NAME/DOB MISMATCH DECLARATION
To,
THE MANAGER,
IDFC FIRST Bank Limited.
Subject: Undertaking for Name/Date of Birth mismatch on KYC documents
Dear Sir/Madam,
I MD KAMIL ANSARI son/daughter/wife of Mr. MD ASGAR ANSARI aged_ 27 ears,
Occ._SELF EMPLOYED ,
my address at _WARD NO 11 PANAHKOLA MADHUPUR DEOGHAR JHARKHAND
815353. I hereby declare that my Name / Date of Birth as per _UID is _01/01/1992 and my
Name/Date of birth as per_BANK PASSBOOK is 06/02/2019 .Both Name/Date of Birth relates
to me and I hereby declare that my name/date of birth is as per _UID _and kindly consider this
for your records, I have enclosed valid proof to support this declaration.
This declaration is fully explained and understood by me.
(Signature of Declarant) ___md kalim ansari.
(Name of the Declarant) __MD KALIM ANSARI
OSV done and verified by : lakhendra mandal
Bank authorized person sign:
Place : giridih
Date :