ANNEXURE- D - Format of Customer letter for Recording Different Signatures

Date: _____/______/________

To

The Manager
ICICI Bank Ltd
________________ Branch

Dear Sir,

Ref: Change in my signature

With reference to my <document> bearing reference number <document number> and

Business Credit card form which I have submitted herewith, I request you to record with
yourselves my specimen signature as below:
_____________________________

While the signature recorded in the <document> is different. This difference in signature
is because
________________________________________________________________________________________

Yours faithfully,

<Name of the Customer>

Signature of the Bank Official:_______________

Name of the Bank Official:
Employee Number/Signature Number:

Signature of the SM/BM/BSCM/DBM :______________

Name of the SM/BM/BSCM/DBM :
Employee Number/Signature Number: