Bank Mandate Details with Attestation from Bank

This form should be used only when the investor signature is required to be attested by the Bank Manager as per the Funds
requirement.

<To be given on Banks Letter Head> or <Bank Branch seal, employee name and number seal should be
affixed>
Fund Name ___________________
Folio No.

___________________

This is to certify that Mr. / Ms. _______________________________ S/o / D/o __________________________

residing at _________________________________________________________________________________
is holding the following account in our bank and branch.
Bank Particulars
PAN as per Bank records
Bank Name
Branch
A/c No/Type
Bank City
MICR Code (9 Digit)
IFSC Code (11 Digit)

Signature of the above A/c holder as per Banks records___________________________________________

Signature of the Bank Manager: _________________________________________
Attesters Name and Employee number_______________________________
Date: __________________
Place: __________________

Bank Branch
Seal

ACKNOWLEDGEMENT
We acknowledge the receipt of the request for updation of Bank details with Banker's Attestation [subject to
scrutiny and verification].

Name of the Investor _________________________

Fund Name: _______________________________________ Folio No. __________________________________
Date of receipt at CAMS CSCs ____________________
CAMS CSC seal