Lhe in TN Seow Gore CD Bemvat [] testa () or Noninets eathiesuance [J Demarare [] Tenge] TemmDeposit C]_ PAR [Asati Peasfilhe ar in BLOCK LETTERS only. Fis mashed “(sta are MANDATORY Bistre customer 0) Curency Code or urent Av cit nC Noon R-KFC On foreheads conc etl evenbew va be Update Gender [ICIEI" miner] Merit [IE] Nitnaly NDIAN *Tsantor ti se Minor Dean Stn a couse vty ea TT oii Fone régender TIT arcane pene the conrnictn adiae vB he ony he Unis Chisn sdians oN Uta ante COT Tt 1) rl 8. alibi roy can teens ate eral eed abo LOELLEL) wee | axidence Type Owned [7] RertediLewed ["] Anssta/Parntal [_] Compary Priced] /NRSRRULaRR St CORRIEIGT aps Gr BION Panashin[-] Nara (Cri Minerctsmalteaietobeeh —Corstiitin Code Acountaoenngtiraighe'x’C [fl] TarsactionDOse C einer suvivor Ly Fonnes survivor 1 Aone! vier Ey potty ya [D Mooraycoperatathy Guxan [=] oer, pint Applicant Detals—Plese enton iat inept CI) ‘ust |] ies ene aoe LT esse] I sen. C1 frit Payers Beta “wa Depnit Art [| Gove Mode ofPayment: a}["] Cash $)( Jeneave [CT Transerfiomown: Ax Bank Account ACN Dtranster tromowm other Bank Account \aser made ofoperation) 1 eqn [ Ea Cont hte eT pee lee LA Nae otreueoryintatesonrren’ TTT TI TILL] vow PERIOD DD For alary/ Defence Account Fors Act: Enos ] etc [ Pleme tek ny ofthe fallow TckloraSlaryReinbursemene Account wth Salary count] [L]lentertram Employer vettyngienity aoa permanent adéressOR Gy truco designated Company Offil and KY documentsas above Nomination (DAL Form eis eto) D1 tee not with te nominas = “Lwish to nominate tater, since! do not [] | williateraéd 2 joint holier Civiiesicnias EIR SERS Ra esecnantneenowie ves CIs (]T1 sts sonata ser Peron son (Other Nominaton ner Seton 2 ofthe Sasng epion Ac 1949 an leo he aking Compas Hono Rls 185 nsec nasa Verena hares serena rau a naan Ina TT ah ener dg sane TTI TL]. tts] Sameas iry cot Lietoelientiaviocied — | I telsomhpwithdesotoritny ne [| eas oomneel in, Dsteof8izh [| “Asramineeisninar We spain nase) Relitioshinwih snort ‘ess Same PrimaryApplkant [HW aereent torecietheanountotdepositonbohafofthencmine in thee vent of my/out mine's deh during the mioriyofthenowiose Sirmuonocs Semana tee Feiss san ne ee Sousa BAER ti a mae ep ere Ne, ‘Access Your Account’ - Primary Applicant Only NotAppicatie for HUF) Norrineewallbe same a account nominee, insurance cover apriicati ont fer abit card) Detitcard(OntiorNoninstel IL] thartane tm tetany s800Vseene CL] vonercee [TTT TITTI Conpay ie nin ce arate ur Debt ais chiar acta th ty wig 3t Brite ‘oun inapetatiretaatlefowhartaacalcanee, Misgatetamont cata nana, Neha cy See nose Capt Upencar's Conners | C)vates* Joa”) nents ® ts ene meee LTT Speed bankigfcities activated Wi Moviesanking lf nteretsanking [vate added Aertstshs 6 msi) lj Phone Banking Dial staceneres bee eta namaacor melee resign Cchequeooracity [JL] fortomeansconttionanlorsi spcceteinesseersflert wasabi anette de fry Scare hg nin aan cad gp pe tea rso Fecantnsay etches ate et ate ted revise salons oh scorned Her schoonces Aan sn econ inti ere aed -AccnantSttament pont uowgoes Information On Other Product & Offerings” thereby auee Asie Rark/Blsarle/Aaie/gentscontsctng rw or valu ther prodict wptatek meting pontane pacar ThrdPany Padcsor my ich Infomation on net ie. ldoherebysivenyconsentoreceve schinformatonthoussEnat’ [JE] sMS(IE]—Phonecal]E) “Tani ere he ONE war acatoner stalemate communitin.TFerm6o Formtordecartion to bled by on individual ora perzon|net beings company ofrn) who decsnothave eparmanen acount rumberand whe ‘niersinto any traneartion pci rile 8 Deeeonn[[ pled orPaNana isnot yetgereated nection [T[][ [J] ] Jantscnontdzenent nab | \¥PaNnotappliod filectinata atalincomelinchiding nso otseouce minor didete ae por | 2 | Agricultural income ‘section 64af Income-‘an Act. 1961) forthe fnancal yearin which the above iansaction held. | b [Other than Agrcultwal income (2) Verification “ dinner dele thar stated sbovesstrueto te best ry knoe arabe further deceit <5 pothove a Ramarant hossoni Naber ard my cureainatadaalncome fneudigincone of pause miner hl ste apperaccon A af Icom: tox et, 64) computa in aucrdings wi the pias of comeax ct 196% frthetnancilyewrinuhichteadove Wansactlon sell les than masa aunt at chargeable ota. ered ody, the arof 20 Date Pree [CIFATCA-CRSDECLARATION Psst ale ine dn Abo {tama taxesicentat inant sient aeshercotryOR [_amatae residents the countries mention the beet Pleaslodatthecoutryesinwictheentysaresicnt for taxpurpoes a he asaitedTaxID Number belt coors TEL ELLE) comivororurl PTT TT LL LL] alts woctortaxtunose* Clresdentat 7 pesiness CJhegiteres omen Sa "Tax identiniction Identification Type] ‘Address For Tax Purpose” mt Numbers (TINoF Other, please specity}%6_|] Communiation adress []Pernaranthccres [Please nate the address below 1 T REESE Bae, ‘Gaur {a nba chide USA whore individ ia Ral goon cad fader oF USAC cae Tax Wenfcaton Nomar sno valle, hind provide fnctonleqivalorl FATA ‘CRS Certitcaion | haveunderstond the ikfomationrequretents of hsForm ead lor with the FATCA/CRS hstuctons anders & Condon] andherby Contra tatieforna- tien provided y me/us onthisForm tree ered and eampleteane hereby acent he sme Customer Profile Mandstory") ‘heommmtanseennvae sespsaseforNonndienenes tHE Ccecsnatin Slared | SifFmpioyed [| Uremsloved [] Retred[_) Housewife ["] Shident [] Poitcin[_) Source ofFunds Salary] Business Income [=] fercature E]—nvesimentincome[] Others lease pec hiction NonMoric] Undenradate =] Grad MostGradcan C)__ Gra / Pst ra Profesor F] OcapitiosSaaied WOcuratin sSeHEmployed Natures Craus (Hrsictss — ()Ponrietishn) Cit] Pofesimalservee Provider [] Asctive [Cl eulion Galtier Res Estte [lesrtneretitem — C]Puatesecor Cleoverment | tear] Money enter C1 setter []mtioaions —— teanvAssacan'seenyeu | no sty insures! [ troeay, sane, empoyersName ] Enolomene —____.. ‘ste Cuniomer havi ink wth ny Poa Exposed Persons [7] WOKE Salaried Designation eatin Code @ CIHUFDedantion & Mandate We theurderiene. focuses ard 28 MorogerKartaandElanana We ays surat . reves you'o take roti at we we membersof Hinds Uided ani ret antytem scary bis nde Uc nmeandstye tM bleh er ata wade [Dein urea amis nsage in scotyecapater notin me ate of heute ore We he ures ereb asthe (artaManages) 0 cpente wpe the Bank ccount several ital ransactonsentereint> antotigations naire ort te heeater cured by ten wl be berg Oa Fuh AV eS done e dno cars} wth Bar's uesahich ate force oF asad rom Cellee/ ret Cheques remtance/ Warant/ Rand aedera/ ECS! RTGS/NEST/ nstromentslisued ifort of. being the tartan the cco inthe HUF A/eNe of HUF ‘We herb undertaker dena the Barkin case of any/loss/csne/daraces/oenalycharesete sured bytheank en cceuntf our dorssaidinsrucion mandate Ph Dae Name: Signature Pee. Dae: Nae Signature. Puce Date Nane’ Senate Puce eames Sgr ‘reson rane recent ena a ay pewborsaig er ete ance sar thera aaa by hare Preece (ClninorDectrtion " . TypeofGuardan [Father []Marter [-]Coerttppsinted [_ltestamentaryGeactian FulnavestGuanion Me) mC] [1] | here declare that he date of birth ofthe minor whe sy is _/_J__ a Lam ister natural ad lanl aartian svatian apoirees by ‘our order, dited——/—/--_ apy endovel [shal represen the ald naar wal fur trasatone of any desrigtonin the above acount unilthe said minor atts ‘aor indemnity teak agaestne camo te sdoveinorfr any wtheraval/vanssctonsmadebymainsfher a-cunt (C1 Senociaen t pa nr Pv Sin Details of Applicant: Blood Group | AtewictoDnes (715) tvess:Dibetes [C] Hea otsease [] Hypetersion["] Newrlogkalbisene [] _Anvoterlsecty tals of Emergency ConactPerson Me] Ms [] nastuntipancartnager i ] hereby dela that am 37 yes acl above ada the ntormaton gens rue oe best of ry Inowaedge gre 1 abide by alte rues ane relations as determines by ‘Ads Bunk ron tn to efor ounce at Serer Prive Mek Crd ao are 6 side by Ue rues or elt of Uc ober of thi con and Ut Ax Bak hale ‘way beet abe arander ny cheunetancenretonto the Sener Pivilee MentyCareLE Te sau oningheie adear hl reco relsnoenogate cir ale lista efrratenlacorenupredey ne nteeensceact enalapril ded tteacourncair 2000 ome tltereinGtone norma 7BOheune Poa Ses aver be bod aban sbestfot ain somos fereee seb Farge ii stony wc rss ayo cin atom ar a oa mem warwick Ga hag Fet hg Seton and ire fn: oy href Chat re toe ao a nes ro ae str or ht re Reconstr gant sca opr sche adore si tot sy net cet nan antiga heart en caacton css eon mane ‘esau tracts aves mem te acnar sero! yan arate rete anfaprtte saan Aco ere acharat base acceso ae Inematentimeestereszecheatherfes Wer ana aoas tefl thea ee mjery bf anand ntesaratamactnshemaeeat ite titty te eal otasime nytt herons drei cute cs speae ly acs barnes rey le hol ray ela ye i ‘ise avsemset smacnse Pra many saan ares Sug oe wey ps ah on nr ea ‘cour Conon applet fay Seg: cast he) Year noe rede a aperi ofnethinny alaryAuunt the wean il beaagrstcaly cower a ara Swng Sou WN ‘ropa ration tot ops na a el yao ayia toasbar regu cto bution anaes bet Dtcheue botcare ancl secs oun ron delse| ile rode retain de aired chinnes och lba sce bark bed oestrus Serine Ae pcan ae cel roan hoe cara raves eg natupm i eareoniopore ahaa witty Spr Ustanl on time Wepre ard tit eal en pat it a trrevermatonal min scancnal Seah eretlenalrertamand hs ka ator Iradatsntromssnanconse| aruda nfomttebinmedte nee sonore} creat Dtat Cos inedtomy ace dato wari Aeeantpalce nme ae ‘conmitanst cuter: andere esa ase mal ras Ean deere abr aed por 0400 funeral fbb pomp and Pars ot ‘Slomnitte gave rg anterne cosy ese dnt tua nfrclocen tants lrcer Ui to nite sdeea omageetaneesrcninadoncans Hore weet Pew an sesso enh Se woe set th plus esto Ihe es 3a Bes Reisen an ov aanoncoones rm be tart oso so he sede eaten ie parte anatonedantion napa Wr onsocaie ste sorte yrashorted rant abbr b feb nce wee ‘Suomi rte nsthorselecvon kiran wit eso roosts sten ow recs eb seh vr oer ecvinghe {ity et asiome delecundfopstve ene smc lowet| aed okpumre abut nebes Pn iy Woe De conte hector eeesoate he ss Seteasernsanaas orm ale shed th Ons Canoe Soret r/o wth thr te ay arsanto ar srs th ed Conary PL ‘ereuradr hus made Theil betes nh on any estan tina coating merahreeson Goes ‘dean thatnesecunt shoe beopestedby me ar tar abetted | fa nc tke Wat ay ite as wl teas dein ry ote Bork eae to dosetne is cartel sng earner se rein vere awash Wane ate slo ened hrs intake esate cert aber the retry rs Castaneda ce nonap thereaned anna er RS ire: enc Cctoer ihe me ite ae unt rath metre Rae a: Ea bea ee bgt FAICACRS Terns sr Cncitons — “ ~ ~ Tieenedoerict Doct eniti ag 2015 fale 44 lie ey 149 re spon el nisi ante nk en aria {wonder oe rain rec eres ddaetanram lr axcancnodrs Inve ccesrvomaton whe eps trator sooner wali Sgn re rps oleung mpgs nolan rm the sour ny pede laon mera Shs rts omy arpa ermson ave ou pesecrrey sara oma Irth spur oy ustons butyrate encanta uty ans aan eran ender get pure ete Usted enc ah fe sng thou 5 tcdofeton are lel manasa aNer rt eile ca notch yarn euch oT ales tt ee ewe sea prepara ta forn Cee Dcaraton ty axreohV etm estre than RY apy nerey eat oreceing maton romana ‘Paoemee dove ceta cree escalate tae tan tae be arenes THE eee toe ad Ee Eee een ee Eston arcasarsine’ sntctania starstoninen st Sasa) Fognestson abe gocasten tana es neo mentees ranae pods) ensure one Sor eee ee en nee en ee ere (Gnesi s purer ot antancittecin 20 Sn se hyo mont ne Faars UTP pnssurnstonseron Sasa uroetin nnesers “as Sonora mare Segoe sisting Babine Relationships (Mardatorytor current acccunts on) lie dele that we erjoyeret facies ithany Bank |] Banks Grane ty Amour Detaiot Sorc counts [ if ] ] nec me i i | do hereby solemnly declare tha the information provided above s up toda te and correctand I hereby submiitmy recent photograph andseli-attested ‘photocopy ofthe KYC documents. ‘Pissed al inti fo Ft BLANK Pease haar ll rvantsecUonsand aun are conaleah ied your slccton a hen ony 2a tha For VPN, owe [ I wen, COTTE ELIT LILI LL] wotreccienivente (LTTE DL] seme enero ] | Netbe wretaet |] snd comertircade oo seseerno wensnaresm™ [TT [| O° SGERE ax | ] Gaemieccaiinte [LL ee Branch Head/ Authortaed Signatory Tire cou tab ant penn rn comes spc and lar doers bent in of toon espero te Breeds aranel am iret net ampere te gece overt he esinaon ‘he Accnntmay lewete cet pina (nce alsin inate cert ate casts as been perry $5. Number tocol inny peste Kany procentberest, 1.em Il ED LEE 4 [TTT TTT LEE +E] Indiidustor [JHUF ——Cureney Code for Curent A/C" amb ith Prien Apc fay) oman. sank reserves tengo canslase te cstoneriOs9sitmoy de het yr mite ___Fellonang NetdsFor new cutromers, any KY Madications or Ra-hYC Only extecry cartomers address cortact tak gen teow willbe update wall accounts Ned wien Ban Gender" ]](T)* Minor [J] Marriee (]] Nationality INDIAN. * stands tor thin gender’ tino Nino: Delton Sesion “i AN setae pes up Alora tration orn 0 FORMA) Fatkeritione “LELLLI TL ‘cet nna zat gain’ aaane ose mane hg Sidr aed ra Oso Suey OOOH acai. Aad Datals eallsl scons eter eri the cnc crest shad be ef the lt Chie ares tx not beet [7 Saness primary holder Pease note the aeéress below someame [TTT EEL ELT TT aero fui come nal est wey ace ater ena ane Permanent addess? [I Simeascomnuncatonsdiress Cl Reasenate he adressbaiow ardor? cy voc (TT TTT I(T TT TTT TTT TTI) ~~ T essence Tyee Owned ["] RemtedLeaed [-] Ancesvavraretal [-] ConmparyProvced (_] PstenedLarguage! Communication Cixtomes information (Mandatery") Alar areas Status Bind] PhscalyChatlnged{_] Pardanshin-] Norma] titerte“]——speciaiyatiet ] Awmutivones|SOSOSOSSOSCS*d ri GD — ConsON Cote ‘Krow Your Custom” Arcaunteneningtorghesre [T][E] rans No lese provide KV docimentsitachoholacepc of he lowing docarants nd produce a ogra epi of hse decurent or verihestor) E IE IE I If If ] E JE 1E It It I 1 ‘Declaration & Sinai eh somal cee that hen fomation ase above upto éteand caret here sutmitmy recent photograph ands ttstedphotoceny othe KYC documents “ipaiae of asthe ade owe COLLET om STI ‘Information On Other Products & Offerings” ‘hereby aces Ais Dark/Subslsoes/Aiates/ Agents contacting tor varour other oduct updates marktingoremotiansapclalafers Third Paty Prducts any auch (etoeiemcoomttrccteshieratonteshtnat IE] sos) reecif I greanennCaneunmenentnonatmtn i 5[my Access Your Account = int Applicant rly NatApplcabforHUA Nominee nite sane otoun oes nate crerappca OMY Ge Debit cardiOnly forNontnsta) [IC] Nameon car Crestor Lint 12 ‘rotted crate fatal tt res aumserasneoy ormpany Nave pir SiaySBER NEC ies cs OW) {ou acne fone bie a ah Cal Conte Doineatmn® Busines TIES ‘L1Form60 Fornfor decarstonfobe fled by an iil oraperson ot eta compa orf) ne dees no thar a pemanest acount number and whe Snes nt ony ornctonspectbev ial 3343 Dacotone [|] n Ao TT IN PANnot ape fiestinateotallnceneincuding ince pause minor chit etc asper | ® [Aseivaticone TTT H section staf name ax Ae, 2963} ar the Gna yarn wich theabavetrarasctonated [b [Other thin Agrcutwslicone@) || {| | 1 11 1) Verification \ ‘ther declare that wats sited aboveistruto the bestof ny kaon ad elit Trther declare that donot have aPereanent Account Number ard my aur estinated ttl come tincludrg income of seus, ior cl ee as per section 64 of Income-tax At, 1961) crmputed ih _scorcence wit the providonsof hcome:tax Act, 1961 orthefnancelyearimwhch the above transactions ek be ess than maximum snount nat chargeable totsx Verihec toca, Date Pie “CIBATCA+CRS DECLARATION presi lel x siti vane? F lamataxesitentfndiaandootresifentt any othercountryOR | larataxresientol the counties mentinedin he table below Pane ob en sa ete Do pad tctAN ann notte etre toaeton [7] sec niente] cova FETT LL LTL] eoevetorte( TTT TTT TTL] As oetortoctunore- (Reisen) Basins] Reasons tie Canna | Renton Taentication re | “RaioseFor Tax Purpose? Number’ (TiNor Other. please specify)% _|["l Communication Adcress[|PermarantAdcvess [Please note the address below ‘aocna fin LLL Sit Coy ‘ Toako cule SA where the nd ze een alder of USA neat Tax dencaton Number not aval nd provi fenconal eae FATCA {RS cetbeaton Ihave indestondthelfrnatin requreretof hs For bed dave FATCAYCR traction anes Sonn and erty Coan hor {in peed by mefssonthcFarm tus core. ad compte andes accep he ane “Customer Profile Mandstory") ‘cupaten suared [set Employes) Unempoyes [] tetiea|]Houewse [] suten;()roincim[] Sowesoffunts ‘olay [] Bushes incine["] abt] vest icone [] ots pease, feveaton onMatne(] Uniewadsate[] cra. osicadcen [] Grad/ Ps. cradPratesona 7] Hoceapaonls Stared oes Sel tmpored ‘Peseta sian cle poe a No esse THU a Nature Business ee) Clrvtsica —ChPrometontie| C17] Pratesiorat service Prove [7] aeture [ Butlon sd Jweery [7] fal atte Branson — Eleuiicsectr )evermment | E] eader [] Money tender Ti secktrcter Dron Trat/AnoctenSecetyichb | 5 nanyensinguiness/ ] Oca sSlaredEmgloyer'sName plan —— [TIED Woe Stared, Oesension |Ocaunstion Code & Ise Cstomer vin with an Policy EotedPenons (Diner beeen TwoeorGuanton: [ater Nother icon fozined [estar Guantan “omo [ O11 | hereby declare thatthe date af tho the mina who ism fe _/_J___ and am hier natura and lanl aurea suai apcired by coir order dated ‘misor mal ttre tareaction: eapy encod) shal represen the aie ‘of ay descriftion in the sbowe account tl the sa mor ats ‘major. Indennéy ihe Bankagarsttnecaimof tneabove ior ray witheranal/vansielies nade bye niche acount, (Cie cien Card it seen) DetaisofAppicart: Boot Group AeptoDnes 1] Neurdogkalbisase [] Anyosher(pecity| LITT I FulNameotGunsan o MeL] TTT LI Dtalisot Emergency Contact Person Aetiensip with Crete: [ uowgoes ‘hora declare tat am 57 yersandsbeve andl therfrrationsvens tne othe best a myknowlge | agreto abide lhe ules nd regions se deteriedby Ais Banke ‘ranvemeto tine lr Ssuatceot Snir Prag entity Caras greet bic by tnerules nd regutionso theussge of ths cad ad iat AvsBark salir Way be el TabeTor ‘Under any drcunancesin eatin tothaSonr Privlge entity Cord Tam aps Gapinat aac TATAKnew Your Customer (Ks er for Individual fore ie ELT ‘Name (Sane as 1D proof) FabersName’| aI co Fj A IF IT PTT} LE [TTT CITT) CO — raseitninote [ALI LLL] emettrmmmrmteanisenvtovesron cxvcnmeer? TTT ELLELLLLLL oiretimeesivone ETI EICL EL] smite int Occuatintie —CJiatesecor ClPiaieseeer ess tesa Clteteroined E]eine — Jhowewte sweet ere ec that he dessus stove se re ad correc othe beso myiur ane ad bee nuns Interyovaf ny changes aren medal Ina ary ofthe above lvornaton uns tobe Faber oruror misao o« [IEE 1 There nent toreceing ination am Central KNC Reps hroxch SS.Ematontheabowerexsredmunberiomal ress ‘Name (Sana D raoh) Maiden Name any") cH TT} C1 Mather ame” LW} LL a u LTT ETT TET TT) CEL l Spouse Nome! Passport Expy Dite [TTL] matic snr povieds invades CKYC Number vie eeose rv Oiate Cseremioes — Cretiee Dhossemte stunt 1 erat eco tht nedeunrnanesatove ae tus nrc thebestof my/ernanlesa od beet nd unsere Intoryevot yy hanes thereat as ar ofthe above Yorn oun tobe Fos or erucor msde ot Imsreresrting, {Weare gare th ve my be elite ot ] test ithe lit et Lipsiiesector — C]omrrmen sitar] shnne —] frtestnal ith Contra RYE Repsty Plc Name (aes 1D proof) Maiden Namely" Fanerstame’ Mathers ame! Spouse Name ] | ] [| ] l | JIT tT} Le q Passport Expiry Date 1 i ] Matai ram poviedalintAePrnt CHC Nunta | | Diving tenes pry Date Occupation Noe? (Cloorermensetor — C]bisnes 2) potesonat [hossewte Cistucent ~~ Declaration’ rations ound tobe fase aur or miskadig or Repsey Joan rm Cel KY Rep trouh 246ml onthesbovs reiterate aetee Phe —feito’. ETI | I biden Namettany) ] l ras a! fae ITT TT TTT) CEEEEE ETE) COT stra Co] ee } (PTT TE i Pessport Expiry Date EREM Roque iPass wove stent aatiess Prot CKYC Number! [| | LLU TT) oivretanmemivons CL ]loLo] L [|| mmintroninotiandesctinant Cmts! CJ laisior LJRbietwer commer ]Ouinem tote Cstemioet Cries Cine sce * hereby dedaretha: he detalsmshed above xe tre adcorret to thebestof nyo now nd belief ad lundertake to s+ Mypesonl KC state may tadithCertralK¥C Reps ooo Thea conan toreebingntutionton Centr KYC Rags hough SUS/Enalon he bo rested numbers ate [ Pla a DecunentsRecehes _|Certhed Copies |] EKYCdnarecevedieomUIDAY |_[Datarceledtran Offnevesfction [| rgtalKYC Process |] Equvalentedocument Tl videos ve 8 KCVerfeaton Cartes oxty 3 ioiy wetter — doe ove EDT] ] 3 Ep Cote mo. Besimaton: mp. ranch $=Credit Card Application Form ForSavings/ Curent Customers ‘croo} Power of Unlimited The cord for . pear ane [] MY ZONE “rave Benciis = |_| Pivlbge Cord Ising Fess 2500, Joining Fee" -*1500 Waves von spends ‘ual Fers 21500 e000 ine riyeer errs esta Fn wae Annual Fees 8500 oe scion yet ona enh Net ncone = tne of 2 Stathe Monthly Net name Monthy Net Income. (2 ee! enverds pence emanate F500 45,000 5,000 73/000 ving Fos Wega ole Pany Caters CEs Nome as desired on Cand LLU LUI [_] ote Cea Sedor | Public Ld.) 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Fixed/Recurring Deposit 7 Leeda i ion ne l ieee , Mode of Operation Dser sine Sov AC tapi tert’ “woud reedFxesDepestnthetomat kere! [-] Recpn—]Phscatarice— [leadice_fnliDhnereater ncaa “Woe Deposit Account Sxonuttmtatmtanoint [T | | | wanna AC cet ree [| mens [ ays Pera oun nie nos trent Pon ickones ]cansaveieivesment) Monty tc) CJeuarerhv@) ‘astorenewat [| |] (NoautorenewaltorecringDevosts) No,of tines socio; [7] |] Wrensleme i-wmence pataramATURTy PROCEEDS Sten bt NC. TOT D(C lotenmon Sneath rostobedsictat [7] tm [] seieaveno on [ |r [[] Ne. Tos-ecemot ceterence No LILI ]toseremptsubeissiondste [OT JETT TT ee sot OD ceettvaissonaens TTT PET he ya tnt or erent nder None Caister csc ects rtarocbetunrthel BAe Hepat cartayneenerien ope re eso ar ere entrar yecand ate prea ited aorta pean ae dt ite bankot 1c below the coreracte ate, Mcrae cen Ras Tey Gal ceed hi gusty eau elton! 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TLL LLL] twos ‘teamount standing my creitin the Pali provident AcceuntNa, a thetine ot my desth woul bepaabie ‘Asthenonines (i) bedifed sbve are itor pao he folwingas guaran Gh torecevetnesumdue mer thos account inte event oy death dur the ino the nominee Signature of witness ows IED Nana oan Name and adress: Declaration | sree to abide bythe provisions the Public PrvidentFund Scere, 1268ancamendnent ited the eo fram meta time \Therebydedarethat amet maintaining ay othe Pubic? rovident Fund Acsoune Ic ierebyeare that an not maining ay othe Put Prevent Fang Account except an accountonahl fami Filer rar thatthe desl ther Pu Provident Fund acca conned ele by maareat unde eae ee \VROPPFIn Casa Fornv3P 01-2018 11a dcr at shal adhere totheceling on deposits a5 prove forby Gena Government rm tmeto te which #3, 5.000% rt Account nil Sl Been ant Acent(s}on hot of minors) ashom amt ‘ofthefaloning type of Publi: Provident = ‘Setar tone ound untrue na terest shal be payable tome! the ubzcrberon te scant cpa found inexcess athe reset imi ofthe rendayanethelast day every macth 2 na tran yearat resent nach suseian nese a any nm thei‘Rules Regulations (Custome-Copy) . hc mn aati ae ens ee Ere args eT ans eit irc, (pesca cen 200 or nar barchesto ncaa b/c oePO ty Servens hance loerondesy hank ay bet con ane Tecan ce si {Sinisa onsnwosouracoant ensigns enn anaes ak aces arr ocorons tw tare iar tmaydect wos ay stam feee Oe Fee Chee ne pce onc mrne sane ste rnadby maradona Sree erg en erate EST te ‘Eo ngs psn oiled os nest nA Be pa restau oncaly aero you Sateen escapade flores ae haar churn Son atte hatAychrenncaruatn tsa Cup ores na vat otras Sedo sce ag etree apa tre ‘cova frees iteaccynotaaeauher os ost ani ed dr nsrfnrg taf cron poset a dg rofrore ‘ninatontrexcn wmrspohethenate 3 Wher noah her estat sare sty tice neohome aie aly tetany omc annoy wou dorama esr iid oe tec cea ‘Sica prod certo ete get mac ane cant onres aah tba nce sem ba san ae ncaa hans nteaccnriresons poor Sts ‘Srv iy xref ar snr) cars scent Cons opie Sy Senge sagen Wsiayebe eoatsrspr Sorn n SaayAcane Me Scat wile senate anormal sis a ious wh sage ar ft) ls ah aren boa ee Sed oh he Eset Hoty erases Brey sso ns on al ey snore Str tonal avaten pial pte we ‘Bove Sarin hc tarts teams conto sh ier eons Chie Aue cl onary rg ‘tar nn rains so ea tg meet innal nse nd Ub bank net ue asrangtom ch ucmure aca nsrate anor te an roy ‘avait chu ets Cra Deb Cal rel (oy coon Dust card These he be caw be horace woh Ean Conl eee owin eee sae ere ‘er is tetera ether eruaerapsnert e109 die omens hefty eee Bark of ser era ore ee ge {ttt une hes a ero ancy ease berm &condtacin re elie ct thn fe wo kena apes wade tesa Uwe seas oe ta Sal eae meeps tpn ineyfeecaang acre tonarmens ew csetne pee enicate ta ceherssehes euctermy acerca ‘mor sbingecincot in swab rarer Pecanlettansanbar to sya er el nae leon tito ay urate a. ea ke pan racemase any caeanse Sean omaten« hy spent ny seas nua peoons emanates proved me oan kt ‘lication hry bec eaten ort stan eat myo trstoR nd ‘esenwch ne kaye se ard ares al een proieey med syrae telungsranals sen rin wena ton seicsar alt, sat ‘toaalon rondigivnte yupatn eserves rast ekeormncoer eae ncn ntwoko ny eae eastern pes oY {hebane’ Atv roe yar cag eran enero ost cis ages rae an ren wast er bane ee at certo ace mes ancmstaye eto comg wept spe anon tee ioe ee aye Pes cy as orev const esheets twarcuctinefestalietre pest wdfecarark ove alr sal flonerte wuabsto sales resins net tase touchpotoseners Teta ‘ylccrisemefongsnc comers scoreline ns psy anit facet ned ere ‘ne raced ree ia pe ada vb si ew car rcng si aon ted aelen ‘fen ang aver mean understate Bomecromaton lar OT so yah stane stn hase at roe auteteonibe ed iy or ahs ‘din heave ar huetzao sy ane tse UDR rsd mathe pfs son at oa Bk Sl esate code OY (vary as rv orn war ar bed seein Sen ery arte rae Ws aaa bot sr frre pronertonirne oe ore sc the Aaa ashen esate Ws Soy nd seas may Puan dit osog rtp arenas Clos oe TE eben harry Ac itl san ean aha eases onsen te hee moe Reesor oa eed {cet tin my acer oae ature elated welane ard Bk wa esarapesns nny sade atest eau Wuroar ee crane {heat of su seg aretha aazepnemmtete stcnsesgant eet cures men aes mer meee my aan oes ore ‘Xie othe shove ncaa oa ara Ale aime Cet Comat Cnn md Ceres elon ot see aoa Ses cheer nan ‘Sets nm 8535s le prncoaetan wayne vader apa nda al ean eneknafb eae, ihe tier fepuvre rd anacarmiipran om ns rhe pao a Noman ura nmi! 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Decralon- entrar ethopeaton nt Acar fees “ cont ine slr ak el Caan sah eal hve linet hrc asthe ct |apeeo belo ig ra Fe CS mappa rine ee cant Type Lining Fees ‘Anrsal Fee CCondition/Waivers/Vouchers (@ndyearonwards) Privlege Crd Wied 71500 ‘Annual ges wale en sen of tore yeasores) eas idee yer oO “ Complimentary 2 Vata vouchers Divo Cord fe¢# 2300each) mactvatenon wth united evel betes) 1500 e150 teanscton itn 0 days fa o tendon seis 223 Myzone _biing Fee waived on specs of o 130 500 psoonints ce oO Waived 280 etree cnimnop: Thatta ineann mine done emma ene “ \Va00SeinghOF& creit ord3001-2018Non-individual:FATCA-CRS Form NTB (Mandatory for HUF Account Opening) NV N00 2)Naneotthantty* [| 2ytitng Cte) Yes Ct LL [Je Cironwsos asa filadéressdetaisele w I LETT) 4 dress orTaxpurpse” 5) ther Aero: cy sete courte | Jemowe fT TTT 1d 6) Address typefortax purpose’ [Residential [_] Business [_] Registeendl Office Pres ck oat resection A re) Entiat rien oa ad tert of an thr cur OR [El enti tcrsiento the counts mented inte betan Pease inate he couninesin which hn ery ares rtnonses ate asia nN brow ‘Goantry “Tax identification Number eentiestion Type TiN or Other, plesse specify nave Tx entiation Nbr ot valle Kindly rovde funcional evant In xeathe Sry Country of hearpantion/ Tox reidence ie US. bt Ent ienata Spec. Peon melon Et=eamytion coe! hare Cwnerdocimented FT should pravle FI Orr eparting State Part (to be filed By Financial Institutions er Dect Reporting NFES| 1 Jweaee in rave eae kar poe Frc ta o Note et aro bu you eres by 5) aapteor lo tect epocng re isso scree cotide ai y Fallon oo abe nyo Fn tae Gk erent) ccd arcs - nese oe pete see cM ahr [7] Moteautedia ovr Pree secy steamy) nate spor nane tele mest seovotngenty, ——— | peor povie nth For wt-BEN- au en notebtaned: Non prsepoang Per plat filen yo parrot tobeFiedby HEE‘ tha thn Drak oporg NFER 7 [Pee Entra pablicy eased company than The cee ona net an (yes, pase speity anyone seek eachange upon whichthe stckibregulny raed) established securities marke) ae ofthectoceschang, 1 [bie Bay ebted enya pach ated Ties cameany’- acomparywsose share are regubrly Name ofthe std oma thestock ef hich egal ade des on anastbishedsecurtes nactet (yes okase spelyanyonestek exchange upon whichthe stock regula 7 adeeb Name ofthestocceschang. Nature eton: [Csi ofthetisteeomsany [C) contoied baste company 3 [bth Enyce NPE Tis ature otbutiness lec speci the siretenary of Active NFE (merion cove ofr 2 af Part) 7 [ee Enya oma NET Tie ‘Reler {Vil ofPar D. Refer LoFPar, Rafer IV of ParkD, Wofer TA oFFarD, Rel DecfPartD, Wal erBbaFParD, Refer deofPartD, Reto SiperParD, aces avibaf art | MWe have undersioed the jrfornation requirements ofthis Form (rexd along withthe FATCACRS instructions & Defintions under Pat D) and hereby contr thet the Infertion provided ty us on this Fo & True, Cone ard Complete Ie as contre that IWe have read and understood the FATCA-CRS Terms and Conditens above Aandhersby aceeptthesame ‘Auorised Signatory Name Authersed Signatory Signature ‘Autorsed Signatory Desination ove COILED te Branch Delavan | ‘Wenave made ofortsto Hens he enefihl onnars/cntalinnesone ofthe sf Company Theda Furnished spovaha/ebeon vere rom rYornatonaatsle treugh conststioal documents, pb cama. . 15 .OCA Name of the customer Dae. Residenfial Address (Write Land Mark) Contact Nos Pas: Of: Mob: Distonce of the residence from the Branch Date & lime of Visit ‘Name of the Person contacted The following information is based on observations of Officer doing Field Verification: Residential Status Family Members: Assets Noticed: Other Info. Self owned Owned by Relative Total No Car No. of Yrs ived* ‘uned by Paren's Rented ‘Working Two-wheeler ot this Pace Company Accom. |.) Owed by Friend Children, ACIFridg ‘roo Sa.Ft Lodeing Poying Gvest Adult Dvowec Approx Others * Employed at this offico/firm. ‘ype of Residence : Details verified from: | Locality of Residence: Flat Row House Watchman Posh Locality Meiro Independent House _| Chow Name Plate Upp. Middle Class | Urban Bunglow/Row House. _| Hutment Neightor Middle Closs $-Urban Temporary Shed Part of ind, House Society Boord Low. Middle Closs Rural Jonta Flat Others Compony Board Shims If the epplicant add. is locked, the following info. to be obtcined from neighbor Ease of locating add (Does app. stoy af this residence Fey Soin Not found Customer's age No. of family mambars in his house ‘Appox. time, when app. Is available at home Comments on the verifeation Thereby confirm that | have personally vied ond verlied the aderess of the customer os per the address mentioned in Acccun! Opening Form, or checked wih the Employer Corporote, as the cose may be. The above infornotion which hos been completed by me is true and correct Nome of the Officio Designation. Place: SS. Ne. / Emp. Ne. Final Recommendation: Corlfied by : Branch Head / Operations Head Branch Head / Operations Head to ensure that no space is left blank and all details are filled in. Guidelines for the staff for completing the Field Verification 1 Adress verficotions haste be conducted independent ofthe customer. nether words, the visithos to be undertaken without priorintmatin, 2)Customer ossistance should not be token even ifthe branch officiel is unable to locate the address. In extreme cosesof dfculy, he nearest Post (Office maybe aporoachedfor assistance in locating the address. 3ilfthe applicantis atenant, the landlord has to be comaukorily contactedin order to ascertain he bonatidesof the arrangement and also toknow whetherthe landlord haedanehisdue elligance. AlThe photocopies of the KYC documents chauld not be certfied without physical verfication of the originale and comparing the come with te copies eubmitiad by the applicant, 5)Call oll the contact numbers providedin order to saisly yoursell dkout their honafides/authenticity. Where the mailing adress is thet of the employer, comments hove be invariably given by the Bronch verifying offical on the status of fre employee. permanent /temporaty / ousouced.