APPLICATION FOR LINKING! SEEDING AADHAR NUMBER AND RECEIVING DBT BENEFITS INTO BANK ACCOUNT-(NPCI MAPPING)* ‘The Branch Manager, Date: serene Branch oo Bank Dear Sir, Account No, in Ale Name Linking / Seeding of Andhaar in NPCL-Mapping for Receiving Direet Benefits Jam maintaining # Bank accou No. __with your Branch, 2, [submit my Azdhiaar number and'voluntarily give my consent © Use my Aadhaar [ealls to duthemieate me from UBDAL 9, Use my Mobile Number mentigned below for sending SMS Alerts 20 mb. a: Link the Aadhaar Namber to all my existing/new/future acequnts and euston-er profile (C1E) with your Bank, (Sigature/Thumb Inapression of customer) OPTION FOR RECEIVING DBY BENEFITS (TICK ONE) © I wish to seed my account No. ____with NPCI mupper to erable me to receive Direct Benefit Transfer (DBT) inchuding LPG Subsidy ftom Govt. of India (GOL) in my sbove account. 1 understand that more than one Benefit transferis duc te me, Lwill receive all the benefit transfers in the same account (for eustomer who have not so far sceded account with NPC1 Mapper) © Lalready bave an account with “(rane of Bask) having TIN Number** and seeded. with NPCI Mapper tor receiving DBT itom GOI. I request you to change my NPCI mapping(DBT Benefit Account) to my account with your Bank © | already have an account with another: bank (oame of Bank) having ON Number «ae sec wih NPCL Mapper for receiving DBT from GOI, Ld not want to shange ny NP DBI Ronefit Account) from the existing Bank. 5 Tao not wis to see my accounts From. your Bank wilh NPCI Mapper (Lil not be getting DT) . | have beet explained about the nature ef foformation that may be shared upon authentication, Fhave been given to understand that my infarmation submitied fo the bank herewith shat not he aed for ai ifipose other than mentioned ébove, or as per requirements of la 4. Llneveby declare that all the above information voluntarily farnished by me is true, correct and complete, Yours felthiully [if consent sent through BC/BDO!VO] (Sighature/Thunb impression of customer) of hereby authorise the Banking Correspondent . ol hereby authorise the Sarpanchy V.0/B.D.0 Name : Mobite No:: to submit the above consent Ietter te the bank. Email: Enel: Copy of Andbaar {Signasw'e/thumb Impression of Casiomer) *NPCL Mapping » Mapping is s process of associating a Bank with Aadhasr number which is facilitated by NPCI for Dircet Benefit Transfer tg the respective Bank who have linked the Aadhaar Number to a specific Bank account for reeciving Direet Benefits to which customer agra ren the: consent, ## TN number will be provided by Bank reeviving the consent Application -