Form No. 1 Date: ____________ TAMILNAD MERCANTILE BANK LTD .

, _______________________________________ DEPOSIT ACCOUNT OPENING FORM Customer ID No : Deposit Account No : I / We tender the amount of Rs. ______________________ to be deposited in the name /s of ______________________________________________________ under the following Deposit Scheme: Please ( ) whichever is applicable Fixed Deposit Muthukkuvial Deposit Cash Certificate Pearl Deposit
Interest payable on every half-yearly /yearly Recurring Deposit (Monthly Instalment) Kids Recurring Deposit(Monthly Instalment

Period

Rate of Interest p.a.

Maturity Date XXXXXXX

Maturity Value XXXXXXXXX

XXXXXXXXX

TMB TSD Malligai / TMB TSD Mullai

Mode of Operation : Sole / Joint Either or Survivor/s

Both or Survivor/s

Former or Survivor/s

Name and Address of the Depositor / s (In Block Letters) _________________________________________________________________________________ __________________________________________________________________________________ ________________________________ Pin : ________________ PAN / GIR NO. : ____________________ Minor Details: Date of Birth of Minor: Whether the depositor is a Senior citizen : Yes / No If Yes, Age proof and details : Instructions: 1. Pay Monthly / Quarterly interest by Cash / transfer to my / our ______ Account No. ___________ 2. DUE DATE NOTICE TO BE SENT : Yes / No Auto Renewal Required : Yes / No I/We have read and understood the rules relating to Tamilnad Mercantile Bank Ltd., Deposit Scheme and agree to comply with and be bound by them. I/We also agree that, the Interest rates applicable for renewal of overdue deposits and for premature closure of deposits will be subject to the Banks prevailing rules which may change from time to time. Rules and Regulations regarding this deposit have been explained to me. Note: Proof of Identity : _______________ obtained Proof of address : _______________ obtained Phone : __________________

Occupation: __________________________________

(Form No. 15 H should be submitted every year, if TDS is not to be deducted) Name of Guardian :

Introduction: Name _____________________ Signature _____________________ Account No __________ Address _________________________________________________________________________ Verified

Signature Of Depositor / Guardian

Officer / Manager Name& P.A No.

IDENTITY PROOF (Any one of the following valid documents should be verified with the originals by the Bank Official:

ADDRESS PROOF (Any one of the following valid documents should be verified with the originals by the Bank Official:

Passport Driving License Voters Identity Card PAN Card Ration Card Pension Book issued by Government of India with photograph of applicant containing name, address and validity period

Latest Electricity Bill Latest telephone bills Latest Bank Account Statement Latest Income / Wealth Tax Assessment Order Latest statement of account from a credit card issuing co Latest premium receipt from any life insurance Co.

Depositors Name 1._________________ 2._________________ 3._________________ 4. _________________

Signature __________________ ___________________ ___________________ ___________________ Photo Photo

NOMINATION FORM DA 1 (to be obtained in case of deposit A/cs in the name of Individuals in Single / Joint names) Registration No. _________ Nomination under Section 45of the Banking Regulation Act 1949 and Rule 2(1) of the Banking Companies (Nomination Rules 1985 in respect of Bank deposits). I / We ________________________________________ nominate the following person to whom in the event of my / our / minors death the amount of deposit in the account (s) mentioned below may be returned by Tamilnad Mercantile Bank Ltd., ________________________. NOMINEE (Only One Nominee per Deposit Account) Nature of Name & address RelationAge If Minor ** Additional details Account & No. ship if any his /her date of birth (if any)

** As the nominee is a minor as on this date, I/We appoint Mr./Mrs. _________________________________________ aged ______ Resident of __________________ 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. DECLARATION In the event of my/ our death prior to the maturity of the deposit, the bank will at the request of the person who has been nominated by me/us to receive the deposit money after my/our death, be at liberty, though not bound and at its solute discretion to repay the deposit before maturity or to grant an advance against the security there of and such repayment before maturity would constitute a valid discharge for the bank. Date: Place: *Signature (s) Thumb Impression (s) of Depositor (s) Witness(es)*** 1. Name :__________________________ 2. Name Address : _________________________ : _________________________ Signature : _________________________ Address : _________________________ Signature : _________________________

*When deposit is made in the name of a minor the nomination must be signed by a person lawfully entitled to act on behalf of the minor. **Strike out if nominee is not a minor. ***Two witnesses shall attest Thumb impression (s) & one witness will attest signature. NOMINATION REGISTER PARTICULARS Nomination Register No. ___________________________ Serial No. ________________________ For Tamilnad Mercantile Bank Ltd., Authorised signatory