MSCNF068105072111 | Comp/Jul/Int/5177
Supervisory Declaration – AML Income Mismatch
Applicant Details
Application / Proposal Number:
Proposer / Life Assured Name : __________________________________________________________________________________________________
Specified Person Name :________________________________________________________________________________________________________
Specified Person Code :___________________________
I confirm that, I have verified the customer income updated by the Specified Person and is in line with the current customer profile. The same may be taken
on record and the application can be processed further.
Flex Cube AML Record Updation has been initiated in bank records.
Date: __________________
DD/MM/YYYY SIGN HERE
Place: ___________________
Signature of the HDFC Bank Branch Manager
/ Authorised Supervisor
Name : _______________________________________________________________________
Employee Code :_____________________ Stamp
Personal Stamp of HDFC Bank Branch Manager/
Authorised Supervisor to be affixed
Supervisor will only be considered for Retail Branch Banking (RBB) as branch manager (No PBA, RBH etc.) and for alternate channels NR - PB Head/Regional
Head, for Virtual Channels - Unit heads & any other channel equivalent to the above designations.
Please Note: Underwriting of the insurance policies shall be done by HDFC Life Insurance Company Limited. In case of any queries or clarification on Credit Card EMI processing, please contact
your HDFC Customer Service representative. HDFC Bank Limited (IRDAI COR no. CA0110) is a corporate agent of HDFC Life Insurance Company Limited (HDFC Life).
HDFC Life Insurance Company Limited (HDFC Life). CIN: L65110MH2000PLC128245. IRDAI Registration No. 101.
Regd. Off: 13th Floor, Lodha Excelus, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
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