BENEFITS OF INDUSIND BANK’S SAVINGS ACCOUNT

Higher rate of interest Get a Bank Account Reward points on Choose from a mix of Get pictures of issued Speak to Phone
on Savings Account number of your choice. Debit Card usage on 100, 500 and 2,000 cheques with your Banking Executive
balances. ATM & all your rupee denominations bank statement. directly.
shopping. from our ATMs.
DOCUMENT REQUIRED
1 st Applicant 2 nd Applicant
Mandatory: One Photograph (latest) One Photograph (latest)
PAN Card or in absence thereof, declarations in Form No. 60 / 61 PAN Card or in absence thereof, declarations in Form No. 60 / 61
Any one document for proof of identity (refer list for acceptable Any one document for proof of identity (refer list for acceptable
documents) documents)
Any one document for address proof (refer list for acceptable Any one document for address proof (refer list for acceptable
documents) documents)
Identity Proof *: PAN Card Passport Driving License PAN Card Passport Driving License
Voter’s/ Election Identity Card Aadhar Card/ Letter Voter’s/ Election Identity Card Aadhar Card/ Letter
NREGA Job Card NREGA Job Card
Others (for LOW Risk as per the KYC policy) Others (for LOW Risk as per the KYC policy)
Identity Card issued by Central/ State Govt./ PSU/ Identity Card issued by Central/ State Govt./ PSU/

Scheduled Bank etc. (e.g.) Ration/ Pension Card, Pass Book etc.) Scheduled Bank etc. (e.g.) Ration/ Pension Card, Pass Book etc.)
(mention document) (mention document)
Letter with photo issued by Gazetted Officer Letter with photo issued by Gazetted Officer
(mention document) (mention document)
CKYC Code is mentioned in the bracket against each document CKYC Code is mentioned in the bracket against each document
Address Proof *: Passport Voter’s/ Election Identity Card Driving License Passport Voter’s/ Election Identity Card Driving License
Aadhar Card/ Letter NREGA Job Card Aadhar Card/ Letter NREGA Job Card
Ration Card with Photograph Ration Card with Photograph
Others (for Low Risk and/ or PAN taken as ID proof) Others (for Low Risk and/ or PAN taken as ID proof)
Identity Card issued by Central/ State Govt./ PSU/ Identity Card issued by Central/ State Govt./ PSU/
Scheduled Bank etc. (e.g.) Ration/ Pension Card, Pass Book etc.) Scheduled Bank etc. (e.g.) Ration/ Pension Card, Pass Book etc.)
(mention document) (mention document)
Letter with photo issued by Gazetted Officer Letter with photo issued by Gazetted Officer

(mention document) (mention document)

Any Other Document
Any Other Document
CKYC Code is mentioned in the bracket against each document
CKYC Code is mentioned in the bracket against each document
*Please speak to a Bank officer for more options for documents that can be submitted to the Bank. **From Scheduled Commercial Banks.

OUR SAVING ACCOUNT PRODUCTS AT A GLANCE

Fixed Free Platinum Discount
Average Cheque Transaction Check on Free Add
deposit SMS State Debit Free Discount
Balance Books at Cash NEFT/ Cheque On Dedicated Doorstep
Product in lieu of Alerts ment of Card movie on on
Requirement (Pay at other bank (Balance) Deposit RTGS in Family RM Service
(Rs.) balance Par) ATM account statement Accounts with 5x tickets* Locker Loans
(Rs.) (Physical) rewards rent
Indus 10,000 2,500 50,000* 2 per Limited Rs 30 per Charged Charged* Half - No Rs 899/- - - - - -
Classic qtr Free qtr above yearly
Free free limit
10,000 5,000 2,00,000** 2 per Limited Rs 30 per Charged Charged* Half - No Rs 499/- - - - - Available
Indus
qtr Free qtr above yearly
Privilege
Free free limit
Indus - 10,000 - Free Limited Rs 30 per Free Free Half - No Rs 199/- - - - - Available
Privilege ** Free qtr yearly
Plus#
20,000 ** - Free Free Rs 30 per Free Free Quarterly Yes 2 Rs.299 - 15% for - - Available
Indus qtr - Free Accounts (Free for first
Maxima if balance add on year
maintained accounts)
20,000 ** 5,00,000 Free Free Free Free Free Quarterly Yes 2 Rs. 500/- 1 per 20% for - - Available
Indus Accounts for month first
Diva Platinum year
(Women)
Plus card
Indus 20,000 ** 5,00,000 Free Free Free Free Free Quarterly Yes 2 Free - 20% for - - Available
Senior Accounts Platinum first
Maxima card year
50,000 ** 20,00,000 Free Free Free Free Free Monthly Yes 6 Free 3 per upto Yes Yes Available
Accounts quarter 50%
for
Indus first year
Select
15%
next
years
1,00,000 ** 50,00,000 Free Free Free Free Free Monthly Yes 6 Free 3 per upto Yes Yes Available
Accounts quarter 100%
for
Indus
first year
Exclusive
20%
next
years
* available *only + Monthly * Charges * One on
only in few for Cat. C Free limit for branch One free
semi ** 1 lakh upto 2 transaction. on use
#
urban/rural for Cat. C lakhs No Charges of
Privilege
locations or 5 times for net debit
Plus
** Average balance of banking/ card
available
quarterly previous mobile for
in
balance month. No banking purchase
specific
Free limit if
locations
balance
not
maintained
Reference Code

P2 Code SG
Condo Code

Tatkal Non Tatkal Walk-in SAOAO1020618564

Branch Code: 1714

Application Date:

Use only BLACK ink pen for filling and signing. Please ensure all details are filled in Capital letters.

ACCOUNT OPENING FORM FOR RESIDENT INDIVIDUAL

I/ We wish to open an Account at your STREET NO 8, HABSIGUDA BRANCH,HYDERABAD,1714,500007
Branch.

Open My: Savings Account Current Account Fixed Deposit Preferred Account Number: 159912901107

Product: Indus Exclusive Indus Select I/ We would like to subscribe to the "My Account My Number" program and would like to
select the above account number based on the search criteria below.
Indus Maxima Indus Privilege

Indus Comfort Indus Easy (Basic) Choice Criteria*: String 9912901107

(Select 1-10 digits of the 12 digit account number)
Others INDUS PRIVILEGE ONLINE
OR
Initial Deposit Details:
Sum of Digits
IMPORTANT: Cash should be paid only
(Select 1-10 digits of the 12 digit account number)
at the cash counter at the Branch and not

to the executive accepting the form. I/ We hereby agree to the terms and condition of "My Account My Number" program

and understand that the allocation of account numbers shall be done on best effort
Cash Rs. 300
basis subject to the availability of the requested number in the product mentioned

Cheque No. on above.

Bank for Rs. [On IndusInd Bank Ltd. A/c (Account Title)]

Debit my existing A/c

Signature of 1st applicant
for Rs.

*I have been informed that i need to maintain an average balance of Rs.

for the account type indicated above.

APPLICANT INFORMATION (All Fields With * Are Mandatory)

Description 1 st Applicant 2 nd
Applicant
Cust ID* (For existing customers)

Salutation* Mr. Mrs. Ms. Dr. Others

First Name* YERUVA

Middle Name* RAJAPU
Last Name* REDDY
DOB* 12-12-1976
Nationality* Indian Others Indian Others

Gender* Male Female Third Gender Male Female

Mother’s Maiden Name* SLIVAMMA

Father’s/ Husband’s Name INNAREDDY
Marital Status* Married Single Others Married Single Others

PAN1 ERXPR3817L Form 60 Form 60

CKYC ID

Driving License No. & Expiry - -

Date
Voter ID / NREGA Job Card No.

Passport No. & Expiry date - -

Other document description aadhaar + OTP based eKYC
(Any document notified by
Central Govt).
Email ID** PAVANYARAM07@GMAIL.COM
 Mobile Number # 9912901107
Tel. No. Resi. STD - STD -
Office STD - STD -
Fax STD - STD -
Relationship with 1 s t
Holder
Employee ID

Social Network Facebook Twitter Others Facebook Twitter Others

User Name/ID/Handle User Name/ID/Handle

Agree to being contacted by Bank on social network Yes No Agree to being contacted by Bank on social network Yes No

1 If PAN is not available, please attach Form 60 along with reasons for not having PAN
*The number provides will be registered for SMS Alerts by default & Mobile Banking. If opted ** You will receive your e-statement on this ID.
$ I authorize IndusInd Bank to link my Aadhaar Number with all my existing bank accounts as required under PMLA (Maintenance of Records) Second Amendment Rules,

2017.

ADDRESS DETAILS OF 1ST APPLICANT (Please Provide Nearest Landmark)

Communication Address*: Office Residence Address Proof*: Proof Submitted Declared Address
Address Line 1 S/O YERUVA INNA REDDY, C-32, IRWIN
Address Line 2 IRWIN, MADGUL, IRWIN, TELANGANA, MAHABUBNAGAR ,509321
Nearest Landmark

City: MAHABUBNAGAR State TELANGANA Pin 509321

In case proof of communication address not submitted, permanent address details and its proof to be submitted

Other Address 1: Office Residence Permanent Address Proof*: Proof Submitted Declared Address

Address Line 1 S/O YERUVA INNA REDDY, C-32, IRWIN

Address Line 2 IRWIN, MADGUL, IRWIN, TELANGANA, MAHABUBNAGAR ,509321

Nearest Landmark
City: MAHABUBNAGAR TELANGANA 509321
State Pin

Other Address 2: Office Residence Permanent Address Proof*: Proof Submitted Declared Address
Address Line 1

Address Line 2
Nearest Landmark

City: State Pin

*Mandatory. All communication will be sent to the communication address of the 1st Applicant.

ADDRESS DETAILS OF 2ND APPLICANT (If Different From 1st Applicant)

Office Residence Permanent

Address Line 1
Address Line 2
Nearest Landmark
City:
State Pin

IN CASE OF TERM DEPOSIT/ RECURRING DEPOSIT

Fixed Deposit: Amount Rs. Tenor Days/ Months/ Years

RD: Amount Rs. Date of Monthly Debit Tenor Days/ Months/ Years

INTEREST PAYMENT DETAILS DEPOSIT MATURITY INSTRUCTIONS

Mode: MonthlyQuarterlyReinvest Renew on maturity

Credit my/ our account no. Credit my A/C no.

Others Others

MODE OF OPERATION (APPLICABLE FOR MATURITY/ CLOSURE PAYMENT AS WELL)

Single Either or Survivor** Any one or Survivor** Jointly Others ( )

2
In case of more than 2 Applicants
**
For retail deposits, in case of death of holder do you want the above mandate to be applicable for preamture withdrawal? Yes No

For bulk deposits, please refer to the deposit policy at our website for T&C on your fixed deposits.
SWEEP INSTRUCTIONS
I/ We would like to link my/ our Fixed Deposit being opened now/ existing Fixed Deposit No. to my/ our Savings/ Current Account being opened now/ existing
Savings/ Current Account No. , towards fulfillment of any debit/s on the Savings/ Current Account, in case of insufficient balance in my/ our mentioned Savings/
Current Account.

DIRECT BANKING
CARD TYPE VARIANT Name to be embossed

Signature Platinum Plus Platinum International

Gold Regular Other Domestic

YERUVA RAJAPU REDDY

Signature Platinum Plus Platinum International

Gold Regular Other Domestic

*For account being opened through TATKAL KIT, if you require a personalized Debit Card which is of a different type than one in the KIT, please mark your requirement in the TATKAL acknowledgment slip.
Mobile Banking e-Statement SMS Alert Phone Banking* Net Banking

Balance Alerts**:
Do you require separate SMS ALERTS for Account balance to be sent to your mobile? Yes No Frequency Daily Weekly
If you have opted for both Debit Card and Net Banking, you will be able to set your Net Banking password online. In case you have opted for Net Banking alone and not for a Debit
Card, a physical password mailer will be sent to your communication address.
• *Phone Banking PIN will be issued only if Debit Card is not being applied. • Accounts under No Frills category will be issued RuPay Debit Cards • For charges & fees, please refer to
our Schedule of Charges (SoC). Terms and Conditions Apply. • SMS Alert shall be sent to the mobile number mentioned on the form. • **Balance Alerts shall be charged as per
Schedule of Charges (SOC). • Platinum Debit Card will be issued only if the income is greater than ’ 50,000 p.a.

ADDITIONAL INFORMATION OF 1ST APPLICANT (All fields with * are mandatory)

EDU. QUALIFICATIONS: Post Graduate Graduate Under Graduate Professional Ohters

*OCCUPATION: Salaried Self Employed Self Employed Professionals Retired House-wife Student Ohters

IF SELF EMPLOYED PROFESSIONALS: Doctor Engineer CA-CS Lawyer Architect IT Consultant Others

*LINE OF BUSINESS/ INDUSTRY: Mfg. Real Estate Trader Bullion Stock Broker Agri Others

*NATURE OF ORGANISATION: Proprietary Partnership Unlisted Co. Listed Co. MNCs PSU/ Govt. Sector Others

*MONTHLY INCOME: Upto 10,000 10,001 to 25,000 25,001 to 50,000 50,001 to 1 Lac 1 Lac to 5 Lac Above 5 Lac
EXPECTED MONTHLY TRANSACTIONS IN ACCOUNT: Number Value Rs.
Are you Differently Abled? ##Disability## ##NoDisability##
YesNo
Declaration as per FATCA*: 1. Is your country of Birth other than INDIA? Yes No

2. Are you a TAX RESIDENT of any country other than India? Yes No

(If answer of any of the above is Yes, please submit the FATCA/ CRS annexure for individuals. For T&C visit www.indusind.com)

ADDITIONAL INFORMATION OF 2ND APPLICANT (All fields with * are mandatory)

EDU. QUALIFICATIONS: Post Graduate Graduate Under Graduate Professional Ohters

*OCCUPATION: Salaried Self Employed Self Employed Professionals Retired House-wife Student Ohters

IF SELF EMPLOYED PROFESSIONALS: Doctor Engineer CA-CS Lawyer Architect IT Consultant Others

*LINE OF BUSINESS/ INDUSTRY: Mfg. Real Estate Trader Bullion Stock Broker Agri Others

*NATURE OF ORGANISATION: Proprietary Partnership Unlisted Co. Listed Co. MNCs PSU/ Govt. Sector Others

*MONTHLY INCOME: Upto 10,000 10,001 to 25,000 25,001 to 50,000 50,001 to 1 Lac 1 Lac to 5 Lac Above 5 Lac
EXPECTED MONTHLY TRANSACTIONS IN ACCOUNT: Number Value Rs.
Declaration as per FATCA*: 1. Is your country of Birth other than INDIA? Yes No

2. Are you a TAX RESIDENT of any country other than India? Yes No

(If answer of any of the above is Yes, please submit the FATCA/ CRS annexure for individuals. For T&C visit www.indusind.com)

HELP US KNOW YOU BETTER (MANDATORY)

RESIDENCE*: Self-Owned Rented Company Provided

SOURCE OF FUND*: Salary Business Investment Gift Professional Ohters

Relationship with other banks: Auto Loan Personal Loan Gold Loan Two-wheeler Loan

Home Loan Credit Cards Others

Products Interested in*: Auto Loan Personal Loan Gold Loan Two-wheeler Loan

Home Loan Credit Cards Others

 NOMINATION FORM DA1 (Please Choose One Of The Availble Options)
I/ We hereby confirm that I/ We do not require any nomination facility. Nomination under Section 45ZA of the Banking Regulation Act 1949, and rule 2(1)
I/ We require nomination facility.
of the Banking Companies (Nomination) Rules 1985 in respect of bank deposits.

I/ We nominate the following person(s) to whom in the event of my/ our minor’s death the amount of deposit in the account may be returned by
IndusInd Bank Ltd.
I agree donot agree for the name of my nominee to be displayed on Fixed Deposit Advice/ Statement of Account and /or other documents/letters.

Details of Deposit Nominee

Nature of Deposit & Additional Name Address Relationship with Age

Distinguishing No details, if any Depositor, if any

**As the nominee is a minor on this date, I/ We appoint

to receive the amount of the deposit in the account on behalf of the nominee in the event of my/ our
minor’s death during the minority of nominee. *Signature/ Thumb impression of the depositor
Witness(es) - Required only if the depositor is giving thumb impression and not signature.

Name: Name:

Signature***: Signature***:

Address:
 Address:

 
*Where deposit is made in the name of 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. ***Thumb impression(s) shall be attested by two witnesses.
#Right thumb impression required in case the depositor is female and left in case it is male.

ACKNOWLEDGMENT FOR NOMINATION

We acknowledge your nomination in Form DA1 relating to Account Number in the name of held with us.

Ref.No. Date of Registration Manager-CSOP

Branch Round Stamp/ Seal

DECLARATION
RESIDENT INDIVIDUALS
a) l/ We understand that the deposits are accepted in accordance with the directives laid down by the Reserve Bank of India from time to time. l/ We understand that these deposits
and their payments are governed by the laws in force from time to time in India and are payable at the branch of IndusInd Bank in India where the deposits were made. The Bank
has discretion to allow withdrawal of the deposits, either at the branch of deposit or at any other branch in India. (b) I/ We further unconditionally and irrevocably authorise IndusInd
Bank Ltd. to debit my/ our account with an amount equivalent to the fees and charges applicable for the services enjoyed by me/ us. ( c) I/ We agree to indemnify and hold the Bank
harmless in case of any loss suffered by the Bank, its customers or a third party or any claim or action brought by the third party which is in any way the result of availing of services by
me/ us.

(d) In case of joint accounts, instruction received from one of the account holders to stop operations will be deemed to be sufficient notice to the Bank to act upon such instructions.
Further operations would be allowed only upon receipt of fresh instructions from all the account holders. (e) I/ We agree that all the information disclosed above is correct and agree
to inform you of any change in the information provided in this form or in related documents.(f) l/ We confirm having read the rules of the Bank regarding the conduct of the account
and the rules and regulations pertaining to Phone Banking, Debit Card, Doorstep Banking, Anywhere Banking, Net Banking, Mobile Banking, Video Banking & Utilities Pay Facilities.
I/ We accept and agree to comply with the terms & conditions or any rules of the Bank that may be in force from time to time. l/ We acknowledge that it is my/ our responsibility to
obtain a copy of and read the same. (g) In case the account remains overdrawn on account of unrecovered charges, if any for a period of 3 months and above, the account will be
closed and the Bank will not be responsible for giving any advance intimation thereof. (h) I/ We also understand that the continuation of the account is at IndusInd Bank’s sole
discretion and in case IndusInd Bank is dissatisfied with the conduct of the account, IndusInd Bank has the right to close the account after giving me/ us 15 days notice or withdraw the
concessions in all or any service charges granted to me/ us or charge IndusInd Bank’s applicable rates for such services. (i) I/ We understand that as my/our accounts is a Basic Savings
Bank Deposit Account (Small) under Simplified KYC Process, at any point of time if the total balance or the total yearly turnover in all my/our account exceed ’ 50,000/- and ’ 1 lac
respectively, or the aggregate of all withdrawals and transfers in a month exceed rupees ten thousand, unless I/ We complete the required KYC requirement the Bank will be entitled
to close the account. (j) For BSBDA and BSBDA (Small) account: I/ We understand that as my/ our account is a Basic Savings Bank Deposit Account/ Basic Savings Bank Deposit
(Small) Account, I/ we cannot hold any other account in this bank. I/ We confirm that I/ we are not having any other bank account in my/ our name in this bank. Also if I/ we have any
other account I/ we shall get the same closed within 30 days of opening of this account. (k) I/ We authorise the Bank or its agents to make references/ enquiries as may be necessary
and to exchange/ share/ part with any/ all information with credit bureaus/ statutory bodies/ other agencies as may be deemed necessary or appropriate.
In the event of the death of the depositor, premature termination will be allowed without levy of penal charge. The following will be applicable on demise of all or sole deposit
holders With nomination: The nominee will have the right to seek premature termination of term deposit account, Without nomination: Premature termination will be permitted on
joint request by all legal heirs (or any of them as mandated by all the legal heirs) and upon verification of the authority of the legal heirs.
Following will be applicable on demise of one of the joint deposit holders:
If the specific instructions for premature withdrawal are other than jointly, then in the event of death of one of the depositors, premature termination and payment of Term Deposits
shall be allowed to survivor/(s) i.e In the event of the death of any of the deposit holders, the survivor, if he/she so requests the bank, to prematurely withdraw the deposit without
seeking the concurrence of the legal heirs of the deceased joint deposit holder, the bank is entitled to honour the same. Such payment to survivor/s shall give valid discharge to the
bank.
I/ We certify that all the information furnished by me/us is true. I/ We authorise and give consent to the Bank or its agents to make references/ enquiries as may be necessary and to
disclose, without notice to me/us, information furnished by me/us in application form(s)/related documents or exchange/ share/ part with any/ all information including financial
details with credit bureaus/ statutory bodies/Regulatory Authority / Law enforcement authority, other agencies as may be deemed necessary or appropriate, at any point of time. I also
authorise the Bank to disclose the information relating to Bank Guarantee/Letter of Credit facility if any availed by me/us. l/We waive the privilege of privacy & privity of contract.
For Indus Comfort Account
In case there are no salary credits in my account, Bank at its own discretion may withdraw all the benefits provided for salary account holders without any further notice. I understand
that any benefits under salary account will stand true till the time the account is eligible under this category. I also authorize IndusInd Bank to convert my salary account to Savings
Account, basis confirmation received from my employer. Also, Bank has the discretion to convert my salary account to a regular account in case there are no salary credits in my
account for 3 consecutive month or the salary account proposition is withdrawn at the employer level with due notice. In such events, I should visit the branch and complete the KYC
requirements for continuing operations in the account as normal SB account. In case I fail to comply with Bank’s requirement, Bank may suspend operations or close the account
without further notice. I confirm that I will not dispute and raise any legal action against IndusInd Bank towards such remittance/conversion of account status.

Consent clause: I/We certify that all the information furnished by me/ us is true. I/We authorise and give consent to the Bank or its agents to make references/ enquiries as may be
necessary and to disclose without notice to me/us. information furnished by me/ us in application form(s)/ related documents or exchanges/ share/ part with any/ all information
including financial details with credit bureaus/ statutory bodies/ regulatory authority / law enforcement authority, other agencies as may be deemed necessary or appropriate, at any
point of time. I also authorise the Bank to disclose the information relating to Bank Guarantee/ Letter of Credit facility if any availed by me/ us. I/We waive the pricilege of privacy &
privity of contact.
I/We consent/ do not consent to receive information/ service updates and product updates etc. for Marketing purposes through Telephone/ Mobile/ SMS/ Email by the Bank/ its
agents. I/We herby give consent to receive information from Central KYC Registry through SMS/ Email on the above registered contact number/email address. I/We confirm that I/We
have read and understood the above Dedaration, and that the contact details provided on the form are correct.

For Minor’s Account

Name of the Parent/ Natural Guardian Name Middle Surname

I hereby declare that the date of birth of the above minor who is my is and I am his/ her natural and lawful guardian appointed

by the court order dated (copy enclosed). I shall represent the said minor in all the future transactions of any description, in the above account until the
said minor attains majority. I undertake to indemnify IndusInd Bank against the claim of the above minor for any withdrawal/ transaction made in his/ her account.

1 stApplicant 2 ndApplicant
Recent Recent
Passport Size Passport Size
Photograph Photograph
(Sign Across) (Sign Across)

1 st Applicant Signature 2 nd Applicant Signature

1 s t Applicant Name 2 nd Applicant Name

DD/MM/YYYY

Signature of Guardian

FORM NO.60 (In Absence Of PAN Card)

1. Full Name of Declarant: First Name Middle Name Surname
Address:



2. Particulars of Transaction: Opening of Account

3. Amount of Transaction: Rs. (Rupees Only)

Are you Assessed to Tax: Yes 4. No
If yes,
i. Details of Ward/ Circle. Range where the last return of income was filed?

ii. Reasons for not having Permanent Account No./ GIR No.?

iii. Details of document produced in support of address in Column (1)

VERIFICATION

I do hereby declare that what is stated above is true to the best of my knowledge and belief.

Verified today, the day of 20

Date:

Place:
Signature of the Declarant

INTRODUCTION BY EXISTING ACCOUNT HOLDER

Name: Account No.: Date of introduction:

I confirm having an account with IndusInd Bank for more than six months. I personally know the applicant(s) due to my acquaintance as Relative Spouse Friend
Colleague. Iknow the applicant(s) for the last Months/ Years and confirm their identity, occupation and address.
 Signature Verified by Manager-CSOPSignature of the Introducer

FOR SALARY RELATIONSHIPS

I/ We confirm the identity, photo, address and signature of our employee as mentioned in the form.
The salary of the employee is Rs. p.m.
Name of the Corporate: Name of Authorised Signatory:

Address:




Signature of Authorised Signatory

Date: with Company Stamp

FOR ARMED FORCES SALARY RELATIONSHIPS

I/ We confirm the identity, photo, address and signature, as mentioned in the form of Name:
Service No.: Rank: of Unit/ Station:
Regiment/ Corps:

Name, Signature & Stamp:

Date: OC/ Adjutant Secretary Zilla Sainik Board

FOR BANK USE ONLY

SOL/ Branch Code: CUST ID: Account No.:

Initial Funding Related Details: Txn no.: Date: Value Date:
Is this customer a PEP (Politically Exposed Person)? Yes No
Business Group: CM-Capital and Commodity Market CI-Corporate and Institutional
FI-Financal Institutions SM-Small and Medium Enterprises PS-Public Sector BB-Business Banking RT-Retail

Channel Name: RM Name: RM ECN

Corporate Code: (For Comfort Account) Value Date for Fixed Deposit:

Date:

My Account My Number Reference No.

Customer Met in Person Declaration by Sourcing Executive
I confirm having met the customer in person at the Residence/ Office address and I hereby confirm that I have verified the copies with the original documents and the AOF
has been filled up in my presence. I confirm that All documents of KYC complete & matches details provided in AOF. I hereby certify that the above information is true.
Later if it is found to be incorrect and bank suffers any loss due to fraud or otherwise, I may be held accountable and shall be liable for any loss suffered by the bank.

Sourcing Executive Manager-CSOP or Branch Manager

Signature, ECN Signature, SS No. or ECN & Branch Round Stamp

BILLPAY REQUEST FORM

To,
The Branch Manager
Branch

I/We hereby request you to register the following billers under Indus BillPay Services.
Location:
(In case of Biller location being different please specify the location along with Name of Biller)
Name of the Biller / Location *Biller Short Name Identifier 1 Identifier 2 Identifier 3 AutoPay
(Upto 6 Characters)
Entire Bill Pay Limit (Rs.)
Electricity Consumer No. Cycle No. Billing Unit No.
Rs.
Telephone Telephone No. Customer A/c No. Billing Unit No.
Rs.
Mobile Account No. Mobile No. Customer Name Rs.
Insurance Policy No. Client ID Premium Amount
Rs.
Gas Consumer Ref. No. Account No. Customer Name
Rs.
Donation Name Address Contribution Scheme
Rs.
Others
Rs.
*Biller short name should be unique for each biller and should not be more than 6 characters
For AutoPay please sign as per mode of operation

First Account Holder Second Account Holder

NACH INSTRUCTIONS

UMRN Date

Sponsor Bank Code Utility Code

Tick ( )
CREAT I/We hereby authorize to debit (tick ) SB/ CA/ CC/ SB-NRE/ SB-NRO/ Other

MODIFY Bank a/c number

Cancel with Bank Name of customers bank IFSC or MICR

an amount of Rupees Rs.

FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 Phone No.

Reference 2 Email ID

From DD / MM / YYYY

Signature Primary Account holder Signature of Account holder

To DD / MM / YYYY

OR

Until Cancelled
Name as in bank records Name as in bank records

This is to confirm that the declaration has been carefully read, understood & made by me/us

PHYSICAL AND VIRTUAL DEBIT CARD DETAILS

PHYSICAL DEBIT CARD

My Physical Debit Card will be enabled for ecommerce, NFC and international transactions

Enable my Physical Debit Card for

Go Domestic (Domestic POS & Domestic ATM)

Go Online (Domestic E-commerce & Domestic Standing Instructions)
Go Contactless (Domestic Near Field Communication (NFC) & Domestic Tokenization)
Go International (ATM, POS, E-commerce, Standing Instruction, Near Field Communication & Tokenization)

VIRTUAL DEBIT CARD

My Virtual Debit Card will be enabled for online transactions (both domestic and international e-Commerce transactions) and tokenization

Enable my Virtual Debit Card for

Online Transactions
Domestic (Domestic E-commerce & Domestic Standing Instructions)
International (International E-commerce & International Standing Instructions)
Both

Tokenization
Domestic
International
Both
Disclaimer: NFC transactions will be enabled on the card only if the NFC symbol is there on the card plastic. Token will be enabled only on certain card types available on apps
for usage.

APPLICATION FOR LINKING/ SEEDING AADHAAR NUMBER AND RECEIVING DBT BENEFITS INTO BANK ACCOUNT-(NPCI MAPPING)*

To,
The Branch Manager
STREET NO 8, HABSIGUDA BRANCH,HYDERABAD,1714,500007
Branch
 Indusind Bank

Dear Sir,
I am maintaining the below indicated bank account with your branch.
Account No. 159912901107 in the name of Yeruva Rajapu Reddy
Please update my Aadhaar details and I provide my voluntary consent for:
Aadhaar No.: XXXXXXXX1421 OR
Enrollment - OR
ID:

Virtual ID: OR

Š Use my Aadhaar details to authenticate me from UIDAI.

Š Use my Mobile Number mentioned below for sending SMS Alerts to me.
Š Link the Aadhaar Number to all my existing/new/future accounts and customer profile (CIF) with your Bank.

Option For Receiving DBT Benefits (Tick One)

I wish to seed my above indicated A/c with NPCI mapper to enable me to receive Direct Benefit Transfer (DBT) including LPG Subsidy from Govt. of India (GOI) in my above
account. I understand that if more than one Benefit transfer is due to me, I will receive all the benefit transfers in the same account.(for customer who have not so far seeded
account with NPCI Mapper)
I already have an account with (name of Bank) having IIN Number** , and seeded

with NPCI Mapper for receiving DBT from GOI. I request you to change my NPCI mapping(DBT Benefit Account) to my account with your Bank.
I already have an account with another bank (name of Bank) having IIN Number** , and seeded with NPCI Mapper for

receiving DBT from GOI. I do not want to change my NPCI mapping(DBT Benefit Account) from the existing Bank.
I do not wish to seed my accounts from your Bank with NPCI Mapper (I will not be getting DBT).
I have been explained about the nature of information that may be shared upon authentication. I have been given to understand that my information submitted to the bank herewith
shall not be used for any purpose other than mentioned above, or as per requirements of law.
I hereby declare that all the above information voluntarily furnished by me is true, correct and complete.
Your Faithfully, If consent sent through BC/BDO/VO
I hereby authorise the Banking Correspondent
I hereby authorise the Sarpanch,/ V.O./B.D.O./to submit the above
consent letter to the bank.

Name: Yeruva Rajapu Reddy

Mobile No: 9912901107
Email ID: PAVANYARAM07@GMAIL.COM

*NPCI Mapping : Mapping is a process of associating a Bank with Aadhaar number which is facilitated by NPCI for Direct Benefit Transfer to the respective Bank who have linked the
Aadhaar Number to a specific Bank account for receiving Direct Benefits to which customer has given the consent.
** IIN number will be provided by Bank receiving the consent Application

TERMS AND CONDITIONS

Eligibility Criteria:
• New to Bank Customer: Customer should not have any existing account with IndusInd Bank
• Resident Individual (Not for Non Resident Customers)
• Account to be opened under single holding only
• Not applicable for Minor Customers (Age <18 years)
Declaration for Online Account:
The customer hereby gives consent to IndusInd Bank Limited (“the Bank― ) to fetch his/ her personal details from Unique Identification Authority of India (UIDAI), using OTP E-
KYC authentication which will be used for KYC purposes like customer’s name, DOB, gender, address and photograph. The customer herewith agrees to provide his/ her valid
Aadhaar number and valid PAN Card details. The customer herewith confirms that he/she has not used the OTP based Aadhaar (E-KYC) verification to open any other bank account.
Terms and Conditions:
• Opening an account is subject to correct, complete and accurate information being provided to the Bank.
• The customer need to complete his face to face KYC verification by visiting his nearest IndusInd Bank branch/ by requesting a visit from the bank representative and providing his
KYC details within 12 months of opening such account. Post completion of face to face KYC verification process, the account will be termed as full KYC account and customer will
have complete access to the account, including branch network.
• If Customer fails to provide full KYC within12 months of opening of the account, for any reason, the Bank reserves right to close the account and customer will have to contact the
branch and complete the face to face KYC verification process for operating the account.
• The customer herewith agrees that this being a limited KYC account operations of the account will be limited. Any service or transactions requests will not be accepted at the
Bank’s branch network and account can be accessed for services or transactions through Bank’s alternative banking channels (Net-Banking, Mobile Banking, SMS Banking,
ATMs, etc.)
• The customer agrees that if her/ his balance in the limited KYC account exceeds Rs.1 lakh in a given day or cumulative credit values exceeds Rs.2 lakh in a financial year, bank
reserves the right to make the account inoperative, till such time that customer completes the face to face KYC verification process.
• Customer agrees that the Bank may debit my account for service charges as detailed in the Schedule of Charges as applicable from time to time. Updated Schedule of Charges can
be viewed at the following link on the website of the Bank http://www.indusind.com/important-links/schedule-of-charges.html
• Customer shall immediately inform the Bank in the manner as agreed by and acceptable to the Bank for any change in any KYC details and/or information given by him/her.
• The initial payment/ funding has to be done from the customer’s own account held with any other bank. The amount will be credited into customer account post account
activation and basis availability of clear funds.
• The Bank shall not be liable for any connectivity/signal/data issues leading to non-completion or wrong/ false/ incomplete information being provided by the customer leading to
the incompletion of his/her application.
• This account opening process is not available for customers who are FATCA reportable. Such customers are requested to approach the branch and to comply with requirement of
opening an account.
• The Bank reserves the right to make the account inoperative in case of any discrepancy, inaccurate, incorrect or false information/ representation is provided by the customer when
realized by the Bank on regular monitoring of the account/ document verification activities and/ or the Bank is of the opinion that continuation of services is prejudicial to its interest,
without any notice to the customer. At the Bank's absolute discretion, the customer may require to provide additional KYC or other documents. The Customer acknowledges and
agrees that Bank shall not be made liable for any consequences arising out of making account inoperative or termination of Services.
• In case of account being made inoperative, the customer agrees that principal amount on such deposits kept along with the interest accrued (if any) will be payable to him only
upon completing his full KYC.
• The Customer shall indemnify and keep the Bank indemnified against any loss or damage that the Bank may suffer on account of operation in the account, dishonor of cheque after
the closure of the Account.
• The customer herewith agrees that on rejection of this application, Bank have right to retain all documents / photographs and any other signed document submitted by the customer
along with application.
• Customer understands and agrees that interest on the amount funded online will be paid subject to activation of the account and only from the date of credit of the funds in the
account
• Customer also agrees to authorise IndusInd Bank to send communication via Whatsapp, if applicable
• Customer will not be eligible to get a cheque book on this account till the time face to face KYC verification is complete
• These Terms and Conditions are in addition to and shall be read in conjunction with the general savings account terms and condition available on www.indusind.com and also
along with declaration below:

Declaration for Resident Individual Customer:

For Savings Account:

a) Customers understand that the deposits are accepted in accordance with the directives laid down by the Reserve Bank of India from time to time. Customers understand that these
deposits and their payments are governed by the laws in force from time to time in India and are payable at the branch of IndusInd Bank in India where the deposits were made.

The Bank has discretion to allow withdrawal of the deposits, either at the branch of deposit or at any other branch in India.

b) Customers further unconditionally and irrevocably authorise IndusInd Bank Ltd. to debit their account with an amount equivalent to the fees and charges applicable for the services
enjoyed by me/ us.
c) Customers agree to indemnify and hold the Bank harmless in case of any loss suffered by the Bank, its customers or a third party or any claim or action brought by the third party
which is in any way the result of availing of services by them.
d) In case of joint accounts, instruction received from one of the account holders to stop operations will be deemed to be sufficient notice to the Bank to act upon such instructions.
Further operations would be allowed only upon receipt of fresh instructions from all the account holders.
e) Customers agree that all the information disclosed above is correct and agree to inform you of any change in the information provided in this form or in related documents.
f) Customers confirm having read the rules of the Bank regarding the conduct of the account and the rules and regulations pertaining to Phone Banking, Debit Card, Doorstep
Banking, Anywhere Banking, Net Banking, Mobile Banking, Video Banking and Utilities Pay Facilities. Customers accept and agree to comply with the terms & conditions or any rules
of the Bank that may be in force from time to time. Customers acknowledge that it is their responsibility to obtain a copy of terms and conditions and read the same.
g) In case the account remains overdrawn on account of unrecovered charges, if any for a period of 3 months and above, the account will be closed and the Bank will not be
responsible for giving any advance intimation thereof.
h) Customers also understand that the continuation of the account is at IndusInd Bank’s sole discretion and in case IndusInd Bank is dissatisfied with the conduct of the account,
IndusInd Bank has the right to close the account after giving me/us 15 days’ notice or withdraw the concessions in all or any service charges granted to me/ us or charge IndusInd
Bank’s applicable rates for such services.
i) Customers understand that as my/our accounts is a Basic Savings Bank Deposit Account (Small) under Simplified KYC Process, at any point of time if the total balance or the total
yearly turnover in their account exceed ` 50,000/- and ` 1 Lac respectively, or the aggregate of all withdrawals and transfers in a month exceed `10,000, unless Customers complete
the required KYC requirement the Bank will be entitled to close the account.
j ) For BSBDA and BSBDA (Small) account: Customers understand that if their account is a Basic Savings Bank Deposit Account/ Basic Savings Bank Deposit (Small) Account, they
cannot hold any other account in this Bank. Customers confirm that customers are not having any other Bank account in their name in this Bank. Also if they have any other account
they shall get the same closed within 30 days of opening of this account.
k) Customers authorise the Bank or its agents to make references/enquiries as may be necessary and to exchange/share/part with any/all information with credit bureaus/statutory
bodies/ other agencies as may be deemed necessary or appropriate. In the event of the death of the depositor, premature termination will be allowed without levy of penal charge.
The following will be applicable on demise of all or sole deposit holders
With nomination: The nominee will have the right to seek premature termination of term deposit account,
Without nomination: Premature termination will be permitted on joint request by all legal heirs (or any of them as mandated by all the legal heirs) and upon verification of the
authority of the legal heirs. Following will be applicable on demise of one of the joint deposit holders: If the specific instructions for premature withdrawal are other than jointly, then
in the event of death of one of the depositors, premature termination and payment of Term Deposits shall be allowed to survivor/(s) i.e In the event of the death of any of the deposit
holders, the survivor, if he/she so requests the Bank, to prematurely withdraw the deposit without seeking the concurrence of the legal heirs of the deceased joint deposit holder, the
Bank is entitled to honour the same. Such payment to survivor/s shall give valid discharge to the Bank. Customers certify that all the information furnished by them is true. They
authorise and give consent to the Bank or its agents to make references/enquiries as may be necessary and to disclose, without notice to them, information furnished by them in
application form(s)/related documents or exchange/share/part with any/ all information including financial details with credit bureaus/statutory bodies/regulatory authority/law
enforcement authority, other agencies as may be deemed necessary or appropriate, at any point of time. Customers also authorise the Bank to disclose the information relating to
Bank Guarantee/Letter of Credit facility if any availed by me/us. Customers waive the privilege of privacy & privity of contract. Customers hereby give consent to receive information
from Central KYC Registry through SMS/Email on the above registered contact number/email address. Customers confirm that they have read and understood the above Declaration,
and that the contact details provided on the form are correct.

Customer agrees to have understood the schedule of charges of the product he is applying for. The same are available at https://www.indusind.com/important-links/schedule-of-
charges.html Customer herewith agrees to be contacted by the bank to receive information in respect of account maintenance, alerts and updates on existing and new products,
servicing of account for sales, marketing or servicing their relationship with IndusInd Bank, its group companies / associates or agents through Telephone / Mobile / SMS / Email etc.
Further he/she understands that the consent to receive calls / communications shall be valid and shall prevail over their current or any subsequent registration of their mobile number
for NDNC and shall continue to be treated as customer consent / acceptance.
For Term Deposits
The mandate given under ‘mode of operation’ will be applicable to premature withdrawal at any point of time, including death of any one but not all holders. In case of joint
term deposits having operating instructions as ‘Either or Survivor’, ‘Anyone or Survivor’ or ‘Former or Survivor’, the Bank shall repay the deposit/s before maturity
of the deposit/s in case such a request is received in accordance with the operating instructions of the respective deposit/s, along with relevant documents as may be specified by the
Bank from time to time. The same would be applicable even in the event of death of the joint depositors prior to maturity of the deposit. Any such repayment before maturity shall
constitute a valid discharge of the Bank’s obligations against all concerned including, but not limited to, the nominee/legal heirs of the depositors or anyone claiming under
them. For bulk deposits, please refer to the deposit policy at our website for T&C on your fixed deposits.
The above terms and conditions should be read in conjunction to the detailed general Fixed Deposit terms and conditions outlined by the bank available here:
Fixed Deposit Terms and Conditions
https://www.indusind.com/content/dam/indusind/PDF/Deposit-Accounts-TnC-V31.pdf
And the Bank’s Deposit Policy available here:
https://www.indusind.com/content/dam/indusind/PDF/Deposit%20Policy.pdf
In case the account gets opened but does not become operational due to incomplete customer due diligence or any other reason amount would be refunded back in the same
account from which the funding was received. The refund will happen in 10-15 working days from the date of customer request. Refund amount will be same as the amount funded.
No interest will be accrued on the amount.
In case the account gets opened but there is delay in completion of customer due diligence or there is delay in realization of funds then the term deposit would be booked from the
day the due diligence is completed or the day funds are realized by the bank. No interest will be accrued on the amount for the delay due to completion of customer due diligence or
delay in realization of funds