Banker Attested Letter - Instructions

SafeScrypt Digital ID Validation of Identity Form

Instructions to Applicant

1. Print out this Form after completing it as required

2. Place a copy of your latest passport-size photograph on the top right corner
3. Bring this Form to your banker for attestation.
a) You are responsible for all fees charged by the banker
4. Bring three forms of identification with you to the banker as follows:
a) 1 widely-recognized, government-issued Photo ID such as a Driver’s License or
Passport and
b) 2 different types of identification (photo not required) such as a valid national
credit card, government-issued ID (voter-id card), employee ID, utility or tax bill,
or insurance card.
5. Instruct the banker to read the instructions below and complete the Acknowledgment.
6. Make and retain a Xerox-copy of the completed, attested Acknowledgment in a
secure location. You will need to reference your name and e-mail address as listed
below should you have a question regarding this certificate application.
7. Courier the completed and attested Acknowledgment along with a Xerox-copy of
each of the 3 forms of identification to;

Customer Support
SafeScrypt Ltd
No. 667-668, Keshava Towers,
11th Main, 4th Block,
Jayanagar.
Bangalore-560011
Board: 91-80-6555104
Direct: 91-80-6555093
Fax: 91-80-6555300

8. Your attested application will be reviewed within 48 hours of receipt; please allow
additional time for mail delivery, which can vary from region to region. As soon as
your application is approved, you will receive a confirmatory e-mail (sent to the e-
mail address listed in the application) that will provide instructions for picking up
your Digital ID. If you have any questions about this application, please e-mail
SafeScrypt at consumerid_support@safescrypt.com
9. The challenge phrase that you provided at the time of enrolment will be required for
performing any of the certificate life-cycle management functions, such as revocation
 SafeScrypt Limited

and renewal. You are required to remember this phrase and/or store it in a secure
location for future use. You must also ensure that others do not have access to this
phrase. SafeScrypt does not have access to your challenge phrase.
 SafeScrypt Limited

Instructions to Banker

The document you are attesting is part of the enrolment process for a SafeScrypt Digital
ID. SafeScrypt requires that the personal identity of the applicant be validated. If you
would like more information about Digital IDs or the enrolment process please visit
SafeScrypt at www.safescrypt.com.

1. Complete the Acknowledgment in the following page.

2. Request and examine at least three pieces of Applicant identification as follows:
- 1 widely-recognized, government-issued Photo ID such as a Driver’s License
or Passport and
- 2 different forms of identification (photo not required) such as a valid national
credit card, government-issued ID (voter-id card), employee ID, utility or tax
bill, or insurance card.
3. The Applicant must hold a valid account in your bank.
4. You must check the Applicant’s forms of identification even if you are acquainted
with the Applicant.
5. Please note that you, the Banker, will be contacted as part of SafeScrypt’s
Verification process before the certificate is issued to the Applicant.
6. You are also required to retain a copy of the completed Banker Attested Letter for
ease of reference when you are contacted by an authorized SafeScrypt representative
for verification purposes.
7. In this context, the Banker is the Branch Manager of the bank where the applicant
holds a valid bank account. The banker can also be any other employee of the same
bank of a grade equal to or higher than the Branch Manager.
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Banker Attested Letter

Applicant Personal Data (exactly as entered on the Online Enrolment Form) with the latest passport
photograph:

First Name SANTHOSH Mailing Address: Kirloskar Batteries Pvt.Ltd.

Last Name KITTUR Yeshwantpur,
E-mail Address kbatmkt@yahoo.co.in Bangalore -560 022.
Phone Number _080-23370361/23374564
Permanent Address: Kirloskar Batteries Pvt.Ltd.

Yeshwantpur,
Bangalore – 560 022.

I do hereby declare that the information furnished above is true to the best of my knowledge and belief.

Signature of Applicant____________________ Date___________

Banker to Complete the Following Section

________________________________________________________________________
Acknowledgment

I, (Banker) ___________________________, certify that on (Date) ____________, (Applicant)

SANTHOSH KITTUR personally appeared before me and that the Applicant holds a valid account in this
bank (Bank and branch) Oriental Bank of Commerce, Sadashivanagar branch and the Applicants Personal
Data provided above accurately identifies Applicant on the basis of the presentation of the three forms of
identification listed below. I have read the “Instructions to the Banker” and acknowledge by my signature,
that the Applicant executed this document in my presence.

Applicant ID ID Type ID Number Expiry Date

#1 (With Photograph)
#2
#3

I acknowledge that I have no objection to being contacted by SafeScrypt and will furnish the
required information for the purpose of verification of this attestation.

Bankers Signature: _______________________ Date: ____________

Bankers Name: _______________________
Bankers Designation: _______________________
Bankers Code: _______________________
Bankers Official Postal Address: _____________________________________________
Bankers Official Phone Number (mobile numbers not acceptable): ___________________
Bankers Official E-mail Address (optional): _______________________________________
My Commission Expires on (if applicable): _______________________________________

(Place Seal/Stamp to the right)