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Bank Authorisation: CIN: U66010MH2001PLC167089 Page 1 of 1

This document certifies that Mr./Ms. [NAME] son/daughter of [NAME] holds a bank account in [BANK NAME] [BRANCH NAME]. It provides the account holder's correspondence address and details of the bank account including the account number, IFSC code, and account type (savings, current, NRE, NRO, or other). The bank manager's signature and seal authenticate the document.

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Dinesh Barhate
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1K views1 page

Bank Authorisation: CIN: U66010MH2001PLC167089 Page 1 of 1

This document certifies that Mr./Ms. [NAME] son/daughter of [NAME] holds a bank account in [BANK NAME] [BRANCH NAME]. It provides the account holder's correspondence address and details of the bank account including the account number, IFSC code, and account type (savings, current, NRE, NRO, or other). The bank manager's signature and seal authenticate the document.

Uploaded by

Dinesh Barhate
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Bank Authorisation

This is to certify that

Mr/Ms F I R S T L A S T

Son of or Daughter of F I R S T L A S T

Correspondence Address/ Usual place of residence F L A T N O.

B U I L D I N G R O A D N A M E / N O.

L A N D M A R K 1

D I S T R I C T / T A L U K A L A N D M A R K 2

C I T Y / V I L L A G E S T A T E Pincode

Is holding the following account in our bank and branch


B A N K N A M E B R A N C H N A M E

A C C O U N T N O. I F S C C O D E

Bank Account Proof Cancelled Cheque Passbook Copy M I C R C O D E

Savings Current NRE NRO Others (Please tick A/c Type)

Signature of the Account Holder as per bank records Bank & Branch seal with employee signature and number

Signature of the Bank Manager


Date D D M M Y Y Y Y

Place

Note:
1. To be given on bank letter head or with bank seal, employee signature and employee number seal
2. This format can be used for bank account detail confirmation, signature authorisation, ID and address proof (KYC). Customer photograph is mandatory to
become a valid ID/Address proof.
3. Customer signature is required only when this form is used for signature authorisation.
mkt/bankauthorisation/V3/Nov 2018

Reliance Nippon Life Insurance Company Limited. IRDAI Registration No: 121. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai, Maharashtra
400710. For more information or any grievance, 1. Call us between 9am to 6pm, Monday to Saturday on our Toll Free Number 1800 102 1010 or 2. Visit us at www.reliancenipponlife.com or
3. Email us at: rnlife.customerservice@relianceada.com. Trade logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited & Nippon Life Insurance Company and
used by Reliance Nippon Life Insurance Company Limited under license.
Beware of Spurious / Fraud Phone calls: IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such phone
calls are requested to lodge a police complaint.
Page 1 of 1 CIN: U66010MH2001PLC167089

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