Bank Attestation Form 6xu6s
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1.1.1.
Annexure 1
New Bank Mandate Details with Attestation from Bank Branch Manager
or with
This is to certify that Mr. / Ms.
(#) _________________________________________________________________________________
S/o or D/o:
_________________________________________________________________________________
residing at
_________________________________________________________________________________
is holding the following in our bank and branch Bank Name
_________________________________________________________________________________
Branch Name Bank A/c No
_________________________________________________________________________________
_________________________________________________________________________________
A/c Type (Please): 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 Manager: Bank & Branch Seal With employee name and number
Date: Place:
Annexure 1
New Bank Mandate Details with Attestation from Bank Branch Manager
(#) _________________________________________________________________________________
S/o or D/o:
_________________________________________________________________________________
residing at
_________________________________________________________________________________
is holding the following in our bank and branch Bank Name
_________________________________________________________________________________
Branch Name Bank A/c No
_________________________________________________________________________________
_________________________________________________________________________________
A/c Type (Please): 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 Manager: Bank & Branch Seal With employee name and number
Date: Place:
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