APPLICATION FOR LINKING! SEEDING AADHAR NUMBER AND RECEIVING DBT BENEFITS INTO BANK ACCOUNT(NPCI MAPPING)* ‘The Beanch Manager, Dae: Branch ‘Bank Dear Sir, ‘Account No. in Ale Name. Linking / Seodlag of Andhaar in NPCI-Mapping for Reeei jg Diteet Benetits {any mainvaiaiag ® Bank account No. _ with your Beane 2. 1 submit my Aadhaae mubet ad voluntarily give my consent to: Use my Aadhaar Deals to authentiate me trom UIDA\ © Use my Mobile Number mentioned bolow tor sendingSSMS Alerts 0 mie. | © Link the Aadliar Nunber to all my esisting/new/future accounts and eustorier proite (CIF) with your Bank, (Signeture/Thumb Impression of customer) OPTION FOR RECEIVING DBY BEN! FITS (TICK ONE) © Lish fo seed’my account No. with NPCI.inapper to eable me to receive Direct enefit Transfer (DBT), including LBG Subsidy Tkom Govt. of Tndia (GON) in my above uecount 1 ‘understand that if more than one Benefit transfer isd to me, Lill receive the benafit sunsfers in the same account (for eustomer who have not so ‘account with XPCL Ma ‘© Lalrealy have dnraccount with, —_____ (name of Bank) having, IN Number?* F tnd seeded with NPCI Mappor for recaving DBT from GOI. [ request you to change tay NPC mapping(DBT Benefit Account) to ny account with your Banks. co Talresdy have an account with anotter bank: _____{aatie oP Bank) having {IN Number? sand seeded with NPCI Mapp for reseiving DBT frpm GOL, Ldv wot want to change my NPCH mapping( DI Renefit Account) thom the existing Bank, «© To nox wish 9 seed my accounts trom your Bank with NPCI Mapper (LyvlL:not be wetting DBT). | have been explained about the nature ef information that may be shaved upon authentication. 1 have been piven to understand that my information sbi tthe bir herewith shal not be ied for on ipose cer ‘than memianed above, or as per requirements of lat. A. Thereby declare thet all the above information voluntaily furnished by me is tre, correct and complete. Yours futhfilly {if consent sent through 8C/BDO/VO| (SignaturePThurm impression of customer) cot hereby authorise the Banking Correspondent col hereby authorize the SarpanchJ V.0/B.0.0/ Mobile No: te submit the ehove ednigent Teter to tte bank. Ema Encl: Copy of Aadhaar (Signatute/Thumb Inipeession of Custorter) *NPCL Mapping : Mapping is a process of associating « Bank with Aadhagr number which is facilitated by NPCI for Direet Benefit Transfer to the respective Bank who have linked the Aadhear Number to-a specie Bank account for reeeiving Direet Benefits to whieh customer paiven the consent, ++ JIN umber will be provided by Bank receiving the consent Application