@ BARCLAYS
ACCOUNT OPENING FORM
Branch Name:
(Applicable for Savings Account, Current Account and Term Deposits) for Resident Individuals
(PLEASE FILL UP THE COMPLETE APPLICATION FORM IN BLOCK LETTERS) / Pleas tick (7) wherever applicable.
Customer Category: naval
Minor Others, Pease speaty
Choice of Account: Savings Account Basie Savings Bank Depost A/c ‘Curent Account ‘Term Deposit
PMuDy ‘Others, lease specify
Purpose of account opening
Savings Business Purpose ross border Investments Income Loan Funding
Others, Pease specty
Documents Required Identity roof (Ary one)
Validindian Passport ters Kent Card Panic ci oo
‘rong esr srt ats)
Valid Driving License Valid NREGA Job Card
‘Address Proof
Validindian Passport Utility Bills (Electricity, Piped Gas, Water, Telephone, Post Paid Mobile not more than 2 months)
ald Driving License Voter's ety Card ‘Aadhaar Card Property / Municipal Tax Receipt
‘Bank Account or Post Office Savings Bank
Statement (Not more than 2 months old)
Documents issued by Government departments
of foreign jurisdictions and letter issued by
Foreign Embassy or Mission of india
Letter of Allotment of accommodation from employer
Issued by State of Central government departments,
statutory or regulatory bodies, public sector undertakings,
‘Scheduled Commer Institutions
and listed compani
Pension Payment Order / Book /
Card issued by Government
(ther Mandatory Documents PAN Card/Form 6 ‘One photograph {ATCA a CRS Sa Coton
16iRNo. Srewheoptene — TS form orinaiduls
{xsting customer yes, mention A/c No.
Details of First Applicant /Minor
‘Tie Mi/ Mrs/ Ms./Dr. (lease select as appropriate)
FullName
Curent Residence Address
Permanent Address
Off Address
Residence Phone aan
Mobile
Maling Address Residence Permanent Offce._——_Landmark for Malling Address
Email Gender Nationality
Date of ith Marital Status, PAN/GIR Norn tien tnt)
‘Andhaar No STN No,
Father's Name Mother's Meiden Name
Name of Guardlan inert carte) Country of Residence
Educational Qualification Graduate Post Graduate ‘Others (lease speci).
Occupation Salaried Self-Employed Retred Housewfe student Unemployed
Professional Such Doctor Lawyer Bankers Teacheretc) Others (Please speci.
Organisation MNC Pred Pubs Ld Proprietor
Partnership. [_] Otters (Plesse specify)Version - March 2018
If Salaried:
Name of Employer Company _______ Jb Tle Designation. Working since
Employers Nature of Business Manufacturing Service Provider ‘Agriculture Real Estate
‘Trader Others (Please specify).
If Self-Employed / Professional:
Nature of Business ‘Manufacturing ‘Service Provider ‘Agriculture Real Estate
‘Trader Others (Please specify).
Business Activity
Name of Legal Entity_
Related Industry
Location/Address of the business.
Business since ‘Companys website
Further detallsfcustomer is Retired, Housewife, Unemployed or Student
Source of funds & financial information:
Estimated annual income (Local curency) fom above. Estimated any other Income (Local curercy)
‘Source of other Income, “Total estimated income.
Source/s of come rvestment Bonus Parents Selling assets Loan
‘Ongoing Funds
Relatives Sling property Others (Pease speciy)
"Only a natural quardlan/ lawful quardlan appointed by court can open an account on behalf ofa minor. A natural guardian In fst instance
Isthe father.
Details of Second Applicant/Guardian®
Personal Information
sting customer yes mention AEN,
Tile Mr Mrs Mis/ Dr. (Please select as appropriate)
Full Name
Residence Address
Permanent Address
(Of. Address
Residence Phone fice Phone
Mobile
‘Malling Address Residence Permanent Office Landmark for Malling Address
mali Gender Nationality
Dateof Birt (Marital Status __PAN/GIR Nora ttm onareoaiy
‘Aadhaar No. GSTIN No.
Fathers Name ‘Mother's Maiden Name
[Name of Guardian monte tec) (County of Residence
Educational Qualification Graduate Post Graduate (Others (Please spect)
Occupation Salaried Self-Employed Retired Housewife ‘Student Unemployed
Profesional (Suchas Doc, Lawyer, Banker, Teacher ec) ‘Others (Please specify)
Organisation. = MNC Pr ltd. Pub td. Proprietor
Partnership Others (lease spect).Version - March 2018
If Salaried:
Name of Employer Company _______ Job Tle Designation. Worng since
Employers Nature of Business ‘Manufacturing ‘Service Provider ‘Agriculture | Real Estate
‘Trader ‘Others (Please specify) —___
If Self-Employed / Professional:
Nature of Business ‘Manufacturing ‘Service Provider ‘Agriculture Real Estate
‘Trader Others (Please specify).
Business Acty
Name of Legal Entity.
Related industry
Locaton/Addres ofthe business
Busines ince Company's website
Further details if customer is Retired, Housewife, Unemployed or Student.
Source of funds & financial information:
Estimated annual income (Local curency) fom above. Estimated any other Income (Local currency)
Source of ether Income, “Total estimated income
Source/s of come investment Bonus Parents Sellngassets Loan
‘Ongoing Funds
Relatves Seling property Others (Pease speci)
‘nly a natural guardian/ lawful guardian appointed by court can open an account on behalf fa minor. A natural guardian In frst instance
Isthe father.
Relationship with the First Applicant.
‘Term Deposit Details: Amount Simple Compound
Period:__Years_Month_ Days Interest Rate sepa.
| Maturity instructons*
| AitoRolorer (ame period) Cresitinterest to my/our Barclays A/cNo__andrenew Principal Amount
Credit maturity proceeds to my/ ourBarclys A/c No___________ Others, please specty,
Deduct TDS Yes__No (15 H/15G form encosed)
4) Part withdrawal of TD not applicable for preferential depos b) Premature withdrawal penalty as applicable. (currently 1%) ifthe maturity
Inscuctons isnot ven then te fixed depost wl beaut rolled ave “Pre-rratre withdrawal of depos Is alowed in event ofthe death ofthe