Signature Verification Form

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SIGNATURE VERIFICATION FORM

Name:

_________________________________________________________________________________________

Folio No: ____________________ Tel No._____________________ Mobile No.:_______________________________


Email ID:___________________________________________________________________________________________
Address: _________________________
_________________________
_________________________
Bank Account Details:
Bank Name

Bank A/c No.


Bank Branch &
City
MICR Code (9
Digit)

Bank A/c Type


IFSC Code (11
Digit)

Signature/s (as per Mode of Holding in Folio):

__________________________

_________________________

1st Applicant / Guardian /


Authorised Signatory/(Nominee/
Legal Heir incase of Transmission)

2nd Applicant

________________________
3rd Applicant

Signature/s Verified

(Signature of the Branch Manager/Authorized Official with their Seal and Bank Stamp)
Name: _________________________
Designation: _________________________
Employee Code:_______________________
Phone Number: _________________________
Date: _________________________