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Self-Declaration Form
The Branch Manager,
State Bank of India,
Branch.
Dear Sir,
seur DECLARATION FOR CURRENT ADDRESS
AADHAAR NUMBER
1/1 wish to open an Account with your Bank
2,1 submit my Aadhaar number for Identification purpose and voluntarily gi
consent to use my Aadhaar details to authenticate me from UIDAI.
further state that, my address available on my Aadhaar is different from mr
current address. The details of my Current address is as under
eee a eee
City/Village: _ District State Pin
4,| All correspondence by the Bank may be sent to my current Addre:
mentioned above
5. | further undertake that, in case there is further change of my Address durir
the course of my account running with your Bank, | will resubmit details of tt
same to the Bank.
6.| hereby declare that all the above information voluntarily furnished by me
true, correct and complete
Yours Faithfully
he re/Thumb impression of customer) Date
Name
Mobile Number:
ote ee
‘name and Signature ofthe Officer along with $$ Number
