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DECLARATION

The document is a declaration and application form for a credit card using Aadhaar/e-KYC, submitted by Anurag Tyagi. It includes personal and residential details, consent for Aadhaar verification, and acknowledgment of the voluntary nature of Aadhaar submission. The applicant confirms the accuracy of the information provided and authorizes the bank to use the data for KYC and related purposes.

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7 views

DECLARATION

The document is a declaration and application form for a credit card using Aadhaar/e-KYC, submitted by Anurag Tyagi. It includes personal and residential details, consent for Aadhaar verification, and acknowledgment of the voluntary nature of Aadhaar submission. The applicant confirms the accuracy of the information provided and authorizes the bank to use the data for KYC and related purposes.

Uploaded by

auatai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DECLARATION / RESIDENCE CONFIRMATION FORM

Your application Reference Number : 24L19D41568440O4 (please quote your


application reference number).

I, Anurag Tyagi do hereby declare that the details given below are correct to the best of
my knowledge.

Residential address:

Anurag Tyagi
133 B, Model Town East
City Ghaziabad Pin Code 201001 Landmark Opposite Park
Mobile Number 8380091081 Telephone Number 0120-2717031

Permanent address (optional):

Anurag Tyagi
133 B, Model Town East
City Ghaziabad Pin Code 201001 Landmark Opposite Park
Mobile Number 8380091081 Telephone Number 0120-2717031

Business details :

Company Name ....................................................................................................


Designation............................................................................................................
Office Address........................................................................................................
...............................................................................................................................
City.........................................PinCode..............................Landmark....................
MobileNumber...........................................Department.........................................
TelephoneNumber...........................................................Extn.............................

VERIFICATION

I, Anurag Tyagi do hereby declare that which is stated above is true to the best of my
knowledge and belief. Verified today the 04th day of January 2025

Place : Ghaziabad

(Signature of declarant)
APPLICATION FOR CREDIT CARD OPENING USING AADHAAR / E-KYC FOR
CUSTOMERS NOT OPTING FOR DBT

To,
HDFC Bank Cards Division,
HDFC Bank Limited ("Bank" which term shall include its successors and assigns)
P.O.Box No. 8654, Thiruvanmiyur P.O. Chennai - 600 041

Subject: Aadhaar informed consent

1. I voluntarily opt for Aadhaar OVD KYC or e-KYC or offline verification, and submit
to the Bank my Aadhaar number, Virtual ID, e-Aadhaar, XML, Masked Aadhaar, Aadhaar
details, demographic information, identity information, Aadhaar registered mobile
number, face authentication details and/or biometric information (collectively,
"Information").
2. l am informed by the Bank, that :
(i) submission of Aadhaar is not mandatory, and there are alternative options
for KYC and establishing identity including by way of physical KYC with officially
valid documents other than Aadhaar. All options were given to me.
(ii) For e-KYC/authentication/offline verification, Bank will share Aadhaar
number and/or biometrics with CIDR/UIDAI, and CIDR/UIDAI will share with Bank,
authentication data, Aadhaar data, demographic details, registered mobile
number, identity information, which shall be used for the informed purposes
mentioned in 3 below.
3. I authorise and give my consent to the Bank (and its service providers), for following
informed purposes:
(i) KYC and periodic KYC process as per the PMI- Act, 2002 and rules
thereunder and RBI guidelines, or for establishing my identity, carrying out my
identification, offline verification or e-KYC or Yes/No authentication, demographic
or other authentication/verification/identification as may be permitted as per
applicable law, for all accounts, facilities, services and relationships of/through the
Bank, existing and future.
(ii) collecting, sharing, storing, preserving Information, maintaining records and
using the Information and authentication/verification/identification records: (a) for
the informed purposes above, (b) as well as for regulatory and legal reporting and
filings and/or (c) where required under applicable law;
(iii) enabling my account for Aadhaar enabled Payment Services (AEPS);
(iv) producing records and logs of the consent, Information or of authentication,
identification, verification etc. for evidentiary purposes including before a court of
law, any authority or in arbitration.
4. I understand that the Aadhaar number and core biometrics will not be stored/
shared except as per law and for CIDR submission. I have downloaded the e-Aadhaar
myself using the OTP received on my Aadhaar registered mobile number. I will not hold
the Bank or its officials responsible in the event this document is not found to be in order
or in case of any incorrect information provided by me.
5. The above consent and purpose of collecting Information has been explained to me in
my local language.

Customer Name.

Signature:

Date: -----------------------------------------------------

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