Annexure - 2
Declaration by the Applicant for engagement as CSP
(to be obtained by CSP Code generating office)
I, Mr. Rajmani Vishwakarma son of Ramashray Vishwakarma residing at Motiram Patil
Nagar, Near Sai Temple, Atali, Ambivali (West). Kalyan. PIN: 421102
have applied for engagement as Customer Service Point of M/s … Atyati
Technologies Pvt. Ltd … (National / Circle BC), who is working on behalf of State
Bank of India, at Ambivali to provide financial inclusion services. Our Link branch will be
SBI Titwala branch.
2. I declare that I have not paid any amount as of now to the BC for CSP code. I
shall submit the receipt as and when the amount is paid by me.
3. I also declare that no unauthorized money has been paid by me to any BC / bank
official.
4. I understand that the Bank has initiated this procedure to obviate any chances of
wrongdoing / misleading on the part of all concerned.
Yours faithfully,
(Rajmani V) Place:Ambivali
S/o: Ramashray V Date : 10/07/2020
Address :Motiram Nagar, Ambivali West
Mobile No:8454877639
Email address: rajvishwakarma639@gail.com