Sno ‘Add - on Card (s)
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Ifyou are an exiting Cardmember plese tisk whchever applicable poe
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Primary Mobile No,
Tile Mr/Mrs, Dr. Embossing Name
Sex MF Date of Birth Mobile
ADD-ON ow wer
‘Aadhaar No.
‘Add-on Gust ID ‘Add-on PAN No.
PHOTO HDFC Bank AVe No.
Email (Add-on)
| eontirm thatthe Add-On 1 apprcantic my -]Spouse [-Jearent [-Icnlaren []Brether [stor and is [staying / [rot staying with
me atthe same residential address
Title Mr/Mrs. Dr. Embossing Name
Sex MF Date of Birth Mobile
ADD -ON2 owe we
Aadhaar No.
‘Add-on Cust ID ‘Add-on PAN No.
AEFIKADD-ON 2
PHOTO HDFC Bank A/e No.
Email (Add-on)
leon that he Add-On 1 apptcantis my [-]Speuse [-JParent[-]ohlaren []Brether [Jsster and is C]steying/ [not staying with
re at he same residential saeress
Title Mr/Mrs, Dr. Embossing Name
Sex MF Date of Birth Mobile
‘ADD-ONS awe ww
Aadhaat No,
Add-on Cust ID ‘Add-on PAN No.
PHOTO HDFC Bank AVe No.
Email (Add-on)
eon that te Add-On 1 appicantis my L]Spouse [-Jearent [Icniaren []Brether [sister and is [staying / [not staying with
ime atthe same residential adress
DECLARATIONS:
1 escby give voluntary tay own discretion my Aadbaar number a istued by Goverment of India to HDPC
‘Bink along with my oler KY docucats forte purpose of opening an secount bated elatonship and voluuly give my conse to use my Aadha deal forthe purpose of
‘utheaication wth UIDAL Tam cnclsing «copy of ty duly eleatested Audet card /e-Aadhaa for you ecord. The Atha ca dts voluntary Sumnisbed by tee,
‘tet and complet,
Add-on applicant not holding a HDFC Bank account & staying with Primary cardholder wil be required to submit valid photo ID, Pan Cardo Form 60 with Address proot
Add-on applicant doesnot hold HDFC Bank ae and is sibling of primary applicant then valid photo 1D, Pan Card or Form 60 & Adaess proof wil be required,
Please reer tothe List of Acceptable valid photo ID & adress proof for Addon nthe next Page.
"hereby aeknowiedge the request made for Add-on Card and ware that th above information i cotect and herchy request ad autorse tha au Account be opened and Cad) be
issued at ndcsted herein ad renewed al replced ual give note o cease, and in conection herewith uthriss te exchange and taser of red infomation from / with my Bok
lor any other source. understand tat HDF Bank Ld reserves the right decline the application without giving ay reason whatsoever. The adtioaluplicant) and Lage 1 be
hound by the terms an conditions of The Cardmemier Agreement car executed by me. 1 declare and undertake tat the Cards issued o me fused overseas shal e ised sly i
sccodnce with he relevant exchenge contol regulations ised and as amended by the Reserve lank of Ini (RD fom ime o time, nthe even exceed my enemant spr the
‘exchange contol guidelines of RBI, underke to ring the sme immediately tothe notice of HDFC Bank Lt, a writing And inthe event of any fue wo comply wit he prevaing
‘exchange contol guidelines issued by RBI, I shal be ible fo action under the Foreign Exchange Managerent Act, 1999 a amended, and be debated frm he Card fii. The
undersigned wl be lnble forall charges inured withthe Addon Card) issued on the Account und each Add-on Applicant wll be liable forall charges inured wit the Aon Card
oily and severally with he holder of the Panay Card
‘Coitons Apply: Su-imit on Add-on Cardi pr statement
Far detailed ers & conditions vist www dfebank com,
ye, Su-imi will hold god only for ATM and POS transactions but the sre wll nt ppl for online transactions.List of acceptable Photo ID for Add on
[ist oteceneabe Phos 0 for Aad on Cad RE Pe
ANY ONE OF THE BELOW.
10.
u,
LR.
b.
M4.
PAN Card
Passport
DL/LL (DL from Uttar Pradesh alone can be accepted without Signature)
Voters ID
Ration Card (In Customer Name)
Company/lasttution photo ID card
Student ID card
Club membership card (which earties customer photo)
OBC Photo Card
Insurance / Mediclaim Photo Card
Passbook with Photo
Railway station pass ID - Government recognised
Senior citizen ID - wherever applicable
Government organisation ID card with signature and photo.
List of acceptable.
ANY ONE OF THE BELOW
10.
u
2.
13,
4.
Is.
16.
V.
Is.
Is.
20,
Passport
Driving licence(Customer having Driving License Issued from Uttar Pradesh can be aceepted with oul the Signature on the
same.)
‘Telephone bill - MTNL./ BSNL & all WLL lines’ bills can be accepted
Blectricity bill - Ebil and Physical Bill
‘Bank account statement - Bank statement or Pass book can be accepted - In both the address should be mentioned
Ration card
Voters ID (if it has address)
Letter from the society (only Registered societies) -on the letterhead which carries the society's Registration No. The letter
should earry the applicant's name & full address as well as the signatories full name, designation (Secretary, President) and
address.
‘Monthly outgoings bill from Registered Housing society - on the letterhead which carries the society's Registration No.
(Maintenance charges receipt issued by the society NOT acceptable)
Registration documents/Ownership proof copy
Senior citizens card from Indian Railways/Indian Airlines (i thas address)
‘Mobile post paid bill,
Letter from any recognized public authority (In original)
‘Company ID eard (For CAT AB companies only)
LIC Premium receipt
Ades confirmation by the corporate on company letter head as valid address proof (For CAT AB companies only)
Gas Bill,
‘Water Bill
Society Maintenance Bill
Property Tax Receipt
For office use only
Name of TE
TSE Code
Nate of Doe Ex:
Dex Code
Soure Code Asi