Vernacular Declaration

Date: ______________

To
The Manager
AU Small Finance Bank Limited

Sub: Application for AU Small Finance Bank Limited Credit Card

Dear Sir/Madam,

I ____________________________________ have explained the

terms and conditions For applying for a Credit Card with AU Small Finance Bank
Limited to ___________________________who has understood the same in his/her own
language and has agreed to comply with the

same of his/her own free will and consent.

____________________________ __________________________
(Signature of the known person) (Signature of the customer in Vernacular)

____________________________ __________________________
(Name of the known person) (Name of the customer)