Aadhaar Resident Consent Form I wish to link the Aadhaar: (Please submit a self -attested copy of Aadhaar Card and carry your original Card for Verification) With my Account Number: Name: First Name Middle Name Last Name Customer ID: I wish to de-link the above mentioned Aadhaar from account number And link it to new account number Declaration: I, the undersigned hereby authorize Axis Bank to link my Aadhaar number to my bank account for electronic transfer of subsidies, Biometric and/or One Time Pin (OTP) data (and/or any similar authentication mechanism) for Aadhaar based authentication for the purposes of availing of the Banking Services from Axis Bank. I understand that Axis Bank shall ensure security and confidentiality of my personal identity data provided for the purpose of Aadhaar based authentication and defrayal if any. Signature of the Customer Name For Branch Use Only Certified that this Request Letter is complete in all respect & all relevant documents are obtained & verified mode of operation and signatures of the A/c. The request may please be processed. Request Received Date: Request Accepted By: Request Certified By Signature Forwarded To CLH Date: Employee Number: Designation: Signature: OH BH ACKNOWLEDGEMENT Customer Name: Date of Request Received: Request No. Employee Number: Name of Branch Official: Signature: S.S No:
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