Surname
Name
Maidenname
CustomerID
Loan Account No
E-Mailid
Telephone No
Mobile No
Permanent Account No
( i .e Pan card No)
Signature -:________________________
Date -:________________________
Notes:
1) For updation of Date of Birth and Permanent Account No in the bank records, Xerox copy of PAN card and/or the proof of date of birth (self attested) is required.
(Please carry the original document for verification.
2) To access the online certificate and statement, kindly submit the above mentioned details to the nearest Retail Asset Center for correct updation of Birth date, PAN No
(Permanent Account Number) and E-Mail ID in the bank records.