form

NRO Savings Account

Scheme Code

Amount of initial Deposit for NRO Savings: INR / Foreign Currency (Please specify the currency) Payment By: Cheque / DD / TT / TC / FC

Cheque / DD / Remittance Detail for NRO Savings: Bank Name Cheque / DD / Remittance No. Date:

Debit NRE Savings Account Number Transaction ID: Date:

NRO Current Account

Scheme Code

Amount of initial Deposit for NRO Savings: INR/Foreign Currency (Please specify the currency) Payment By: Cheque / DD / TT / TC / FC

Cheque / DD / Remittance Detail for NRO Savings: Bank Name Cheque / DD / Remittance No. Date:

Debit NRO Savings Account Number Transaction ID: Date:

RFC (Resident Foreign Currency)

Saving Account

Fixed Deposit

Scheme Code

Amount

Cheque / DD / Remittance Detail: Bank Name Cheque / DD / Remittance No. Date:

Tenor: {Year/s} (Month/s)

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

Label Code Staff Employee Id

Signature

Authorised Signatory
with company seal

Letter from Employer verifying identify and permanent address

NOMINATION (DA1 FORM)* Only one individual nominee permitted and to be signed also in case of no nomination)

I wish to nominate I do not wish to nominate

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

I/We (Name) (Address)

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.

Name Address: Same as Primary Applicant

If different from Primary Applicant

Relationship with depositor, if any Age Years

If nominee is Minor, Date of Birth

'As nominee is minor I/We appoint (name)

Relationship with minor^*

Address: Same as Primary Applicant If different

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

Signature of Witness^***

Name

Address

Date Place

Signature of Primary Applicant^**

Name

Address

Signature of the Joint Applicant(s)

^**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

Debit Card (Only for Non Insta) Y N If yes, fill in details below

Name on Card:

Name of Nominee

Savings Account Usage Type

NRE International Chip Crad (Higher Level of security Usable in India and Internationally)

NRE Domestic Chip Card (Higher Level of Security Usable in India Only)

NRE Display Debit Card - International Chip Card (Higher Level of Security Usable in India and Internationally)

NRE Display Debit Card - Domestic Chip Card (Higher Level of Security Usable in India Only)

Activate International Usage on NRE Insta Debit Card

NRO Domestic Non Chip Card (usable in India Only)

Current Account Usage Type

NRO Domestic Non Chip Card (usable in India Only)

NRE International Chip Card
(Higher Level of Security Usable in India and Internationally)

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)

Speed banking facilities activated Mobile Banking Internet Banking view facility Internet Banking view & fund transfer

Value Added Alerts (SMS & Email) Phone Banking

Account Statement Options E-Statement standard option if email provided
(Physical Statement will not be sent) Physical Copy
(Tick here to receive printed statements only)

Cheque book facility Y N I wish to register for eDGE Loyalty Y N

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

Signature