Annexure III

Bank Round Seal

to be affixed on the
photograph
l

TO WHOMSOEVER IT MAY CONCERN

VERIFICATION FROM BANKER

This is to certify that the attached photograph, address and signature belong to Mr / Ms
_____________________________________, Account number.
____________________________ and is verified as per our records for identity, address and
signature proof.

Customer Name :
Customer Address :
:
:
:

Customers Signature :

Yours Sincerely,

(Bank Seal)

________________________________________
Authorised Signatory of Bank

Name :
Signatory Code :
Bank Address :
:
:
:
Bank Tel No :