Date: - _____________

To,
The Manager,
____________________
____________________

Subject: - Signature Verification

Dear Sir / Madam,

I / We __________________________________ having Saving/Current/Overdraft account with your bank and

the account no is_____________________________. I / We need to verify the Signature of same account, Signature
attested below. Authorized Mr. _____________________________ for the same.

Request to do the needful

If this service is chargeable, Kindly applicable charges debit to my account.

Sr. No. Name of Customer Specimen Signature

________________________________________

Signature of the Banker with Rubber Stamp ______________________________________________

Name and designation of Officer who verified the Signature __________________________________

Name and Address of the Branch ________________________________________________________