit Transfer (DBT) from Government of India in
my/our above account and authenticate me with UIDAI. I/we understand that if more than one Benefit transfer is
due to me/us, I/we will receive all Benefit Transfers in this account. My / our Aadhaar is not seeded with any
other Bank for receiving DBT benefits.
Changing the mapping at NPCI (for receipt of DBT benefit amount) from my / our account with
_____________________________ (name of bank) to my / our above account with Bank of Baroda.
Availing AEPS (Aadhaar Enabled Payment System) and other services based on Aadhaar authentication
The particulars of the Aadhaar/ UID letter are as under:
Aadhaar/ UID number/s: ……………………………………………….............................................
Name/s of the Aadhaar Holder as in Aadhaar card: ………………………………………............
The particulars given above are true to the best of my / our knowledge and belief. I/we have been given to understand that my/our
information submitted to the bank herewith shall not be used for any purpose other than mentioned above, or as per requirements of law.
I / We also understand that my NPCI mapping for receiving DBT benefit will not be changed from previous bank in the event of my
PMJDY overdraft continuing to be outstanding that bank.
Yours faithfully,
(Signature/ Thumb impression of the account holder/s)
Name/s: ………….....................………………………................................................................................
Mobile No. ………………………............................................................................................................
Email: …………………………………...................................................................................................
Enclosure: copy of the Aadhaar letter/s self-attested,
Confirmation of insertion / linking of Aadhaar numbers with Bank Account:
The Account number ………………………………… of Shri / Smt …………………………….. /
……………………………………….with …………....... (Bank) Branch …………………………. has been linked with
Aadhaar number/s …………………………/……….………………….. for both DBT & AEPS / AEPS only / non-
transaction purpose (as KYC)
Branch:
Date ……………. (Bank’s authorized official)