Aadhar RCF-Form

Aadhaar Resident Consent Form
I wish to link the Aadhaar:
(Please submit a self -attested copy of Aadhaar Card and carry your original Card for Verification)
With my Account Number:
Name:
First Name
Middle Name
Last Name
Customer ID:
I wish to de-link the above mentioned Aadhaar from account number
And link it to new account number
Declaration:
I, the undersigned hereby authorize Axis Bank to link my Aadhaar number to my bank account for electronic transfer of subsidies,
Biometric and/or One Time Pin (OTP) data (and/or any similar authentication mechanism) for Aadhaar based authentication for the
purposes of availing of the Banking Services from Axis Bank. I understand that Axis Bank shall ensure security and confidentiality of my
personal identity data provided for the purpose of Aadhaar based authentication and defrayal if any.
Signature of the Customer
Name
For Branch Use Only
Certified that this Request Letter is complete in all respect & all relevant documents are obtained & verified mode of operation and
signatures of the A/c. The request may please be processed.
Request Received Date:
Request Accepted By:
Request Certified By Signature
Forwarded To CLH Date:
Employee Number:
Designation:
Signature:
OH
BH
ACKNOWLEDGEMENT
Customer Name:
Date of Request Received:
Request No.
Employee Number:
Name of Branch Official:
Signature:
S.S No: