a 4. /PAN No.
2, Eiefa) aA @. / Driving Lic. No.:
3, GIS YI /Blood Group
arama Rela 4 wa GY / In case of emergency Contact
IH /Name :
qRAIN /Tel. No.:
iat, =i. / Mobile No.:
5, #fse wre =. / Credit Card No.:
6, Site wis Fi. / Debit Card No.
7. en cited saa ae de
Insurance Policy No./Valid upto
8. ura =. / Passport No.
9, {4a oT oat / E-mail address :
suarfl yzira / Useful Tips:
rar ft st / Utilise nomination faci ae
usage #1 Pra 8 sta aoe / Get pass-book updatedregularly.
‘el ee ts Beh sexe TA wy /Issue standing instruction wherever possible
‘raga ar ah ore} eeTsge 7 FY / Do not putsignature any where on passbook
rege HS, eg Gh Heh & an are eh ae eer 90 /— ote seat eT.
0 /— oe eh ee ore a er he eH me aA TTA
‘ex on Gea eT ee € / We weleor
Far oh sare of ng @ sm) Ar ser ee! mt / Contact branch manager in case of
sificuitles.
Ne NSIGE SAT ato
ye
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a
38
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MRS SUNAINA DEVI
Mal Wal /BRANCH MANAGERpat edt
Sunaina Devi
sien fafa / DOB: 01/01/1989
after / Female
2762 5440 9361
See - 31 3TGaT cpr stirsaifteh: axed Address: W/O: Baramdeen,
“Saat &, met tie Street/Road/Lane: gadriyan
Sige adh, waeqR, See weer dera, Village/Town/City: Sato
Peet, District: Fatehpur, P.O.:
Dharmpur Saton, State: Uttar
Pradesh, PinCode: 212623
2762 5440 9361
a MX www
4 1800 300 1947 help @uidai.gov.in www.uidai.gov.in