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8/7/2014 Net Account Opening

Indian Overseas Bank, Central Office, 763 Anna Salai, Chennai-600002, India
Registration of Application for Account Opening
Application Registration Date 07-08-2014
Registration Number 16662014000195
Branch for Account Opening OMALUR[1666]
Account Type Savings--SBSTUDNT
Liqui Facility N
Account Holder Name PARAMESWARI A
Gender Female
Date of Birth(ddmmyyyy) 20-06-2002
Minor A/c Y
Guardian Name AMMASI
Guardian Relation M
Account Operation by SELF
Door No/Building No/Name 1/117 SATTUR
Road/Street POTTIYAPURAM PO
Area/Locality OMALUR TK
Town/City SALEM
Country INDIA
Pin Code 636309
Phone Number[with STD Code]
Mobile Number 9715365716
Email ID amsureshkumar1981@gmail.com
PAN/GIR No
Father's Name * ALLIMUTHU
Spouse's Name
Spouse's Date of Birth(ddmmyyyy) --
Occupation FARMERS
Educational Qualifications Others
Nationality Resident
Owning House Y
Community Hindu
Conveyance Nil
Holding Credit Card? N
Card Issued by
Credit Card Limit [Rs] 0
Purpose of Opening Account * Savings
Source of Funds Professional Income
Annual Income [Rs] 36000
Engaged in Business? N
Location of Business
Estimated Income [Rs] 0
Other Sources of Income [Rs] 0
Total Annual Income [Rs] 36000
Existing Bank Account Details,if any
Credit Facility Availed,if any
Holding Passport? N

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8/7/2014 Net Account Opening
Passport Number
Valid Upto Date [ddmmyyyy] --
Address Proof Ration C ard
Address Proof Issued by 10/G/0077107
Address Proof Number 1
ID Proof Ration C ard
ID Proof Issued by GOVERNMENT OF TAMILN
ID Proof Number 1
Details of Foreign Countries
NO
visited during the last 3 years
Declaration:
I/We undertake to maintain the minimum balance in the account as required by the Bank
We may have occasion from time to time to hand you for collection or negotiation, C heques,
Drafts or Bills of Exchange (with or without documents attached) and we hereby agree to
your forwarding the same to your branches/collecting Agents for collection/negotiation
through Registered Post or any other authorised independent carrier
In the event of your having no independent collecting Agent at any C entre, we hereby
authorise you to send such instruments/documents directly to the drawee bank itself
by any of the above said authorised modes of transit.
In the event of loss of an instrument/document in transit or otherwise, I/We undertake
to take up the matter with the drawer for obtaining duplicate/replacement instrument
or provide duplicate documents
In case of any overdraft being created by wrong credits or in the Teller/ATM/ABB
arrangement, I/We shall make good the same with interest as applicable.
I confirm that the Banks Savings Bank Rules have been read by me and I accept them
and amendments which may be made from time to time as binding upon me.

Signature of Applicant
Nomination: I, PARAMESWARI A, nominate the following person to whom the balance
in the account may be paid by Indian Overseas Bank, in the event of my/minors death.
Nominee Name AMMASI
Nominee Gender/Relationship Female---Mother
Nominee-Address:
1/117 SATTUR POTTIYAPURAM PO
Door No/Building No/Name
Road/Street OMALUR TK
Area/Locality SALEM
C ity SALEM
Nominee Date of Birth(ddmmyyyy) 01-07-1985
Minor-Nominee:Guardian Name

Signature of the Applicant


Introduction
Name of Introducer 166601000004163
Introducer Address THE HEAD MASTER PUMS ARANMANAIKADU POTTIYAPURAM PO
Introducer Branch 1666
Introducer Account Details SB--
I know the applicant for a period of.....year(s) and confirm correctness of occupation and
address as stated in the application

Signature of Introducer

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