Consent Form Aadhaar Seeding in English
Consent Form Aadhaar Seeding in English
Consent Form Aadhaar Seeding in English
o I wish to seed my account No. _______________ with NPCI mapper to enable me to receive Direct
Benefit Transfer (DBT) including LPG Subsidy from Govt. of India (GOI) in my above account. I
understand that if more than one Benefit transfer is due to me, I will receive all the benefit transfers in
the same account.(for customer who have not so far seeded account with NPCI Mapper)
o I already have an account with ________________ (name of Bank) having IIN Number**__________,
and seeded with NPCI Mapper for receiving DBT from GOI. I request you to change my NPCI
mapping(DBT Benefit Account)to my account with your Bank.
o I already have an account with another bank ________________(name of Bank) having IIN
Number**__________, and seeded with NPCI Mapper for receiving DBT from GOI. I do not want
tochange my NPCI mapping(DBT Benefit Account)from the existing Bank.
o I do not wish to seed my accounts from your Bank with NPCI Mapper (I will not be getting DBT).
3. I have been explained about the nature of information that may be shared upon authentication. I have been
given to understand that my information submitted to the bank herewith shall not be used for any purpose
otherthan mentioned above, or as per requirements of law.
4. I hereby declare that all the above information voluntarily furnished by me is true, correct and
Email:
Encl: Copy of Aadhaar
(Signature/Thumb Impression of Customer)
*NPCI Mapping : Mapping is a process of associating a Bank with Aadhaar number which is
facilitated by NPCI for Direct Benefit Transfer to the respective Bank who have linked the Aadhaar
Number to a specific Bank account for receiving Direct Benefits to which customer has given the
consent.
** IIN number will be provided by Bank receiving the consent Application