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DS-1A (2016)

ACCOUNT OPENING FORM FOR RESIDENT INDIVIDUAL (SINGLE/JOINT) ACCOUNTS

Branch : Sol ID Date D D M M Y Y Y Y


KYC Number
Customer ID
Account No.
NAME OF ACCOUNT HOLDER
I /we request you to open my/our deposit account with your branch/bank as under: (Tick*relevant type of account)
Type of Account Scheme Name Type of Account Scheme name Type/Scheme/Other Deposits
Saving Bank A/C Recurring Deposit a/c
Current a/c Fixed Deposit a/c
In case of Saving Bank Account, please √ from the following
With Cheque Without Cheque Tierised Facility Zero Balance BSBDA Others
facility facility

In case of Fixed Deposits:


Period Amount Int. Rate Maturity Int. payment *Auto Renewal on *Auto Renewal on Interest to be credited to
M/Q/H/Y maturity (Principal maturity (Principal Account No. & Branch
only) pl. tick with Interest) pl. tick

*May be renewed automatically for the same period/……….period unless you receive any other communication from me/us at least a day
before due date of maturity.
In case of Recurring Deposits:
Months Installment Amount Maturity date Maturity Value
On maturity, Amt. to be credited to Account No. & Branch

Full Name in Capital letters (In order of first , middle and last name) leaving a space between words
1
2
3
First Applicant SecondApplicant Third Applicant
Customer ID(If
any existing)

Specimen signature/ Left/


Right thumb impression

Please paste recent passport Please paste recent passport Please paste recent passport size Please paste recent passport size
size photograph with size photograph with signature photograph with signature across the photograph with signature across the
signature across the photo across the photo photo photo

Please choose from the following :(If Staff/Ex-Staff, mention EMP No.):
Sr. Citizen Staff(EMP No. ) Ex-Staff (EMP No. ) Pensioner NRI Minor Other/ General
Name of the Guardian(In case of Minor): Relationship with minor/ pl. tick.
(Attach proof for minor's DOB) F & NG M & NG Legal* Others
* In case of legal guardian(Guardian appointed by court), enclose copy of the court order:
Name and address of Employer( In case of salaried Person)
First Applicant 2nd Applicant 3rd Applicant

PIN PIN PIN


Operating Instruction(please √ in appropiate box)
Singly Either or Survivor Former or Survivor Jointly Any one or survivor/s Others(Pl. Specify)
Facilities required(Please mark √ in appropiate box/es)
Cheque book Statement of Account required(Pl. tick)
Issued Cheque Series No. ………………... To ………………. Monthly Weekly* Daily*
Date of Issue: * Service charge will apply
Add-on facility , (Pl. tick) I wish to avail following facility(ies) -
Internet banking-UCO e-banking UCO VISA Debit-Card/ Rupay Card Mobile Banking
Other Information:(tick one)
Education: Non-Matric SSC/HSC Graduate Post Graduate Others(Specify)
Monthly income(Rs) Upto 50000/- 50001 - 1.5 lacs >1.5 lacs - 5 lacs > 5 Lacs -10 Lacs Above 10 Lacs
If salaried, employed with Proprietorship Public Ltd. MNC Public Sector Pvt. Ltd. Govt. others (Specify)
If Professional Doctor Architect CA/CS IT consultant Engineer Lawyer Others(Specify)
If Business Manufacturing Real Estate Service Provider Trader Agri. Stock Broker Others(Specify)
Religion Hindu Muslim Sikh Christian Others (specify)
Category General OBC SC ST
Status Illiterate Blind Pardanashin Phy. Handicapped Others(Specify)
Identification Mark

Instruction for premature payment, premature extension, and allowing loans to one or more of the account holder(s)or the survivor(s).
The bank on receipt of written application from Sri/Smt. ……………………………………the former/the latter/the first name/the second name etc. of
us Either or Survivor of us / Any one or Survivors or Survivor of us in its absolute discretion and subject to such terms and conditions as the
Bank may stipulate, grant a loan advance against the security of the term deposit receipt to be issued in our joint names, or make premature
payment of the proceeds of the deposits to the former/the first named of us/ either or survivor of us, etc./the second name of us/ any one of
us or survivors of us close/transfer his account on instruction from any of us.

Declaration (Please mark in appropiate boxes):


( ) I/We declare that I/We do not enjoy any credit facility with other bank/s.
( ) I/We declare that I/We have following deposit accounts and/or credit facilities with your/other banks branches.
Bank & Branch Place of Bank/Branch Type of account/Facility Amount Account No.

TERMS & CONDITIONS & DECLARATION(Please mark tick )


..I/We have read, understood and agree to abide by the Bank’s rules relating to the conduct of the above accounts/services/
products/Fee & Charges which are displayed on the website www.ucobank.com contained in the brochures of the Bank from time
to time. I/we wish to be informed about the various features/products and promotional offers made by the bank from time to time.
.. Please issue cheque book and recover charges from my/our account as per norms of the bank.
..Account will be operated and balance along with interest payable as per operational instructions given above.
.. I shall represent the said minor in all future transactions of any description in the above account until the said minor attains
majority.
.. I will indemnify the Bank against the claim of the above minor of any withdrawal/transactions made by me in his/her
account.
.. I/we also agree to maintain the minimum balance which the bank stipulates, to avail the facilities and agree to pay or Bank may
debit the charges from my account if minimum balance is not maintained and any other charges stipulated by the bank.
.. I/We have read the Account rules and hereby agree to be bound by the terms and conditions outlined to these rules which
govern the account which I/We am/are opening/will open with UCO BANK and amendments to the rules made from time to time
and those relating to various services availed by me. I/We understand that the Bank may at its absolute discretion discontinue any
of the services completely or partially without any notice to me/us.
.. I/We authorize UCO Bank or its agents to make references and enquiries as may be deemed necessary in their discretion
with regard to the information furnished in this application. UCO Bank and its agents are empowered to exchange, share or part
with all the information, data or documents relating to my/our application inter se among themselves or to other Banks/
Financial Institutions/ Credit Bureaus/Agencies/ Statutory Bodies/such other entities/persons as may be deemed necessary
or appropriate or as may be required for processing of such information/data by such person/s or for furnishing of the processed
information/ data/products thereof to other Banks/Financial Institutions/ Credit Bureaus/Agencies/Users registered with such
agencies.

(Full Signature)
1st Applicant……………………………………... 2nd applicant……………………………………………….. 3rd applicant……………………………………………
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IN CASE OF CURRENT ACCOUNT OPENED BY A SINGLE INDIVIDUAL:- The account will be operated upon by me and I authorize you to honour
all cheques or other orders which may be drawn by me on this account and to debit, such cheques or orders or bills or notes to my account
with you whether such account be for the time being in credit or overdrawn.

Signature
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IN CASE OF JOINT ACCOUNT:
We request and authorize you until any of us shall give you notice in writing to the contrary to honour all cheques or other orders which may
be drawn on our this joint account kept by us with you or bills accepted or notes made on our behalf signed by any one of us and to debit
such cheques or orders or bills or notes to our account with you whether such account be for the time being in credit or overdrawn. In the
event of death, insolvency or withdrawal of any of us, the survivor or survivors of us shall have full control of any moneys then and there
standing to our credit in our this account with you and it is understood that all moneys now or hereafter standing to our credit in our account
with you shall belong to the survivor/survivors in the event of any of us dying during the currency of the account. It is further understood that
if anyone of us forbids payment of an account (which is not payable to all of us jointly) the account if in credit shall thereupon cease to carry
interest and shall not be payable except on the discharge of all of us or survivor/survivors. We also request you to accept the endorsement by
any of one of us to cheques or other Orders, Bills or notes payable to us.

We jointly and severally agree if our account or accounts at any time be overdrawn to be jointly and severally liable to you for any moneys for
the time being owing to you thereon including commission and interest.
We also jointly and severally agree that all moneys, securities or other movable property (whether jointly or that of any of either of us either
jointly or severally) in or coming into your possession shall be and remain as security and shall stand charged for the due payment of our joint
indebtedness and liabilities to you from time to time.

(Sole/1st Applicant)………. ……………………….(2nd Applicant)…………. …………………...(3rd Applicant)………………………………………………….


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Declaration in case of BSBDA (Small Deposit Account) :
As I/We do not possess any of the documents required for personal identity/Address proof I/We certify that the Address as mentioned as
earlier is true and correct. I/We also understand that the balance in the account at any time will be limited to Rs 50,000/-* and total
transaction in the year will be restricted to Rs 1 Lac with maximum permissible withdrawal of Rs.10000/-in a month* As and when the
balance or total transaction exceed these limits, UCO Bank will treat the account as a normal Saving Bank account and normal KYC procedure
as per Bank’s extant guidelines will be followed. In the event of non submission of the required document to the bank, UCO BANK has the
right to freeze/close the account.

*Subject to change as per RBI/Bank Guidelines Signature/LTI/RTI:………………………………………………………………..


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For ILLITERATE PERSONS/ VISUALLY IMPAIRED* Account:
Date:
The Manager
UCO Bank,
………………. Branch
The content of the account opening form and the rules of the bank regarding Saving Bank /Current deposit in force for the time being has
been explained to the depositor and fully understood by him/her and he/she affixed his /her left/right thumb impression hereunder in my
presence in token thereof.
*Bank’s guidelines for visually impaired persons alongwith related request letter/indemnity letter/ letter of undertaking has been also
explained to the depositor and fully understood by him/her in my presence and he/she has affixed his/her left/right thumb impression
hereunder:

LEFT/RIGHT thumb impression/Signature of the depositor (Signature of person explaining the above details)

Illiterate Person's identification marks……………………………………………………

Signature of Authorized Officer


Add on facilities:
1. UCO DEBIT CARD
Primary Account no.
SOL-ID

Secondary account No.(for linking)


Secondary account No.(for linking)
Declaration: I have read and understood the terms & conditions relating to various services under UCO Debit card and I agree to abide by
and be bound by them as they are in force now and will be in force from time to time for the card. I request you to provide me the UCO Debit
Card and the PIN (Personal Identification No.) I agree:
1. To change my PIN periodically for maintaining secrecy of my account level information.
2. To keep my PIN confidential without giving any room for its disclosure to any person.
3. To be responsible for any disclosure of my PIN or account level information to any person and that the Bank shall not be held
responsible for any loss or damage caused to me on account of such disclosure.
4. That the Bank at its absolute discretion discontinue the facility completely or partially without any notice to me.
5. That the bank may debit my primary or secondary account for operations through the UCO Debit card.
Further I authorize you to debit my account with the applicable service charges for use of the card at any point of sales/
ATMs other than Bank's own ATM.

Signature of Applicant………………………………
We also request you to please issue ADD ON CARD in the subject account to the joint account holder Mr./Mrs……………………..

Signature of First Applicant………………………………….. Signature of Second Applicant……………………………………………………


(FOR BRANCH USE ONLY)
UCO Debit Card No………………………………………………………………………………………….
UCO Debit Card and PIN mailer handed over on ……………………………………………..
Card Activation request sent on ………………………………………………………………………………
Card Expiry Date………………………………………………………………………………………………………

Signature of Officer………………………………………. EMP No. Date:


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2. UCO e-BANKING
I would like to avail UCO e-Banking Services .
I confirm that I am the sole account holder / I have the required mandate from the joint account holder of the linked accounts.
(In case of joint accounts)* to operate the account through UCO e-Banking services.
Account no. Customer ID: Mode of Operation Name of Joint a/c holder *We permit the aplicant to acess
all accounts through UCO- E-
banking Services
Signatures of joint account holders

* Access through UCO e-Banking services in respect of bank account will be permitted only where the mode of operation of the account is
single/either or survivor/anyone or survivor.
** In case of joint accounts the applicant needs to obtain mandate from the joint a/c holder(s) in the column mentioned above.
Declaration: I have read the " Terms and conditions" and " Disclaimer" applicable to UCO e-Banking Services and I accept the same which are
displayed on https://www.ucobank.com the site maintained by UCO Bank. Further, I also agree that the transactions and requests executed
in the above mentioned account through UCO e-banking under my user id and password will be legally binding on me.

I do hereby idemnify and forever keep idemnified the Bank and its successors and assigns you from and against any or all claims, actions,
penalties, that may be made, suffered or incurred by the bank by reason of non-compliance by me of any of the terms and conditions made
therein.
Date……………………….
Place……………………… Signature of Account Holder…………………………………
Signature of a/c holder
(FOR BRANCH USE ONLY)
Application SL No.
We confirm having verified the signatures and mandates for the accounts including those of joint account holders. We also confirm that KYC
norms have been complied with by the account holder(s). Recommended for extending UCO e-Banking facilities.

Date: Signature of Manager/ Senior Manager…………………………………………………………


EMP No…………………………
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3. UCO m-banking
Mobile Number:
I would like to avail of UCO m-Banking Services .
I confirm that I am the sole account holder / I have the required mandate from the joint account holder of the linked accounts.
(In case of joint accounts)* to operate the account through UCO m-Banking services.
Account no. Customer ID: Mode of Operation Name of Joint a/c holder *We permit the aplicant to acess
all accounts through UCO- m-
banking Services
Signatures of joint account holders

* Access through UCO m-Banking services in respect of bank account will be permitted only where the mode of operation of
account is single/either or survivor/anyone or survivor.
** In case of joint accounts the applicant needs to obtain mandate from the joint a/c holder(s) in the column mentioned above.
Declaration: I have read the " Terms and conditions" and " Disclaimer" applicable to UCO m-Banking Services and I accept the same which are
displayed on https://www.ucobank.com the site maintained by UCO Bank. Further, I also agree that the tansactions and requests executed in
the above mentioned account through UCO m-banking under my user id and password will be legally binding on me.

I do hereby idemnify and forever keep idemnified the Bank and its successors and assigns you from and against any or all claims, actions,
penalties, that may be made, suffered or incurred by the Bank by reason of non-compliance by me of any of the term and conditions made
therein.
Date……………………….
Place……………………… Signature of a/c holder
(FOR BRANCH USE ONLY)
Application SL No.
We confirm having verified the signatures and mandates for the accounts including those of joint account holders. We also
confirm that KYC norms have been complied with by the account holder(s). Recommended for extending UCO m-Banking
facilities.
Date: Signature of Manager/Senior Manager…………………………………………………………
EMP No……………………………………………………………………..
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Nomination Form Form DA 1
Nomination under section 45ZA of the Banking Regulation Act 1949 and 2(1) of the Banking Companies (Nomination) Rules 1985 in respect
of bank deposits.
I/We (name(s)…………………………………………………………………………. and ………………………………………………….. nominate the following persons to
whom in the event of my/our/minor’s death, the amount of the deposit held in the account, particulars whereof are given below may be
returned by UCO Bank …………………………Branch.
Deposit Nominee
Nature of Account No. Additional Details Name of Nominee Adress of Relationship Age If nominee is minor
Deposit (If any) Nominee his/her DOB #

# As the nominee is a minor on this date, I/We appoint Mr. / Mrs. / Miss ………………………………………………………………………………...
…………………………………………………….(Name, Address, and Age) to receive the amount of deposit in the account on behalf of the
nominee in the event of my/our/minors death during the minority of the nominee.

Place :
Date : # strike out if nominee is not minor

*Signature/Thumb impression of Depositors Signature, Name and Address of witness(es)

*Where deposit is made in the name of a minor the nomination should be signed by a person lawfully entitled to act on behalf
of the minor.
Thumb impression(s) of depositors should be witnessed by two person(s),

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For Office Use


S.No. Description Name of authorised Staff Signature
1 Applicants interviewed & purpose ascertained by
2 Letter of thanks sent to A/c. holders on
3 Money Laundering Risk:
( ) Low ( ) Medium ( ) High
Signature of Branch Manager/Manager

Emp No……………………….
Date……………………………

ACKNOWLEDGEMENT Branch………………………… Sol Id……………….


UCO BANK

Date:

We acknowledge receipt of nomination made by you in favour of Shri/Smt/Ms-----------------------------aged ------years in respect of your
………………….A/c Type………………….. A/c No.……………………………………..on Form DA1.

Branch Manager
Annexure - A Know Your Customer (KYC) Application Form - Application Form | Individual
1. PERSONAL DETAILS (Please refer instruction A at the end.)
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D M M Y Y Y Y Gender M- Male F- Female T- Transgender
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
2. TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instructions B at the end)

ADDITIONAL DETAILS REQUIRED* (Mandatory only if section 5.2 is ticked)


ISO 3166 Country Code of jurisdiction of Residence*
Tax Identification Number or equivalent (if issued by jurisdiction)*
Place/ City of Birth ISO 3166 Country Code of Birth* photo
3. PROOF OF IDENTITY (Pol)* (Please refer instruction C at the end )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
A- Passport Number Passport Expiry Date
B- Voter ID Card
C- PAN Crad
D- Driving Licence Driving Licence Expiry Date-
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
4. PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of address (PoA) needs to be submitted)
4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction G. IV at the end)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of address* Passport Driving Licence UID (Aadhaar) Voter Identity Card
NREGA Job Card Others
Address: Line1*
Line 2
Line 3 City/Town/Village
State /U.T Code* Pin / Post Code* iso 3166 Country Code*
4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS*
Same as Current / Permanent / Overseas Address details ( In case of multiple correspondence / local addresses, please fill 'Annexure A2')
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
4.3 ADDRESS IN THE JURISDICTION WHERE ENTITY IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES*(applicable if section 2 is ticked)
Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
5. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email -ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mob
FAX Email-id
6. DETAILS OF RELATED PERSON* (In case of additional related persons, please fill 'Annexure B2)(Please refer instruction G at the end)
Addition of Related Person Deletion of Related Person Related Person details
KYC Number of Related Person (If available*)
If KYC number is available, only 'Related Person Type' and 'Name' is mandatory.

Related Person Type* Guardian of Minor Nominee Assignee Authorised Representative Beneficial Owner
Authorised Signatory Court Appointed Official Beneficiary
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
PROOF OF IDENTITY (Pol)* (Please refer instruction HI at the end )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)

A- Passport Number Passport Expiry Date

B- Voter ID Card

C- PAN Crad

D- Driving Licence Driving Licence Expiry Date-

E- UID (Aadhaar)

F- NREGA Job Card

Z- Others (any document notifided by the central government) Identification No.


7. REMARKS (If any)

8 . APPLICATION DECLARATION
* I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein,
immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting. I am aware that Imay be held liable for it.

* My personal KYC details may be shared with Central KYC Registry.


* I hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered number/email address.
Date: Place: Signature /Thumb Impression of Applicant

9 . ATTESTATION / FOR OFFICE USE ONLY


Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
Annexure -A1 In case of multiple correspondence/local addresses, please fill 'Annexure A1'
UCO BANK: Know Your Customer (KYC) Application Form (Individual: Correspondence/ Local Address)
1 . PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of Identity (Pol) ends to be submitted) (Please see instruction E at the end)
1.1 CORRESPONDENCE / LOCAL ADDRESS DETAILS*
Same as Current / Permanent / Overseas Address details
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
2. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email -ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mob
FAX Email-id
3 . APPLICATION DECLARATION
* I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of
the above information is found to be false or untrue or misleading or misrepresenting. I am aware that I may be held liable for it.

* My personal KYC details may be shared with Central KYC Registry.


* I hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered number/email address.
Date: d d m m y y y y Place: Signature /Thumb Impression of Applicant

4. ATTESTATION / FOR OFFICE USE ONLY


Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name UCO BANK
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
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Annexure A2 Know Your Customer (KYC) Application Form / Individual / Related Person
1. DETAILS OF RELATED PERSON* (In case of additional related persons, (Please refer instruction G at the end)
Addition of Related Person Deletion of Related Person Related Person details
KYC Number of Related Person (If available*)
If KYC number and Name are provided, below details of section 1 are optional

Related Person Type* Guardian of Minor Nominee Assignee Authorised Representative Beneficial Owner Beneficiciary
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
PROOF OF IDENTITY (Pol)* (Please refer instruction H at the end )
( Proof of Identity (Pol) of Related Person (Please See instruction (H) )
A- Passport Number Passport Expiry Date d d m m y y y y
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date- d d m m y y y y
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
2. APPLICATION DECLARATION
* I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of
the above information is found to be false or untrue or misleading or misrepresenting. I am aware that I may be held liable for it.

* My personal KYC details may be shared with Central KYC Registry.

* I hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered number/email address.
Date: d d m m y y y y Place: Signature /Thumb Impression of Applicant

3. ATTESTATION / FOR OFFICE USE ONLY


Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name UCO BANK
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
General Instructions:
1 Fields marked with * are madatory
2 Tick  whereever applicable.
3 Self -Certification of documents is mandatory.
4 Please fill the form in English and in Block letters
5 Please fill all dates in DD-MM-YYYY format
6 whereever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country code respectively list of which is
available at the end.
7 KYC number of applicant is mandatory for updation of KYC details.
8 For particular section update, please tick " " in the available before the section number and strike off the sections not required to be updated.
9 In case of Small Account type only personal details in section 1 and 2 photograph , signature and self-certifiaction of documents is required.
A Clarification/Guidelines for filling 'Account Holder' type section.
1- Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the application is
liable to be rejected.
2- Either father's name or spouse's name is to be mandatorily furnished. In case PAN is not available father's name is mandatory.
B Clarification/Guidelines for filling details if applicant residence for tax purposes in jurisdiction(s) outside India.
1- Jurisdiction(s) of Residence: Since US taxes the global income of its citizen, every US citizen of whatever nationality, is also a resident for tax purpose in USA.
2- Tax Identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued a high integrity number with an
equivalent level of identification (a " Functional equivalent"), the same may be reported. Examples of that type of number for individual include, a social security/insurance number,
citizen/personal identification/services code/number and resident registration number.
c Clarification /Guidelines on filling 'Proof of Identity (Pol)' section
1- If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
2- Mention identification/reference number if Z - Others (any document notified by the central government) is ticked.

D Clarification /Guidelines for filling 'Proof of identity (PoA) - Current / Permanent / Overseas Address details - section
1. PoA to be submitted only if the submitted Pol does not have address or address as per Pol is invalid or not in force.
2. State / U.T Code and Pin /Post Code will not be mandatory for Overseas addresses.
E Clarification /Guidelines for filling 'Proof of identity (PoA) - Correspondence/Local Address details' section
1 To be filled only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted.
2 In case of multiple correspondence/Local addresses, please fill 'Annexure A1'.
F Clarification / Guidelines for filling ' Contact Details' section
1 Please mention two-digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999)
2 Do not add '0' in the beginning of Mobile number.
G Clarification / Guidelines for filling ' Details of Related Person ' section
1 Provide KYC number of related person if available.
H Clarification / Guidelines for filling 'Related Person Details -- Proof of Identity (PoI) of Related Person' section
1 In case of nominees, proof of identity is not required.
2 Mention identification /reference number if 'Z - Others (any document notified by the central government)' is ticked.
List of two- digit state / U.T codes as per Indian Motor Vehicle Act, 1938
State/U.T Code State/U.T Code Code State/U.T Code
Andaman & Nicobar AN Himachal Pradesh HP Pondicherry PV
Andhra Pradesh AP Jammu & Kashmir JK Punjab PB
Arunachal Pradesh AR Jharkhand JH Rajasthan RJ
Assam AS Karnataka KA Sikkim SK
Bihar BR Kerala KL Tamil Nadu TN
Chandigarh CH Lakshadweep LD Telangana TS
Chattisgarh CG Madhya Pradesh MP Tripura TR
Dadra and Nagar Haveli DN Maharashtra MH Uttar Pradesh UP
Daman & Diu DO Manipur MN Uttarakhand UA
Delhi DL Meghalaya ML West Bengal WB
Goa GA Mizoram MZ Other XX
Gujarat GJ Nagaland NL
Haryana HR Orissa OR

List of ISO 3166 two- digit Country Code


Country Code Country Code Country Code Country Code
Afghanistan AF Dominion Republic DO Libya LY Saint Pierre and Miquelon PM
Aland Islands AX Ecuador EC Liechtenstein LI Saint Vincent and the Grenadines VC
Albania AL Egypt EG Lithuania IT Samoa WS
Algeria DZ El Salvador SV Luxembourg LU San Marino SM
American Samoa AS Equatorial Guinea GQ Macao MO Sao Tome and Principe ST
Andorra AD Eritrea ER Macedonia, the former Yugoslav MK Saudi Arabia SA
Republic of
Angola AO Estonia EE Madagascar MG Senegal SN
Anguilla Al Ethiopia ET Malawi MW Serbia RS
Antarctica AQ Falkland Islands (Malvinas) FK Malaysia MY Seychelles SC
Antigua and Barbuda AG Faroe Islands FO Maldives MV Sierra Leone SL
Argentina AR Fiji FJ Mali ML Singapore SG
Armenia AM Finland Fl Malta MT Sint Maarten {Dutch part) SX
Aruba AW France FR Marshal Islands MH Slovakia SK
Australia AU French Guiana GF Martinique MQ Slovenia SI
Austria AT French Polynesia PF Mauritania MR Solomon Islands SB
Azerbaijan AZ French Southern Territories TF Mauritius MU Somalia SO
Bahamas BS Gabon GA Mayotte YT South Africa ZA
Bahrain BH Gambia GM Mexico MX South Georgia and the South Sandwich Islands GS
Bangladesh BD Georgia GE Micronesia, federated States of FM South Sudan SS
Barbados BB Germany DE Moldova, Republic of MD Spain ES
Belarus BY Ghana GH Monaco MC Sri Lanka LK
Belgium BE Gibraltar GI Mongolia MN Sudan SD
Belize BZ Greece GR Montenegro ME Suriname SR
Benin BJ Greenland GL Montserrat MS Svalbard and Jan Mayen SJ
Bermuda BM Grenada GD Montserrat MA Swaziland SZ
Bhutan BT Guadeloupe GP Mozambique MZ Sweden SE
Bolivia BO Guam GU Myanmar MM Switzerland CH
Bonaire, Sint Eustatius and BQ Guatemala GT Namibia NA Syrian Arab Republic SY
Saba
Bosnia and Herzegovina BA Guernsey GG Nauru NR Taiwan Province of China TW
Botswana BW Guinea GN Nepal NP Tajikistan TJ
Bouvet Island BV Guinea -Bissau GW Netherlands NL Tanzania, United Republic of 72
Brazil BR Guyana GY New Caledonia NC Thailand TH
British Indian Ocean Territory IO Haiti HT New Zealand NZ Timor-Leste TL
Brunei Darussalam Heard Island and McDonald HM Nicaragua Nl Togo TG
BN Islands
Bulgaria BG Holy See (Vatican City) State VA Niger NE Tokelau TK
Burkina Faso BF Honduras HN Nigeria NG Tonga TO
Burundi BI Hong Kong HK Niue NU Trinidad and Tobago TT
Cabo Verde CV Hungary HU Norfolk Island NF Tunisia TN
Cambodia KH Iceland IS Northern Mariana Islands MP Turkey TR
Cameroon CM India IN Norway NO Turkmenistan TM
Canada CA Indonesia ID Oman OM Turks and Caicos Islands TC
Cayman Islands KY Iran, Islamic Republic of IR Pakistan PK Tuvalu TV
Central African Republic CF Iraq IQ Palau f*W Uganda UG
Chad TD Ireland IE Palestine, State of PS Ukraine UA
Chile CL Isle of Man IM Panama PA United Arab Emirates A£
China CN Israel IL Papua New Guinea PG United Kingdom GB
Christmas Island CX Italy IT Paraguay PY United States US
Cocos (Keeling) Islands CC Jamaica JM Peru PE United States Minor Outlying Islands UM
Columbia CO Japan JP Philippines PH Uruguay UY
Comoros KM Jersey JE Pitcairn PN Uzbekistan UZ
Congo CG Jordan JO Poland PL Vanuatu VU
Congo, the Democratic CD Kazakhstan KZ Portugal PT Venezuela, Bolivarian Republic of VE
Republic of the
Cook Island CK Kenya KE Puerto Rico PR Viet Nam VN
Costa Rica CR Kiribati Kl Qatar QA Virgin Islands, British VG
Cote d’Ivoire Icote d’Ivoire CI Korea , Democratic People’s KP Reunion IReunion RE Virgin Islands US VI
Republic off
Croatia HR Korea, Republic of KR Romania RO Wallis and Futuna WF
Cuba CU Kuwait KW Russian Federation RU Western Sahara EH
Curacao (Curacao CW Kyrgyzstan KG Rwanda RW Yemen YE
Cyprus CY Lao People's Democratic LA Saint Barthelemy ISaint RL Zambia ZM
Republic Barthelemy
Czech Republic CZ Latvia LV Saint Helena, Ascension and SH Zimbabwe ZW
Tristan da Cunha
Denmark DK Lebanon LB Saint Kitts and Nevis KN
Djibouti DJ Lesotho LS Saint Lucia LC
Dominica DM Liberia LR Saint Martin(French Part) MF
D-1(2016)

ACCOUNT OPENING FORM ( For other than Individuals)


Sole Prop. Concern/ Partnership Firm/Companies/Limited Liability Partnership (LLP) Firm Co./ Trust/ Societies/ Co-Operative Bank / HUF or
Similar Bodies

Branch : Sol- Id: Date: d d m m y y y y


Customer Id :
Account Number:
I/We request you to open/ continue a Current/Savings/ Recurring Deposit with your Branch/Bank as per particulars given below. I/We have
read and understood the rules in respect of relevant Deposit a/c. and agree to be bound by them as now in force or to any change that may be
made therein from time to time.
Title of account

Constitution: Sole Proprietor Partnership Company LLP Trust


Society HUF Others (Specify)
Date of Incorporation/ Establishment d d m m y y y y PAN/GIR/TIN :

Address: 1) Office Address:


City/Town/Village:
State/U.T:
Pin/Post Code:
ISO 3166 Country Code:
Telephone Number: E- mail :
Mobile Number :
2) Business/Works factory/ Godown Address:
City/Town/Village:
State/U.T:
Pin/Post Code:
ISO 3166 Country Code:
Telephone Number: E- mail :
Mobile Number : (Contact Person)
Particulars of authorised operators of the account:
Cust-Id: Cust-Id: Cust-Id: Cust-Id:

Photo-1 Photo - 2 Photo - 3 Photo - 4

Name and Capacity (Sole Proprietor/ Partners/Directors/Trustees etc.)


Name : Capacity: Mob:
Name : Capacity: Mob:
Name : Capacity: Mob:
Name : Capacity: Mob:
Instruction for Operation:
For Recurring Deposit A/c : Monthly Instalment of Rs. ----------------------- Period ------------------------------Months.
I/We declare that I/We do not enjoy any credit facility/ies with other Bank/s.
Whether the firm/company/trust is already having a/c with UCO Bank / Other bank, Yes No
If Yes , Nature of Account Account Number Name of Bank and Branch

Line of Business :---


Sourses of Funds:- Annual Income: Rs.
Specify purpose of opening the account:
Nomination Required: Yes No If Yes, please fill the form DA-1 (For Sole Prop. Only)
Annual Turn over/Receipt Rs. -----------
Whether documentary proof in support of turnover submitted Yes No
If Yes, type of proof provided: balance sheet/Income Tax return/Sales tax return/Excise return/others (specify):--------------------
Total expected annual credits in account Rs.-------------- (In Lacs) of which in Cash Rs. ----------------(In Lacs)
Justification of turn over:------------
Whether Partnership Firm/Trust/Society/Club/ Cooperative Bank/LLP is Registered Yes Unregistered
If registered, Registration Certificate enclosed: Yes/No If Yes Registration Number: DOI:
True copy of Certificate of Incorporation enclosed (In case of Company) Yes No
True copy of constitution, rules and regulations/Memorandum & Article of Association enclsoed Yes No
True copy of Certificate of Commencement of Business enclosed (In case of Limited Company) Yes No
True copy of Resolution of Board of Directors/Managing Committee of other Governing bodies regulating the conduct of the account together
with specimen Signatures of the authorised signatories enclosed: Yes /No

1 2 3
Signature of the applicant Signature of the applicant Signature of the applicant

For Office use:


Particulars including photographs of Authorised operators verified with identity proof.All the documents are verified and compared with
origional and authenticated from the official website of concernd departments.We have obtained declaration regarding non
maintenace/availment of credit facilities from other Banks. We have also checked the credentials of the customer in CIBIL database

Date: d d m m y y y y Signature of Verifying Officer


Name:
EMP No:

Signature of Authorised Official


Permitted for Open the account/Rejected
Date: d d m m y y y y Name:
Reason for rejection: EMP No:
Certificate
The under signed visited the office/worksite/Factory/Godown of M/s.
and found to be correct as furnished in the account opening form. The firm/Society/Company ------------------------------------------
is engaged in business/activities of ------------

Signature of Verifying Official


Date: d d m m y y y y Name:
EMP No:
Declaration:

1) I/We have read (a) the Account rules and hereby agree to be bound by the terms and conditions
outlined to these rules which govern the account(s) which I/We am/are opening/will open with
UCO Bank and (b) amendments to the rules made from time to time and those relating to various
services availed by me. I/We understand that the bank may at its absolute discretion discontinue
any of the services completely or partially without any notice to me/us. I/We have also been made
aware of the charges applicable on various services provided by the bank. I/We authorize the
bank to debit my/our account for recovery of service charges/incidental charges as applicable
from time to time. I/We hereby declare that the information furnished above is true and correct to
the best of my/our knowledge.
2) I/We give our consent to receive information by usual means of communication, including phone
banking about UCO’s products and /or services or promotions offers introduced by the bank from
time to time and also authorize the bank to use/our personal information available with the Bank
for marketing purposes.
3) I/We do not enjoy/ enjoy credit facility with any other bank/branch. I/We undertake to inform you
to any credit facility availed from another bank/ another branch of your bank.
4) In case in future, if any change is required in the operation of account, you will be informed
accordingly in writing and such persons shall be allowed to operate the account(s)
5) We undertake to update information provided to the Bank in case of any change {including
photograph (s)}after opening accounts, which may in any manner affect the existing stipulations
governing the operation of our account, as per Bank's guidelines
6) We hereby declare that the information furnished above is true and correct to the best of my/our
knowledge

Signature (With Seal) Signature (With Seal) Signature (With Seal)

Date………………………………… Place………………………………………

Specimen Signature cum indemnity for collection / negotiation of bills etc.

We hereby agree to and authorize your forwarding to your agents or to the drawee bank, Cheques, Drafts
or Bills of Exchange (with or without documents attached) deposited with you by us for collection or
negotiation.

We shall keep/ hold you harmless, free from responsibility and indemnified for any loss suffered by you
in handling this business due to any cause whatsoever including delay in transit/ presentation, payment or
default by your agent.

In addition to your ordinary rights as holders of such cheques, Drafts or Bills of Exchange, you or your
agent will be at liberty to accept in payment thereof and to deliver documents of title that may be
deliverable against payment of the said instrument, against a cheque or banker's cheque or any other
instrument for payment in lieu of cash and payable in your station or at any other place and in the event of
such instrument being dishonoured, to debit the amount to our account with all charges incurred thereon.
We conform that you can present Bills and receive the amount in respect thereof in accordance with the
usage of the place where the Bills are made payable. It is understood that the transactions are in all
respects at our entire risk and responsibility.

1. Full Name: Signature:


2. Full Name: Signature:
3. Full Name: Signature:
4. Full Name: Signature:

(A) FOR SOLE PROPRIETORY ACCOUNTS

I, the undersigned declare that I am the sole proprietor of the


firm...................................................................................................and am solely responsible for the
liabilities of the firm. I further undertake that I shall advise you in writing of any change that may take
place in the constitution of the firm resulting from my taking a partner into my business, its sale or
disposal or my ceasing to have any interest in the firm, in any of which events, I will be liable to you on
any and all obligations and liabilities which may be outstanding against the firm's name in your books
prior to or at the date of the receipt by you of such notice and until all such obligations and liabilities shall
have been liquidated or discharged

Signature of Proprietor

(B) FOR SOCIETIES, CLUBS OR SIMILAR BODIES

In terms of the certified copy of the Resolution of the Executive Committee/Governing Body of
..................………………………………………dated ……………………............handed over to you
separately. Kindly authorize the operation on the accounts by Mr
…………………………………………………… ..................(Designation) and /or by
Mr........................................................................................................................(designation) and or
countersigned by its Secretary or
Mr...................................................................................................................(Designation) and debit the
amount hereof to the account.

Treasurer Chairman/President Secretary

(C) FOR PARTNERSHIP ACCOUNTS

We, the undersigned, inform you that we are the only partners in the firm
....................................................................................... and are jointly and severally responsible for the
liabilities thereof. Whenever any change occurs in our partnership, we undertake to inform you of the
same in writing and we shall continue to be liable to you jointly and severally on any obligation which
may be standing in the firm's name in your books on the date of the receipt of such notice and until all
such obligations shall have been liquidated. We confirm that our partnership is registered/not registered
with the Registrar of Firms and is written/ verbal. We hereby jointly and severally free you from any
liability for the funds or the security charged in the account that may be withdrawn by the remaining
partners after the death, bankruptcy or retirement of any partner or partners before receipt of our notice
thereof and we hereby indemnify you against all claims, actions and demands arising from such
withdrawal of the funds and/or the securities by the remaining partners, d we hereby further agree and
declare that this agreement shall be binding upon ourselves and our respective legal representatives and
you will not be liable in any way for the operation on the account in the name of the firm or for
withdrawal of the funds and/or securities by any one or more of us as per mode of operation on the
account as authorized by us and recorded with you.

1) ---------- ------
2) ---------- ------

Mention Name of Authorized Operator : Signature:

(D) FOR HINDU UNDIVIDED FAMILY A/CS

As our Joint Hindu family firm ........................................................................................................will


have/has dealings with your Bank in the name of the said firm, we beg to say that the signatory to this
letter, viz............................................................................... is the Karta of joint family and the other
signatories are the adult coparceners of the said family. We all further confirm that the Business of the
said joint family firm is carried on mainly by the said Karta as also by the other signatories hereto in the
interest and for the benefit of the entire body of coparceners of the said joint family. We all undertake that
all claims due to the Bank from the said joint family firm shall be recoverable personally from all or any
of us and also from the entire family properties of which the first signatory is the Karta, including the
shares of the minor coparceners or any future coparceners.

Our said karta, or any of our other adult coparcener is authorized to represent and sign on behalf of the
said joint family business in a manner as appears below and has full unrestricted authority to bind all
members of the joint family however constituted from time to time.

In view of the fact that ours is not a firm governed by the Indian Partnership Act of 1932, we have not got
our said firm registered under the said Act.

1------- 2-------------- 3---------------- 4-------------------

(E) FOR LIMITED COMPANY A/CS.

(a) Extracts of minutes of the meeting of the Board of Directors of ……………………………

held at the Registered Office at ……………………………………………………………………….on


………………………………..Resolved

(a)That an account in the name of company be opened with UCO Bank at


....................................................and that Mr.................................................(Give name & Designation)
*and Mr.................................................................... .........(Give name & Designation) is/are authorized to
do so and sign the necessary forms and documents therefore.
(b) And that the bank be instructed to honour all cheques, promissory notes, and other orders drawn by
and all bills accepted on behalf of the company whether such account be in credit or overdrawn, and to
accept and credit to the account of the company all 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 name of the company and the amount of
all cheques, notes, bills, other negotiable instruments, orders or receipt provided they are endorsed/signed
by Mr.....................................................................................................*and MR.
..................................................................................for the time being of the company on behalf of the
company and such signature(s) shall be sufficient authority to bind the company in all transactions
between the bank and the company including those specifically referred to herein.

(c) And that Mr. ……………………………………………….......................................*and Mr


.....................................................................................be authorized to withdraw and deal with any of the
company's securities or properties or documents of title thereto which may be deposited with the bank
from time to time whether by way of security or otherwise

(d) And that Mr …………………………………………………………………………….*.and


Mr…………………………………………………………………………………………… is/are
authorized to acknowledge all types of debts and liabilities on behalf of the company.

(e) And that the bank be furnished with a copy of its Memorandum and Articles of Association and a list
of the names and specimen signatures of the Directors and other officer(s) of the company authorized to
sign on behalf of the company and be informed from time to time by a notice in writing under the band of
the Chairman of any changes which may take place therein and be entitled to act upon such notice until
the receipt of further notice under the hand of Chairman.

(f) And that a copy of any resolution of the Board if purporting to be certified as correct by the Chairman
of the meeting or by the Secretary of the company shall, and between the bank and the company, be
conclusive evidence of the passing of the resolution so certified.

(g) And this resolution be communicated to the bank and shall remain in force until notice in writing of its
withdrawal or cancellation is given to the bank by the Chairman of the Company.

Certified that the above is a correct copy of the resolution passed on ---- by the Board of
Directors of..........................................................................................and that it has been entered in the
usual course of business in the minutes book of the company and signed therein by the Chairman of the
meeting/company and is in accordance with the Memorandum and Articles of Association of the
Company.

Chairman of the Meeting


KYC Documents to be obtained while Opening the accounts.
Features Documents
Accounts of companies i) Certificate of incorporation
 Name of the company ii) Memorandum and Articles of Association
 Principal place of business iii) Resolution of the Board of Directors and power of attorney
 Mailing address of the granted to its managers, officers or employees to transact on
company its behalf; and
 Telephone/Fax No. iv) An Officially Valid Document in respect of Managers,
Officers or Employees holding an attorney to transact on its
behalf.
For local address, the entities may be asked to submit a declaration
giving local address details.

Branches should take all of the above documents while opening


such accounts [as per PML rule9(6)Accounts of companies].
Accounts of Registered i) Registration certificate;
partnership firms ii) Partnership deed; and
 Legal name iii) An officially valid document in respect of the person holding
 Address an Attorney to transact on its behalf.
 Names of all partners and
their addresses
 Telephone numbers of the
firm and partners
Accounts of trust & foundations i) Registration Certificate;
 Names of trustees, ii) Trust Deed; and
settlers, beneficiaries and iii) An officially valid document in respect of the person holding
signatories a power of attorney to transact on its behalf.
 Names and address of the
founder, the managers/
directors and the
beneficiaries
Telephone/fax numbers
Accounts of Unincorporated i) Resolution of the managing body of such association or body
association or body of individuals of individuals;
(Partnership Firm or Trusts or ii) Power of Attorney granted to him to transact on its behalf;
Foundations etc.) iii) An officially valid document in respect of the person holding
a attorney to transact on its behalf; and
iv) Such information as may be required by the Bank to
collectively establish the legal existence of such an
association or body of individuals.

Accounts of Proprietorship i) Registration certificate (in the case of a registered concern)


concerns ii) Certificate/License issued by the Municipal Authorities
 Proof of the name under Shop & Establishment Act
 Address iii) Sales and Income tax returns
 Activity of the concern iv) CST/ VAT certificate
v) Certificate/Registration document issued by Sales
Tax/Service Tax/Professional Tax Authorities
vi) License issued by the registering authority like Certificate of
Practice issued by Institute of Chartered Accountant of India,
Institute of Cost Accountants of India, Institute of Company
Secretaries of India, Indian Medical Council, Food and Drug
Control Authorities, Registration/Licensing document issued
in the name of the proprietary concern by the Central
Government or State Government Authority/Department,
IEC (Importer Exporter Code) issued to the proprietary
concern by the office of DGFT, etc.
vii) The complete Income Tax Return (not just the
acknowledgement) in the name of the sole proprietor where
the firm’s income is reflected, duly
authenticated/acknowledged by the Income Tax Authorities.
viii) Utility bills such as electricity, water and landline telephone
bills in the name of the proprietary concern.
(Any two of the above documents would suffice.
These documents should be in the name of the proprietary concern )
However in cases where the branches are satisfied that it is not
possible to furnish two such documents by the proprietor concern,
they have discretion to accept only one of those documents as
activity proof. In such cases, branches to undertake contact point
verification, collect such information as would be required to
establish the existence of such firm, confirm, clarify and satisfy
themselves that the business activity has been verified from the
address of the proprietary concern. [as per RBI Circular:
DBR.AML.BC.No.77/14.01.001/2014-15 dated
13.03.2015].
Accounts of Self Help KYC verification of all the members of self help groups (SHGs) is
Groups(SHG) not required while opening the savings bank accounts of the SHG
and KYC verification of only the officials of the SHGs would
suffice. No separate KYC verification is needed at the time of credit
linking the SHG. (RBI circular
DBOD.AML.No.3365/14.01.001/2014-15 dated 4th September
2014).
Know Your Customer (KYC) Application Form - Legal Entity ANNEXURE-B
For Office use only Application Type* New Update
(To be filled by financial institution) KYC Number (Mandatory for KYC update request)
Account holder Type* US Reportable Other Reportable (Please refer instruction A at the end)
Nature of Business/ Entity Constitution Type* (Please refer instruction B at the end)
1 ENTITY DETAILS
Name*
Date of Incorporation * D D MM Y Y Y Y Date of Commencement of Business* D D MM Y Y Y Y
Place of Incorporation* Country of Incorporation*
Country of Residence as per Tax laws* Identification Type
Tax Identification Number (TIN) TIN Issuing Country PAN
Number of controlling person(s) resident outside India for tax purposes
(Please provide details od each Controlling Person resident outside India for Tax purposes separately in 'Annexure B3')
2. PROOF OF IDENTITY (Pol)* (Please refer instruction D at the end)
(Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
Certificate of Incorporation / Formation Registration Certificate
Resolution of Board / Managing Committee Memorandum and Article of association / Partnership Deed / Trust Deed
Officially valid document(s) in respect of person authorised to transact
3. PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of Identity (Pol) ends to be submitted) (Please see instruction E at the end)
3.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS *
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
3.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS*
Same as Current / Permanent / Overseas Address details ( In case of multiple correspondence / local addresses, please fill 'Annexure B1)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State Pin / Post Code* ISO 3166 Country Code*
3.3 ADDRESS IN THE JURISDICTION WHERE ENTITY IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES*
Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
4. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email -ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mob --
FAX Email-id
5. DETAILS OF RELATED PERSON* (In case of additional related persons, please fill 'Annexure B2)(Please refer instruction G at the end)
Addition of Related Person Deletion of Related Person Update Related Person details
KYC Number of Related Person (If available*)
If KYC number is available, only 'Related Person Type' and 'Name' is mandatory.
Related Person Type* Director Promoter Karta Trustee Partner
Authorised Signatory Court Appointed Official Beneficiary
5.1 PERSONAL DETAILS (Please refer instruction G. I at the end)
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D MM Y Y Y Y Gender M-Male F- Female T- Transgender O - Others
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
5.2 TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instructions G.II at the end)
ADDITIONAL DETAILS REQUIRED* (Mandatory only if section 5.2 is ticked)
ISO 3166 Country Code of jurisdiction of Residence*
Tax Identification Number or equivalent (if issued by jurisdiction)*
Place/ City of Birth ISO 3166 Country Code of Birth
5.3 PROOF OF IDENTITY (Pol)* (Please refer instruction G. III at the end )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
A- Passport Number Passport Expiry Date d d m m y y y y
B- Voter ID Card
C- PAN Crad
D- Driving Licence Driving Licence Expiry Date- d d m m y y y y
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
5.4 PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of address (PoA) needs to be submitted)
5.4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction G. IV at the end)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of address* Passport Driving Licence UID (Aadhaar) Voter Identity Card
NREGA Job Card Others (Please Specify)
Address: Line1*
Line 2
Line 3 City/Town/Village
State /U.T Code* Pin / Post Code* ISO 3166 Country Code*
6. REMARKS (If any)

7. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue
or misleading or misrepresenting. I/We am/are aware that I/We may be held liable for it.

* My/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered
number/email address.
Date: Place: Signature /Thumb Impression of Applicant
8. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
Instructions/Checklist/ Guidelines for filling Legal Entity KYC Application Form
General Instructions:
1 Fields marked with * are madatory.
2 Tick  whereever applicable.
3 Please fill the form in English and in Block letters
4 Please fill all dates in DD-MM-YYYY format.
5 Whereever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle,
1988 and ISO 3166 country code respectively list of which is available at the end.
6 KYC number of applicant is mandatory for update application.
7 For particular section update, please tick "7" in the available before the section number and strike off the sections not
required to be updated
A Clarification/Guidelines for filling 'Account Holder' type section.
US Reportable Other Reportable
F1 - Owner - Documented FI with specified US owner(S) CI- Passive Non-Financial Entity with one or more controlling
F2 - Passive Non- Financial Entity with substantial US owner(s) person that is Reportable
F3- Non- Participating FFI C2- Other Reportable Person
F4- Specifided US person C3- Passive Non- Financial Entity that is a CRS Reportable
F5- Direct Reporting NFFE XX- Not Appicable
XX- Not Appicable
B Clarification/Guidelines for filling 'Nature of Business / Entity Constitution' type section.
Entity Constitution Type:
A- Sole Proprietorship H- Trust
B- Partnership Firm I- Liquidator
C- HUF J- Limited Liability Partnership
D- Private Limited Company K- Artificial Juridicical Person
E- Public Limited Company Z- Others
F- Society X- Not Categorized
G- Association of Persons (AOP)/ Body of Individuals (BOI)
C Clarification /Guidelines for filling 'Nature of Business / Entity Constitution' type section
Identification Type:
T- TIN
C- Company Identification Number
G- US GIIN
E- Global Entity Identification Number (EIN)
O- Other
D Clarification /Guidelines for filling 'Proof of Identity (Pol)' section
1- One certified copy of any one of the mentioned Proof of Identity (Pol) needs to be submitted.
E Clarification /Guidelines for filling 'Proof of identity (Pol)' section
1 State /U.T Code and Pin /Post Code will not be mandatory for Overseas addresses.
2 In case of multiple correspondence/local addresses, please fill 'Annexure B1'
F Clarification / Guidelines for filling ' Contact Details' section
1 Please mention two-digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999)
2 Do not add '0' in the beginning of Mobile number.
G Clarification / Guidelines for filling ' Related Person Details' section
I Personal Details
1- Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.) The name should match the name as mentioned in the Proof
of Identity submitted failing which the application is liable to be rejected.
2- Either father's name or spouse's name is to be mandatorily furnished. In case PAN is not available father's name is mandatory.
II Resident outside India for tax purposes
1- Jurisdiction(s) of Residence: It may be mentioned that since US taxes the global income of its citizen, every US citizen of whatever nationality ,
is also a resident for Tax purpose in USA.
2- Tax Identification Number (TIN): TIN need not be reported if it ahs not been issued by the jurisdiction. However, if the said
jurisdiction has issued a high integrity number with an equivalent level of identification (" Functional equivalent"), the
same may be reported. Examples of that type of number for individual include, a social security / Insurance number, citizen/
personal identification/ services code/ number, and resident registration number)
III Proof of Identity (Pol)
1. If driving license number or passport is provided as Pol then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if "Z- Others (any document notifided by the central government)' is ticked.
IV Proof of Address (PoA)
1. PoA to be submitted only if the submitted Pol does not have address or address as per Pol is invalid or not in force.
2. State / U.T Code and Pin /Post Code will not be mandatory for Overseas addresses.
H Clarification / Guidelines for filling 'Details of Controlling Person' section
I Personal Details
1. Name: Please state the name with Prefix (Mr. Mrs./Ms/Dr/etc.). The name should match the name as mentioned in the
Pol submitted failing which the application is liable to be rejected.
2. Either father's name or spouse's name is to be mandatorily furnished. In case PAN is not available father's name is mandatory
II Proof of Identity (Pol)
1. If driving licence number or passport is provided as Pol then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if "Z- others (any document notifided by the central government) is ticked.
III Proof of address (PoA)
1. PoA to be submitted only if the submitted Pol does not have an address or address as per Pol is invalid or not in force.
2. State/U.T and Pin /Post Code will not be mandatory for Overseas addresses.
Annexure -B1 In case of multiple correspondence/local addresses, please fill 'Annexure B1'
UCO BANK: Know Your Customer (KYC) Application Form (Individual: Correspondence/ Local Address)
1. PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of Identity (Pol) ends to be submitted) (Please see instruction E at the end)
1.1 CORRESPONDENCE / LOCAL ADDRESS DETAILS*
Same as Current / Permanent / Overseas Address details ( In case of multiple correspondence / local addresses, please fill 'Annexure A2')
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
2. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email -ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mob
FAX Email-id
3. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue
or misleading or misrepresenting. I/We am/are aware that I/We may be held liable for it.
* My/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered
number/email address. Signature /Thumb Impression of Applicant
Date: Place:
4. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
Application Type* New Update
KYC Number (Mandatory for KYC update request)
Annexure B2
UCO BANK : Know Your Customer (KYC) Application Form | Legal Entity |Related Person
1. DETAILS OF RELATED PERSON* (In case of additional related persons, please fill 'Annexure B2)(Please refer instruction G )
Addition of Related Person Deletion of Related Person Update Related Person details
KYC Number of Related Person (If available*)
If KYC number is available, only 'Related Person Type' and 'Name' is mandatory.
Related Person Type* Director Promoter Karta Trustee Partner
Authorised Signatory Court Appointed Official Beneficiary
1.1 PERSONAL DETAILS (Please refer instruction G. I at the end.)
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D MM Y Y Y Y Gender M-Male F Female T- Transgender
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
1.2 TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instructions G.II )
ADDITIONAL DETAILS REQUIRED* (If applicant is resident outside India for tax purposes)
ISO 3166 Country Code of jurisdiction of Residence*
Tax Identification Number or equivalent (if issued by jurisdiction)*
Place/ City of Birth* ISO 3166 Country Code of Birth
1.3 PROOF OF IDENTITY (Pol)* (Please refer instruction G. III )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
A- Passport Number Passport Expiry Date
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date-
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
1.4 PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of address (PoA) needs to be submitted)
1.4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction G. IV)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of address* Passport Driving Licence UID (Aadhaar) Voter Identity Card
NREGA Job Card Others
Address: Line1*
Line 2
Line 3 City/Town/Village
State /U.T Code* Pin / Post Code* ISO 3166 Country Code*
2. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue
or misleading or misrepresenting. I/We am/are aware that I/We may be held liable for it.
* My/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered
number/email address. Signature /Thumb Impression of Applicant
Date: d d m m y y y y Place:
3. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
Annexure B3
UCO BANK : Know Your Customer (KYC) Application Form | Legal Entity |Controlling Person
1. DETAILS OF CONTROLLING PERSON* (Please refer instruction H )
Addition of Controlling Person Deletion of Controlling Person Update Controlling Person details
KYC Number of Controlling Person (If available*)
If KYC number is available, only 'Related Person Type' and 'Name' is mandatory.
Type of Control*
In Case of Legal Person Ownership Other Means Senior Managing Officials
In Case of Trust Settlor Trustee Protector Beneficiary Other
In Case of Other Legal arrangement Settlor - Equivalent Trusteee - Equivalent Protector- Equivalent
Other - Equivalent Beneficiary- Equivalent
1.1 PERSONAL DETAILS (Please refer instruction H. I )
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D M, M Y Y Y Y Gender M-Male F Female T- Transgender
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
ISO 3166 Country Code of jurisdiction of Residence* Tax Identification Number or equivalent (if issued by jurisdiction)*
Place/ City of Birth* ISO 3166 Country Code of Birth*
1.2 PROOF OF IDENTITY (Pol)* (Please refer instruction H.II )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
A- Passport Number Passport Expiry Date
B- Voter ID Card
C- PAN Crad
D- Driving Licence Driving Licence Expiry Date-
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
1.3 PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of address (PoA) needs to be submitted)
1.3.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction H.III)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of address* Passport Driving Licence UID (Aadhaar) Voter Identity Card
NREGA Job Card Others
Address: Line1*
Line 2
Line 3 City/Town/Village
State /U.T Code* Pin / Post Code* ISO 3166 Country Code*
2 CONTACT DETAILS (All communications will be sent on provided Mobile No./E-mail id)(Please refer instruction F)
Tel. (Off) Tel. (Res) M
FAX E-mail ID
3. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue
or misleading or misrepresenting. I/We am/are aware that I/We may be held liable for it.
* My/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered
number/email address.
Date: Place: Signature /Thumb Impression of Applicant
4. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp

Employee Signature
-B
- Others
Applicant
Applicant