Form ISR-2.

Confirmation of Signature by Banker — accessible edition. Complete it here, print it or save it as a PDF, then sign it and send it to us.

How this form works.

Complete the fields below. The wording is the same as the printed form.
Select Print or save as PDF at the end of the form.
Sign by hand where the printout asks for a signature, and attach any documents the form lists.
Send it to us as you would the printed form.

Nothing you enter leaves your browser. RCMC does not receive or store it until you send us the signed copy.

1. Bank Name and Branch

2. Bank contact details

Postal Address

Phone number

E-mail address

3. Bank Account number

4. Account opening date

5. Account holder(s) name(s)

6. Latest photograph of the account holder(s)

1st HolderAffix the photograph here after printing.

2nd HolderAffix the photograph here after printing.

3rd HolderAffix the photograph here after printing.

7. Account holder(s) details as per Bank Records

a) Address

b) Phone number

c) Email address

d) Signature(s)

1)Sign here by hand after printing.

2)Sign here by hand after printing.

3)Sign here by hand after printing.

Signature verified as recorded with the Bank

Seal of the BankSign here by hand after printing.

(Signature)Sign here by hand after printing.

Place:

Name of the Bank Manager

Employee Code

Date:

E-mail address