The Branch Manager,
__________ (Name of Bank) Bank,
Subject: Issuance/Attestation of Life Certificate
I, _______ (Pensioner Name) holding a _______ (Savings) account bearing account number __________ (Account Number) in your _________ (branch address). I am pensioner of __________.
I request you to kindly issue/certify a duly filled life certificate as per the specified format and also attest my signature as per Bank records.
____________ (Contact Number)