{ FOR BRANCH USE: Branch Code Action Taken on: _/ ‘Signature NRE/NRO account (™* Account Holder’s Name: Branch Name / Code: | Receipt Date __/ Request for change of Personal Details Account No: General Rules: 1. Please tick the appropriate box (e8), wherever applicable and give the new details in the space provided. 2. If new information for field(s) wherever (") symbol is mentioned, pertains to the USA, then please fill Annexure compulsorily. Hovwever, if the information sought in Annexure hes already been provided by you to the Bank, then please ignore the Annexure. Change of Postal Address* (Please enclose self-attsted copy of new address proof) Change address for que one) [__] Current (Overseas) Address [__] Permanent (Overseas / Indian) Address Address Type: []Residential or Business [(JResidential [[JBusiness []Registered Office []Unspecified City / Town / District. PIN. Tete Fa dingy of meine ene ss ; 3 {eremmci d oghsoatbaing ot Change of Mobile Number (© ttrogh hen Bek cy on oom fe tag dao mn phe Penton m prams te mg Hoe Change of Email Address ‘goeraedto you ane trechfer geen State Country. (dn ISD — STD —Norber format) Change of Telephone Number* Change of Passport / VISA / Work Permit Details* (Please enclose self-attested copy of relevant pages) Details to be changed for qiaony: [| Passport [__] VISA/ Work Penmit Number Issue Date Place of Issue Nationality® Valid Up to (Not required. VISAT Work Permat Details are to be changed Change of Recorded Signature ‘Old Signature * New Specimen Signature (if vou are not able to replicate your old signatures, then please submit copy of your Passport along earning you signalure Your new specimen signatures should be the same as on the proof being ga'en. The proof being gwen should be dub attested by anyone ofthe: 1. SBI Foreign Office (wherever itis permitted) 2. Indian Embassy / High Commission 3. Notary Public and sent through post /courier to your home branch, } Declaration: I request bank to amend the information provided in my account as stated above and confirm that all the details provided herein by me are correct. Date Place Signature Customer Acknowledgement Copy (Tobe retuned to dhe customer, ifub misting itin the person) Alc Ne Alc Holder Name: Type of request: Change of personal details Date of receipt: __/__/. ‘Signature of authorised officialAccount Holder’s Maiden Name (if any) Place of Birth: Country of Birth: Father Name: Spouse Name (Required if Marital Status is married): Aadhaar No (Optional) Taxation Details (Please fill following details, if you are tax payer in any of the country or multiple countries) Country of residence | Tax Identification Number (TIN) 5: No. for tax purpose number or functional equivalent TIN issuing Country 1 2 3 b. If the above section is applicable, then please give one of the following proofs for each of the TINs mentioned above: a. Document mentioning Tax Identification Number (TIN) or functional equivalent Certificate of residence or any valid identification issued by an authorized Government body, including a Government agency or a municipality, of the country or territory of residence Any financial statement, third-party credit report, bankruptcy filing, or a report of the Government agency regulating the securities market Please provide address, if S. No.1 is filled in Taxation Details: Same as Current Address Same as Permanent Address Other Address: City/Town / District: Country. PIN. FATCA/ CRS / Central KYC Registry - Declaration and Undertahing: 1 Thereby cry dat Thave declared sts as per the rules applicable under section 285A ofthe come tx Act 1961 asnotfied Wy Cenral Bo of Dect Tos (CBD T) vide Noufcatim No, $.0. 2155(E) ded 7 August 2015 and RBI Cucular No, PBU2015-16/16S DBR AML BC No 36/1401 001/0015-16 dated 28 Angus 2015 nthe regard Trnderstand and aclawtrledge that as per the provsios Income tx Act, les made thereunder and guidelines issued bythe RBYin the mater, depending wpm the resiieeal sums andlor or criteria stipulated therein, th Burk may have to report the detain respect of my accomes) as per the prescribed format to the Cantal Bourd of Direct Taxes (CBDT) or other Goverment Agmcits to comply wih the obligations as per the Inter-Govenmantal Ageaments (GA) nd Conmam Feporting Sundrds (CRS) anderen other seule erengumats Teerfy tat the sfornstion provided by me sbove as applicable to ane end signd by meas wells inthe docamamtaryevidance provided by me ist the best of say lnovledge and bela, comect and complete wa tht Thuve not vane ny materia formation hat may affect the essesmumnlceegariston of 7 cco 124 U § Reportable Acco or ober eporble Accom or here Terai the responcbity to declare and clos witha 30 cays from the dat of chmge say chunges hat any tae pce the formation provided sbove, ae well asin the docaumeay evidaxe provided by me or £ any cefiatin becomes mcorect end to prove fresh and val Se- ctficetion eng wih docanmeny evidence nlc age at ny fede to diclove any teil act orn tome ovr or Shas vite me from oanectng the acount and Sate Bak of Baa ‘woul be oethan Er right to put resticons athe apart of accom clove 8 oF ope to say se gubtr andlor say sehory devigute bythe Goverment of india (GOD (REL forthe punpose or take my other action asimy be deemed appropriate by Sate Bank of Ina under the guidelines issued by CED TRBT froma ‘host tans, fhe dicey not emai by meal the elite period Jno agrs co fens and htm to Sute Bu of Iu ay oer peiclare hat re caled pan ne to provide on accout of my change i ether minor sad ite sbjectmater here shall dainty Sate Bal of ia foray les tatmay be cauedto the Sute Bak of i on acon of proving mcoect or ncouplte formation by ma. hareby declare dat the details mice above are ru and coret to thebestof my Inwwledge end belief end Tunderake to inform you of ay changes rein, susuinely Bi cas ay of the above sort ie fouad tobe fale or inoeortireadnng ormaepresentng, [ema vate Gt aaybe held ab fr 2 ‘My pasenal /EYC details may be ued wth Canal EYC Registry. Thrtby conse to receiving svermutio from Cesta KYC Registry trough SMS Bail cnmyregstredamber unl adess.