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CITY UNION BANK LIMITED

APPLICATION FOR PAN UPDATION

Name of the Branch Branch
Code
Customer ID
Name of ID
Account Number
Account opened on
Constitution
PAN No to be updated
Name in Pan copy
Reason for PAN
updation

Request cum Declaration:

I/We am/are having account with your branch and I/we request you to update the
PAN number belongs to me/Firm/Trust/Association/Company _______________
__________________in our above mentioned account/s, since the Pan number is
referred in IT returns.
I/we have submitted the pan and I/We will take responsibility for any
consequences of this request. I/we hereby assure that in future I/we will not opt for
any change/correction in the above said account.

Name of the Account Designation of Authorised Signature of Account

holder/s Signatory/ies holder/ Authorised
Signatory/ies

Date:
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CITY UNION BANK LIMITED

Branch Manager recommendation

KYC completed on
PAN No to be updated
Name in Pan copy
Whether Pan validated
in Bancs (Yes or No)
Reason for PAN
updation

We have verified the signature of the account holder/s and found correct and
above signatory/ies is/are only the authorized signatory/ies of the concerned
account and the signature/s is/are matching with Bancs.

We have verified KYC at our end and enclosed the Pan copy &related documents
for your perusal. We request to update the Pan in the above said account/s.

Date: Signature of the Branch Manager/Deputy Manager

(Name with POA)