New & ExistingCustomers-OverseasIndian/ForeignNationals
Select Account Type
(This single account opening from will be used to open multiple accounts including NRE, NRO Savings and Current account)
Insta Sticker/ Account Number
Insta Sticker/ Account Number
Insta Sticker/ Account Number
Insta Sticker/ Account Number
Please fill the form in BLOCK LETTERS only. Fields marked* (asterix) are MANDATORY
Customer Onboarding Section - Primary Applicant (to be mandatorily signed)
Signature of Primary Applicant
Please Place the photograph of Primary Applicant her & Sign Across
35 mm X 35 mm
If I am unable to provide the existing Customer ID and the same is observed by the Bank, the Bank reserves the right to consolidate the customer IDs as it may decide, without any prior notice to me
Following feilds for new customers, any KYC modifications or Re-KYC Only (for existing customers, address, contact details given below will be updated in all accounts held with the bank)
***If PAN No. is not available, please fill up Additional declaration Form 60 or 61
Declaration for converting existing Resident Account to NRO account (to be mandatorily signed)
I hereby request the Bank to convert my existing resident Savings/Term Deposit/Current account to NRO Saving/NRO Term Deposit/NRO Current account and hotlist all the international debit cards linked to resident account
I authorise the Bank to convert my existing resident savings/Term Deposit/Current account to NRO Saving/NRO Term Deposit/NRO Current account, if I
am unable to provide the account details and the same is observed by the Bank. With Holding Tax at applicable rates would be deducted on the interest paid in NRO Accounts. The linked international Debit Cards can also be hotlisted. I undertake to destroy all unused cheque leaves in my existing resident account cheque book. I/we authorise Bank to change the Mode of Operation of the Existing Resident Account as per the prescribed RBI guidelines prevailing for the account category, from time to time.
The updation/continuation of Mode of Operations is subject to obtention of requisite documents/forms as per the Bank Guidelines
If any existing domestic account is found inoperative/dormant then the same will be made operative/active and then converted into NRO account.
Signature of Primary Applicant
Signature of Joint Applicant 1
Signature of Joint Applicant 2
For Office Use:
ADDRESS DETAILS
()
CUSTOMER INFORMATION
KNOW YOUR CUSTOMER*
Please provide KYC documents (Attach photocopies of the following documents and produce the original copies of these documents for verification)
Incase you are not filling this form in the presence of on Axis Bank official, please provide duly attested/notarised copies of the documents
Savings/Current Account Opening Section
MODE OF OPERATION* (Only 'Self' mode for Insta Kits)
JOINT APPLICANT DETAILS
INITIAL PAYMENT DETAILS
The funds received towards initial funding to the NRI account through any remittance channel including but not limited to Exchange Houses, Correspondent Bank, Wire
transfers of FCY cheques, will be kept on hold till the time account is opened or rejected. Bank will not be liable to pay any interest whatsoever on the outstanding amount
for the duration from receipt of funds till the time funds are credited to the newly opened account or returned.
FOR SALARY & DEFENCE ACCOUNT
Authorised Signatory with company seal
NOMINATION (DA1 FORM)* Only one individual nominee permitted and to be signed also in case of no nomination)
Nomination under section 45 ZA of the Banking Regulation Act, 1949 and Rule2 (1) of the Banking Companies (Nomination) Rules 1985 in respect of bank deposits
nominate the following person to whom in the event of my/our/minor's death, the amount of deposit in the above account may be returned by AXIS BANK LTD.
to receive the amount of deposit on behalf of the nominee in the event of my/our/minor's death during the minority of the nominee
**Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act an behalf of the minor.
'Strike out if nominee is not a minor
*** In case of thumb impression, nomination to be filled in as an annexure
ACCESS YOUR ACCOUNT* - Primary Applicant
*The usage category selected will be applicable for issuing cards to Joint holders, if applicable. Please refer schedule of charges for additional fee on Chip Debit Cards *An ATM card will be issued for Minors below 10 years
of age in the name of the Guardian (Separate Application to be filled). If the Minor is above 10 years of age and operating the account in his/her own capacity, the minor qualifies for a Debit Card (Separate Minor DCAF
to be filled)
For Terms and Conditions and product specific offering please refer to www.axisbank.com
Axis Bank may at any time discontinue/alter/modify the offered channel facilities at its sole discreation
INFORMATION ON OTHER PRODUCTS & OFFERINGS* (to be mandatory singed)
I hereby agree to Axis Bank/Subsidiaries/Affiliates/Agents contacting me for various other product updates, marketing promotions, special offers or any such
information from time to time through Email, SMS, Phone Call
Additional Declarations (Tick as Applicable)
FORM 60
Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent account number and who
enters into any transaction specified in rule 114B
If PAN not applied, fill estimated total income (including income of spouse, minor, child etc. as per
section 64 of Income-tax Act, 1961) for the financial year in which the above transaction is held
a
Agricultural income (Rs.)
b
Other than Agricultural income (Rs.)
Verification
I,________________________________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief.I further declare that I
do not have a Permanent Account Number and my/ our estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961)
computed in accordance with the provisions of Income-tax Act, 1961 for the financial year in which the above transaction is held will be less than maximum amount not
chargeable to tax. Verified today, the .................................................. day of ...........................20 _ _
,
SIGNATURE MISMATCH DECLARATION
(in case of major mismatch customer needs to submit an affidavit)
The signature on the Passport is different from my signature on the Account Opening Form. Please consider the signature on the Account Opening Form as my updated
signature in your Bank records.
I am Providing:
Old signature
As per documents/
Existing Customer ID
Old signature
As per documents/
Existing Customer ID
I agree to indemnify and keep indemnified the Bank at all times from and against all costs, charges, damages, penalties (including attorney fees) suffered and/or
incurred by for any act done or omitted to be done on account of the above declaration.
HUF DECLARATION & MANDATE
We, the undersigned, for ourselves and ___________________________________________________________as Manager/Karta and Ejaman of the family, also guardian of
*_______________________________________________ request you to take notice that we are members of Hindu Undivided Family/firm.
Please treat this as a mandate from us to:
*Here state the name of the children of each of the family members stating their parentage and state also the name of guardians by whom they are represented.
MINOR DECLARATION
PIO (Person of Indian Origin) / OCI (Overseas Citizen of India) DECLARATION
I hereby declare that I am a person of Indian origin and I satisfy one of the following conditions.
(Please select from the below mentioned choices as applicable to you)
I am attaching herewith, supporting documents to satisfy the above declaration
DECLARATION FOR OVERSEAS RESIDENTIAL ADDRESS
Account Holder 1
Account Holder 2
Account Holder 3
Letter of Authority (to be signed, if customer desires to give letter of authority to a third party for operating the account)
I/We hereby authorize you to honour all cheques or drafts on the above account, and to accept and act upon receipt for money deposited with or owing by the Bank on any account
or accounts at any time or times kept or to be kept in the above account with the Bank provided such cheques or drafts are signed by Mr./Mrs.,whose specimen signature is attested by me/us below, notwithstanding that such cheques or drafts may create overdrawing or to increase it to any extent. Mr./Mrs.,is also authorized on my/our behalf to make, draw, accept, endorse and negotiate or otherwise sign any Hundies, Bills of Exchange
and Promissory Notes or other Negotiable Instruments, to operate or overdraw on the above account with your Bank, to receive payments of all money due to me/us, to acknowledgeedge
debt or debts due from me/us, or to me/us, as to bind me/us to pledge or hypothecate to the Bank any stocks or other form of securities belonging to me, any one or more of us
on my/our behalf to borrow either with or without security to withdraw necessary documents relating to my/our business with your Bank including guarantees, to issue guarantees on
my/our behalf with or without security, to apply for and obtain ATM/Debit Card or such other instruments linked to my above account, and operate the above account through ATM or
any other delivery channels
I agree that as a Letter of Authority holder, I shall not repatriate funds held in the NRO account outside India, other than to the Non Resident individual account holder through the
normal banking channels nor make payments by way of gift to the resident Indian on behalf of the non-resident account holder or transfer the funds from the non-resident Indian
account holders NRO account to another NRO account
I hereby agree to ratify and confirm all and whatsoever this letter of authority holder shall lawfully do or cause to be done in the premises by virtue of this letter of authority, and hold
the bank indemnified from all such transactions. This authority shall continue to be in force until I/We revoke it by a notice in writing delivered to you.
Signature of Primary Applicant
Signature of Joint Applicant 1
Signature of Joint Applicant 2
Signature of Primary Applicant
Signature of Joint Applicant 1
Signature of Joint Applicant 2
Please Paste the photograph of LOA here
Please sign across the photograph
35 mm X 35 mm
Power of Attorney (to be signed, if customer desires to give Power of attorney to a third party for operating the account)
I agree that as the Power of Attorney holder, I shall NOT repatriate funds held in the NRO account outside India, other than to the Non Resident individual account holder through
normal banking channels, NOR make payment by way of gift to a Resident Indian on behalf of the Non- Resident account holder OR transfer funds from the Non Resident Indian
account holder's NRO account to another NRO account
I hereby agree to ratify and confirm all and whatsoever this power of Attorney holder shall lawfully do or cause to be done in the premises, and hold the bank indemnified from all
such transactions. This authority shall continue to be in force until I/We revoke it by a notice in writing delivered to you.
Signature of Primary Applicant
Signature of Joint Applicant 1
Signature of Joint Applicant 2
Signature of Primary Applicant
Signature of Joint Applicant 1
Signature of Joint Applicant 2
Please Paste the photograph of POA here
Please sign across the photograph
35 mm X 35 mm
RFC Declaration
Please open an RFC Account in my name. The relevant particulars are as under:
1.Origin (State whether you are of Indian origin) :
2.Date of arrival in India to become a resident in India:
3.Particulars of residence outside India:
(An attested copy of the relevant pages of the passport must be enclosed.)
4.Do you continue to have any employment or business or vocation outside India?: If so please give full particulars
5.Foreign Currency/ies in which RFC Account/s is/are to be opened:
6.Type of Account desired (State whether fixed deposit, current or savings Account.) :
I hereby declare that I have gone through the provisions of the RFC Accounts Scheme. I declare that the particulars stated herein above are correct and
I am eligible to open and maintain RFC Account under the Scheme as applied. I agree that the RFC Account shall be governed by the RFC Accounts scheme and
the directions issued by the Reserve Bank of India under the Foreign Exchange Regulation Management Act, from time to time.
Signature of the Applicant
Applicant is advised to read carefully the RFC Accounts Scheme before making the application.
Account will not be opened unless full particulars are furnished in the application form.
Application form duly filled in and signed must be accompanied by copies of the relevant pages of the passport duly certified by the applicant as true copies.The passport should be submitted along with the application for verification.
Furnishing any false information in the application amounts to a contravention of the Foreign Exchange Management Act, 1999.
Applicant should furnish such other particulars or documents, as may be required by the Bank for the latter to satisfy himself that the applicant is an eligible
person and the funds proposed to be credited to the RFC Account are eligible for the purpose.
Nomination facility is available to the RFC accounts as in the case of resident Rupee accounts.
Mariner's Declaration
I hereby declare and confirm that I am a Non-Resident Indian and I am presently on contract with a foreign registered company, details of which are provided in the documents
submitted. I also confirm that I will inform the Bank, in case I do not renew my contract or choose to go on a new contract OR I am unable to proceed on a new contract or in any
case in the event that my status of Non-Resident Indian is altered. Accordingly, I will have the Non-Resident accounts opened in my name re-designated to Resident/RFC
accounts (as applicable).
Signature of the Applicant
Close Relative Declaration (To be filled by the applicant's close relative if the applicant does not have any address proof)
I hereby confirm that Mr. / Mrs. (Applicant Name)who is desirous of opening an account with your Bank is my (Relationship)He / She is residing with me since (Month)(Year) at the below mentioned address:
The applicant does not hold a documentary
address proof in his / her independent name. Since the applicant is residing with me, the address proof in my name is being provided to the bank for the purpose of address
verification. I have no objection towards receiving any correspondence from the bank in the name of applicant at my above-mentioned address. I enclose herewith the below:
Self-attested (Document Name) asIdentity Proof
Self-attested (Document Name) asas Address Proof
Name of the Declarant & SignatureCustomer ID (If an existing customer)
Please indicate the country/ies in which the entity is a resident for tax purposes and the associated Tax ID Number below:
Country#
Tax Identification
Number%
Identification Type
(TIN or Other, please specify)%
Address For Tax Purpose
Landmark
# To also include USA, where the individual is a citizen/ green card holder of USA % In case Tax Identification Number is not available, kindly provide functional equivalent FATCA- CRS Certification: I have understood the information requirements of this Form (read along with the FATCA/CRS Instructions and Terms & Conditions) and hereby
confirm that the information provided by me/us on this Form is true, correct, and complete and here by accept the same.
CUSTOMER PROFILE
Rules & Regulations (to be mandatorily signed)
I/We have read and understood the Terms and Conditions relating to various services and understand that any changes to the Terms & Conditions will be available on the website www.axisbank.com only. I/We have specifically requested
above, from AXIS BANK Ltd. I/We accept and agree to be bound by the said terms and conditions including those limiting/excluding the Bank's liability. I/We understand that the Bank may at its absolute discretion discontinue any of the
services completely or partially with prior notice to me/us. I/We confirm that I/We am/are the sole account holder(s) or have the required/mandate to operate all the respective accounts linked to these services. I/We authorize the bank to
send Correspondence/Documents/Statement of Accounts/Deliverables through courier/postal service at its discretion and such courier/postal service shall be deemed as my agent.
FOR NON-RESIDENT ACCOUNTS: I/We hereby declare that I/We am/are non-resident Indian(s)/Person(s) of Indian origin. I/We understand that the above account will be opened on the basis of the statements/declarations made by me/us,
and I/We also agree that if any of the statements/declarations made herein is found to be non-correct in material particulars, you are not bound to pay any Interest on the deposit made by me/us. The account will be put into use for bonafide
transactions not involving any violations of the provisions of any Government/Exchange Control Regulation. I/We agree that no claim will be made by me/us for any Interest on the deposit/s for any period after date/s of maturity of the
deposit/s. I/We agree to abide by the provisions of the Foreign Currency (Non Resident) Account Scheme, Non Resident (External) Account Scheme, Non-Resident (Ordinary) Account Scheme as the case may be. I/ We hereby undertake to
intimate you about my/our return to India for permanent residence, immediately on arrival. I/We agree that the premature withdrawal is permitted at my/our request. The payment of interest on the deposit may be allowed in accordance with
the prevailing stipulations laid down by the Reserve Bank of India in this regard. I/We shall not make available to any person resident in India, foreign currency against reimbursement in Rupees or any other manner in India. I/We would
confirm that all debits to my/our accounts for the purpose of investment in India and credits representing sale proceeds of investments in India are covered either by general or special permission of the Reserve Bank of India. I/We undertake
to inform AXIS BANK regarding change in my/our residence/employment and provide further information that AXIS BANK may require from time to time.
FOR FOREIGN NATIONAL OF NON-INDIAN ORIGIN : I/We hereby declare that I/We am/are Foreign nationals of non Indian origin. I/We understand that the above account will be opened on the basis of the statements/declarations made
by me/us, and I/We also agree that if any of the statements/declarations made herein is found to be non-correct in material particulars, you are not bound to pay any Interest on the deposit made by me/us. The account will be put into use
for bonafide transactions not involving any violations of the provisions of any Government/Exchange Control Regulation. I/We agree that no claim will be made by me/us for any Interest on the deposit/s for any period after date/s of maturity
of the deposit/s. I/ We hereby undertake to intimate you about my/our permanent departure from India prior to leaving the country. I/We agree that the premature withdrawal is permitted at my/our request. The payment of interest on the
deposit may be allowed in accordance with the prevailing stipulations laid down by the Reserve Bank of India in this regard. I/We shall not make available to any person resident in India, foreign currency against reimbursement in Rupees or
any other manner in India. I/We would confirm that all debits to my/our accounts for the purpose of investment in India and credits representing sale proceeds of investments in India are covered either by general or special permission of the
Reserve Bank of India. I/We undertake to inform AXIS BANK regarding change in my/our residence/employment and provide further information that AXIS BANK may require from time to time. NRO Savings account opened for Foreign
Nationals of Non-Indian Origin visiting India for short duration will be valid only for 6 months from the date of account opening or the expiry date of the visa, whichever is earlier. These accounts are liable to be closed on completion of 6
months from the date of account opening or expiry of visa, whichever is earlier.
FOR DEBIT CARD: I/We undertake that the usage of the Debit Card will be in accordance with the exchange Control Regulation and in the event of any failure, I/We will be liable for action under the Foreign Exchange Management Act 1999
and the amendments thereof, stipulated by the Reserve Bank of India. I/We accept full responsibility for my/our Debit Card and agree not to make any claims against AXIS BANK, in respect thereto.
FOR INTERNET BANKING: I/We acknowledge that the issue, usage if Axis Bank Internet Banking facility is governed by terms & conditions in force from time to time as set forth on the www.axisbank.com and agree to abide by the same. I/We
am/are aware that Axis Bank Ltd does not seek any information relating to login ID/Password in any form including through e-mails from its customers. I/We further agree and confirm that Axis Bank shall not be liable for any losses arising
from my/our sharing/disclosing of login ID, password, cards, card numbers or PIN (Personal Identification Number) to anyone, nor shall make claims on the bank for any unauthorized use.
FOR JOINT ACCOUNTS: The Bank may, on receipt of a written application from Either or Survivor of us/ Anyone of Survivors of us/ the Former/ the Latter of us, grant a loan/advance against the security of FD to be issued to us or make
prepayment or part payment of the proceeds of the said deposit to any one of us.
FOR JOINT MODE OF OPERATION: In consideration of the Bank providing us with all the above mentioned facilities of banking, at our request, we hereby agree and confirm that not with standing what is stated in the account operating
mandate given by us for manual operations of the said account, we hereby authorize Shri/Smt one of the joint account holders and/or one of the person who is duly authorized to operate the said account jointly in terms of the earlier mandate
to operate the above facilities. The said person shall have full authority to operate the said Bank account solely for internet Banking, Mobile Recharge and Bill Payments Facility. We further confirm that all or any operations of the said banking
accounts by the said person in terms of the above shall be binding on us and be deemed to have been carried out in terms of our mandate given for operating the account manually. It is further clarified that the above instructions shall be
valid only for the purpose of availing internet Banking, Mobile Recharge, Bill Payments facilities and except for the existing mandate i.e. joint operation shall be applicable.
Savings Bank - Most Important Terms & Conditions
1) The Savings Bank Account should be used to route transactions of only non-business/non-commercial nature. In the event of occurrence of such transactions or any such transactions that may be construed as dubious or undesirable, the
Bank reserves the right to unilaterally freeze operations in such accounts and/or close the accounts. 2) Interest on savings bank deposit is calculated at a rate fixed by RBI. The present rate is 4% and RBI has revised the method of application.
With effect from 01.04.2010, interest shall be paid on daily product method on quarterly basis. 3) The balances in the account must adhere to the minimum Monthly/Quarterly Average Balance (MAB/QAB) stipulation laid down by the Bank
and communicated to you at the time of opening of the account and any change as may be advised to you. Non-maintenance of this MAB/QAB will attract applicable penalty as per the Schedule of Charges. 4) If there are no transactions
induced by me in the account for a period of 2 years or more, the account automatically gets classified as an 'Inoperative account'. A request for account activation has to be made in such a case. 5) Account Closure: I authorize the bank to
close my account, with prior intimation to me, in case of a. balance in the account remains zero for 3 months or more b. high occurrences of dishonored payments from my account c. no customer induced transactions for 6 months or more
6) Transactions: Any instructions to Axis Bank regarding the account, both of a financial/non-financial nature (eg: Issuance of Cheque book/card, financial transactions, updation of personal details etc.) will be provided by me through the
authorized channels only, which will be specified by the bank, based on regulatory guidelines prevailing at that time. Axis Bank is not expected to act on instructions that do not come in through the authorized channels, but reserves the right
to act upon its discretion to provide such facilities under extraordinary circumstances. 7) The Savings Bank Account entitles free access to AXIS BANK ATMs, Internet Banking and Telebanking unless otherwise stated. 8) Availing of the Anywhere
Banking facility and the At Par Cheque facility is contingent upon the limits and service charges stipulated for these facilities. 9) Any change of address should be immediately communicated in writing to the Bank along with Address Proof.
10) By availing of e-statement facility, Account Holder(s) agree to be bound by all the Terms and Conditions that may be specified by the Bank at the time of availing such facility and such other conditions as specified by the Bank from time
to time. 11) Channel facilities: All channel facilities provided by Axis Bank including Debit Cards, ATM Cards, ATMs, Internet Banking etc. are subject to specific guidelines that are provided on www.axisbank.com and as per the T&Cs overleaf.
Axis Bank is not liable for fraud in the event that I disclose sensitive information such as passwords, PINs, or IDs to anybody. I also undertake to inform the bank immediately in case of loss of cheque leaf(s), Credit/Debit Card(s) linked to my
account. E-statement: The Bank shall at its own discretion at any time may discontinue/alter/modify facility at terms and conditions as specified therein at sole discretion of the Bank. 12) Personal Information: a. Any updation of my details
including personal information, change of address etc. will be provided by me/us to the bank, along with documents of proof within 2 weeks. I/We agree to indemnify Axis Bank for any fraud, loss or damage, due to my providing wrong
information or not updating the information that may occur to me/us and to Axis Bank and based on which the bank may act as true and correct. b. All information provided by me of any nature (including personal & sensitive information)
will be used in the provision of services or facilities, facilitation of transactions, providing information and updates (including value-added services), research and analytics, credit scoring, verification, participating in telecommunication or
electronic clearing network as may be required by law/customary practice by the bank c. All information provided by me/us of any nature (including personal & sensitive information) can be shared with agencies/service providers who have
an agreement with Axis Bank for business purpose and on need to know basis. Axis Bank shall always strive to comply with the rules and regulations as applicable from time to time on this context in accordance with the bank's Privacy policy.
If I/We intend to revoke my consent to the sharing of the data, the products/services available to me/us, pursuant to the consent provided earlier, shall no longer be available to me, and I shall be required to initiate closure of such products/services.
13) Insta A/C Declaration: "I have approached Axis Bank for opening a Savings/Current account. I understand that the account should be operated by me only after it has been activated. I further undertake that any violation of this
will constitute as a default on my part & the Bank reserves the right to close the said account forthwith on the happening of such a default without assigning any reason whatsoever. I am aware that delivery and/ or receipt of the Welcome Kit
cannot be construed to mean that Axis Bank has opened or agreed to open the account. Axis Bank Ltd. at its sole discretion, can either call for further documents or reject the application for any reason whatsoever. In case of rejection, I am
aware that the Welcome Kit & Letter shall be construed as withdrawn and I undertake to return the same to the Bank forthwith" I am aware that the products and services of the bank shall be provided subject to the applicable rules and
regulations. I have received a copy of the Rules & Regulations and an acknowledgment from the bank for the Application and Nomination Form submitted. 14) Fees & Charges: Fees and Charges will be applicable to my account and for
other services availed by me, as described in the Most Important Document/Schedule of charges and on the website www.axisbank.com. Service Taxes and other statutory imposts as applicable from time to time will be levied on all fees. All
relevant policies including Code of Commitments to Customers and Grievance Reddresal policy are available at branches. Deposit Insurance and Credit Guarantee Corporation(DICGC) insurance cover is applicable in all Bank's deposits,
such as savings current, fixed, recurring, etc. upto a maximum amount of Rs. 1 lakh including principal & interest both.
FATCA-CRS Terms & Conditions
The Central Board of Direct Taxes has notified on 7th August 2015 Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions such as the Bank to seek additional personal, tax and beneficial
owner information and certain certifications and documentation from all our account holders. In relevant cases, information will have to be reported to tax authorities/appointed agencies/ withholding agents for the purpose of ensuring
appropriate withholding from the account or any proceeds in relation thereto. Should there be any change in any information provided by you, please ensure you advise us promptly, i.e. within 30 days. If you have any questions about your
tax residency, please contact your tax advisor. If you are a US citizen or resident or greencard holder, please include United States in the foreign country information field along with your US Tax Identification Number. It is mandatory to supply
a TIN or functional equivalent if the country in which you are tax resident issues such as identifiers. If no TIN is yet available or has not yet been issued, please provide an explanation and attach this to the form.
EXISTING BANKING RELATIONSHIPS* (Mandatory for Current Accounts only)
Details of Borrowal Accounts
(with details of facility amount)
Bank & Branch
Facility
Amount
I do hereby solemnly declare that the information provided above is up to date and correct and I hereby submit my recent photograph and self-attested
photocopy of the KYC documents.
Signature of Primary Applicant
Signature of 1st Joint Applicant
Signature of 2nd Joint Applicant
Signature of 3rd Joint Applicant
(Please do not sign this form if it is BLANK. Please ensure all relevant sections and columns are completely filled to your satisfaction and then only sign the form)
Signature of Bank Official in whose presence signed
