Account Opening Form for Non-Resident Indian (NRI): Individual A{Zdmgr ^mavr` (EZAmaAmB ) Ho$ {be ImVm ImobZo H$m \$m _ : ì`[º JV - PDF

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Account Opening Form for Non-Resident Indian (NRI): Individual A{Zdmgr ^mavr (EZAmaAmB ) Ho$ {be ImVm ImobZo H$m \$m _ : ì[º JV Tatkal Non-Tatkal Walk-in lelkeàeue iewj-lelkeàeue JeekeÀ-Fve Application

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Account Opening Form for Non-Resident Indian (NRI): Individual A{Zdmgr ^mavr (EZAmaAmB ) Ho$ {be ImVm ImobZo H$m \$m _ : ì[º JV Tatkal Non-Tatkal Walk-in lelkeàeue iewj-lelkeàeue JeekeÀ-Fve Application Date: DeeJesove keàer leejerke: Date of Opening Account: ImVm ImobZo H$s VmarI: Branch Code: MeeKee keàes[ H $nm \$m _ ñnîq Ajam _ hr ^ao & * (ñq ma) {M dmbo ImZm H$mo ^azm A{Zdm h & I/ We wish to open my/ our Non-Resident Account at your branch. _ /h_ AmnH$s emim _ AnZm A{Zdmgr ImVm ImobZm MmhVm hÿ±/ MmhVr hÿ±/mmhvo h & NRE Preferred Account Number: SveDeejF& Hemeboeroe Keelee mebk³ee: I/ We would like to subscribe to the My Account My Number program and would like to select the above account number/s based on the search criteria below. Choice Criteria*: e³eve ceeveob[*: NRE String SveDeejF& efmì bie SveDeejDees Savings Account: ~MV ImVm Current Account: Mmby ImVm String efmì bie Initial Deposit Details/ ÖeejbefekeÀ pecee keàe efjejejce: Cash Cheque No./ DD No./ TT Ref No. dated on Bank for (Mention Amount and Currency) (On IndusInd Bank Ltd. A/c (Account Title)) Debit my/ our existing IndusInd Bank Ltd NRE/ A/c No. for *I have been informed that I need to maintain an average balance of for the account type indicated above. Fixed Deposit/ ceer³eeoer pecee: (Select 1-10 digits of the 12 digit account number) (12 DebkeÀesW kesà Keelee vebyej cesw mes 1-10 DebkeÀ egvesw) (Select 1-10 digits of the 12 digit account number) (12 DebkeÀesW kesà Keelee vebyej cesw mes 1-10 DebkeÀ egvesw) I/ We hereby agree to the terms and conditions of My Account My Number program and understand that the allocation of account numbers shall be done on best effort basis, subject to the availability of the requested number in the product mentioned above. Account Type (Select any one) ImVm àh$ma ([H gr EH H mo MwZ ) Product Variant (Select any one) CËnmXZ Ho àh$ma ([H gr EH H mo MwZ ) NRE EZAmaB OR / ³ee Signature of 1st applicant nhbo AmdoXH$ Ho$ hñvmja TPE OF ACCOUNT*/ Keeles keàe ÖekeÀej* NRE EZAmaB Regular ao½wba EZAmaAmo To open multiple accounts, please check against respective account types/ EH$ go A{H$ ImVo ImobZo Ho$ {be H $nm g ~ {V ImVm àh$mam Ho$ gm_zo {M bjme ~ NRE/ EZAmaB / EZAmaAmo FCNR/ E\$grEZAma FCNR/ E\$grEZAma USD/ yegs r GBP/ Or~rnr EURO/ yamo CAD/ gres r AUD/ EyS r EN/ oz Fixed Deposit amount/ _rmxr O_m am{e Rate of Interest/ ãmo Ho Xa % Fixed Deposit tenor in/ _rmxr O_m H$s Ad{ rs./ df. Months/ _mh Days/ {XZ Page 1 Preferred Account Number: SveDeejDees Hemeboeroe Keelee mebk³ee: OR / ³ee Sum of Digits DebkeÀesW keàe pees[ Sum of Digits DebkeÀesW keàe pees[ (Mention sum of digits you want as account number) (pees Keelee vebyej DeeHe eenles nwq Gve DebkeÀesW keàe pees[ metef ele keàjsw) cewq/nce cesje DekeÀeGbì cesje vebyej ³eespevee keàs efveyeboeve SJeb MeleesxX mes mencele hÿ±/nwq Deewj mecepelee hÿ±/ mecepeleer hÿ±/ mecepeles nwq efkeà Keelee mebk³ee keàe Deeyebìve yesnlej Öe³eeme keàs DeeOeej Hej nesiee pees efkeà Thej GefuueefKele GlHeeo cesw DevegjesOe efkeàs ies vebyej keàer GHeueyOelee kesà DeOeerve nesiee~ EZAmaAmo Indus Maxima B S g _ pšg_m (Mention sum of digits you want as account number) (pees Keelee vebyej DeeHe eenles nwq Gve DebkeÀesW keàe pees[ metef ele keàjsw) Both (NRE & ) oesveesw (SveDeejF& Deewj SveDeejDees) Indus Select B S g [gbošq Both (NRE & ) oesveesw (SveDeejF& Deewj SveDeejDees) Indus Exclusive B S g EŠgŠëy{gd vekeào (jeefme SJeb keàjswmeer keàe GuuesKe keàjsw) (Fb[meFb[ yewqkeà efue. Keelee (Keelee Meer e&keÀ) keàe yewqkeà keàe, efoveebkeà keàe eskeà veb./[er [er veb/ìer ìer meboe& meb. keàs efues cesje/nceeje ceewpetoe Fb[meFb[ yewqkeà efue. SveDeejF&/SveDeejDees Keelee veb veeces keàjsw~ *cegpes megef ele efkeà³ee ie³ee nw efkeà Thej efveefo&øì Keeles keàs efues cegpes keàe Deewmele Mes e yevees jkevee nesiee~ Issue pay order/ DD in [mention currency] and mail to me/us at the mailing address (quarterly) [H$a gr H$m CëboI H$a ] _ no AmS a/ S rS r Omar H$a Am a Cgo _wpo/ h_ nìmmma Ho$ nvo na S mH$ go ^oo X ({V_mhr Amma na) Reinvest with principal amount _ybz am{e Ho$ gmw nwz{z doe Other AÝ Name*: Mr/Mrs/Ms/Dr/Others Zm_*: lr/lr_vr/gwlr/s m./aý ãmo ^wjvmz AZwXoe (_rmxr O_mAm Ho$ {be A{Zdm ) Credit my/ our account no. with you (quarterly) AmnHo$ hm _m OyX _oao/ h_mao ImVm g. O_m H$a ({V_mhr Amma na) Note - Interest on FCNR deposits is compounded half-yearly. {Q ßnUr - E\$grEZAma {S nm {OQ na ãmo N _mhr _ Omo Sr OmVr h & Gender*: Male qbj*: nwéf Country of Birth*: OÝ_ Xoe*: DEPOSIT MATURIT INSTRUCTIONS O_m n[anšdvm AZwXoe Renew along with interest for the same period Cgr Ad{ Ho$ {be ãmo g{hv ZdrH$aU H$a Renew principal and remit interest by pay order _ybz H$m ZdrH$aU H$a Am a ãmo H$s am{e H$mo no AmS a Ho$ O[aE ào{fv H$a Remit proceeds by pay order to the mailing address AmJ_ am{e H$mo no AmS a Ho$ Ûmam nìmmma Ho$ nvo na ào{fv H$a Credit proceeds to existing account no. AmJ_ am{e H$mo {dú_mz ImVm g. O_m H$a APPLICANT/S DETAILS/ AmdoXH/H$m H$m/Ho$ {ddau Other AÝ Cust ID (For Existing Customer)/ J«mhH$ AmB S r (_m OyXm J«mhH$ Ho$ {be): F I R S T N A M E M I D D L E N A M E L A S T N A M E Female _{hbm Date of Birth*: OÝ_ {V{W*: City of Birth*: OÝ_ eha*: F I R S T N A M E M I D D L E N A M E L A S T N A M E 1 PAN No. : 1 n Z Z. : _m± H$m {ddmhnyd Zm_*: F I R S T N A M E M I D D L E N A M E L A S T N A M E Country of Residence*: {Zdmg H$m Xoe*: Passport No*: nmgnmoq Z.*: Place of Issue*: Omar H azo H m ñwmz*: Visa No.*: {dµom H«$_m H$*: Overseas Address*: {dxoe H$m nvm *: Date of Issue*: Omar H azo H$s VmarI*: [dxoe _o [Zdmg Ho gmb*: Type of Visa/ Labour Card/ Work Permit*: {d Om/ bo~a H ms / dh na_rq Ho àh$ma (Visitor & Business Visas are not allowed/ AmJ VwH Am a ìmnma {d Om H r AZw_{V Zht h ) Visa Issuance Date*: {dµom OmarH$aU {XZm H$*: Nationality*: amîq rvm*: Date of Expiry*: g_mßv hmozo H$s VmarI*: Date of becoming Non-Resident Indian*: A{Zdmgr hmozo H$s VmarI*: Visa Expiry Date*: {dµom g_m{á {V{W*: Landmark: b S _mH $: STATE: amá: PIN/ ZIP*: {nz/ {µon*: Fax: \ $Šg: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a ID*: B -_ob AmB S r*: Indian Address: ^mavr nvm: CIT/ TOWN/ PROVINCE: eha/ ZJa/ amá: COUNTR*: Xoe*: Tel. No. Resi.: Q obr. Z. {Zdmg: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Mobile No.*: _mo~mbb Z.*: Off.: H$mm b.: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Country Code amï r H$moS Number Z ~a Landmark: b S _mH $: STATE: amá: PIN/ ZIP*: {nz/ {µon*: Fax: \ $Šg: Mobile No.: _mo~mbb Z.: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Country Code amï r H$moS Tel. No. Resi.: Q obr. Z. {Zdmg: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Number Z ~a CIT/ TOWN/ PROVINCE: eha/ ZJa/ amá: COUNTR*: Xoe*: 1 For accounts, PAN is mandatory, in the absence of which Form 60 is to be provided. 1 EZAmaAmo ImVo Ho$ {be n Z A{Zdm h & n Z Z hmozo na \$ m_ 60 àñvwv {H$m OmE& Page 2 Off.: H$mm b.: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Preferred Address for Communication: Overseas Indian (please Tick) nìmmma Ho$ {be dar nvm: {dxoe H$m ^mavr (H $nm {ZemZ bjme ) Cust ID (For Existing Customer) / J«mhH$ AmB S r (_m OyXm J«mhH$ Ho$ {be) : Name*: Mr/Mrs/Ms/Dr/Others Zm_*: lr/lr_vr/gwlr/s m./aý Gender*: Male qbj*: nwéf Country of Birth*: OÝ_ Xoe*: F I R S T N A M E M I D D L E N A M E L A S T N A M E Female _{hbm Date of Birth*: OÝ_ {V{W*: City of Birth*: OÝ_ eha*: PAN No.: n Z Z.: F I R S T N A M E M I D D L E N A M E L A S T N A M E _m± H$m {ddmhnyd Zm_*: Country of Residence*: {Zdmg H$m Xoe*: Passport No: nmgnmoq Z.: Place of Issue: Omar H azo H m ñwmz: Date of becoming Non-Resident Indian: A{Zdmgr hmozo H$s VmarI*: (Visitor & Business Visas are not allowed/ AmJ VwH Am a ìmnma {d Om H r AZw_{V Zht h ) Visa No.: Visa Issuance Date: Visa Expiry Date: {dµom H«$_m H$: {dµom OmarH$aU {XZm H$: {dµom g_m{á {V{W: Overseas Address*: {dxoe H$m nvm*: Landmark: b S _mH $: STATE: amá: PIN/ ZIP*: {nz/ {µon*: Fax: \ $Šg: ID*: B -_ob AmB S r*: Indian Address: ^mavr nvm: F I R S T N A M E M I D D L E N A M E L A S T N A M E [dxoe _o [Zdmg Ho gmb: Date of Issue: Omar H azo H$s VmarI: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Mobile No.*: _mo~mbb Z.*: Nationality*: amîq rvm*: Date of Expiry: g_mßv hmozo H$s VmarI: st Relationship with 1 Applicant: nhbo AmdoXH$ go [aívm: Type of Visa/ Labour Card/ Work Permit: {d Om/ bo~a H ms / dh na_rq Ho àh$ma Country Code amï r H$moS Number Z ~a CIT/ TOWN/ PROVINCE: eha/ ZJa/ amá: COUNTR*: Xoe*: Tel. No. Resi.: Q obr. Z. {Zdmg: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Off.: H$mm b.: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Landmark: b S _mH $: STATE: amá: PIN/ ZIP*: {nz/ {µon*: Fax: \ $Šg: Mobile No.: _mo~mbb Z.: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a Country Code amï r H$moS Number Z ~a RELATIONSHIP DETAILS/ g ~ {ddau Indus Smart Sweep Instructions/ B S g ñ_mq ñdrn AZwXoe 2,00,000 Tel. No. Resi.: Q obr. Z. {Zdmg: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a. CIT/ TOWN/ PROVINCE: eha/ ZJa/ amá: COUNTR*: Xoe*: Off.: H$mm b.: Country Code amï r H$moS Area Code joìr H$moS Number Z ~a H $nm _oao /h_mao ~MV ImVo Ho$ {be B S g ñ_mq ñdrn' g{h«$ H$a {OgHo$ A VJ V _oao/ h_mao ImVo _ 1,00,000/- (ao½wba ImVo Ho$ {be), AWdm 2,00,000/- (B S g _ pšg_m ImVo Ho$ {be), 3,00,000 (B S g [gbošq ImVo Ho$ {be), 5,00,000 (B S g EŠgŠëy{gd ImVo Ho$ {be), go A{H$ am{e hmozo na Cgo 25,000/- Ho$ JwUOm _ _rmxr O_mam{e Ho$ ê$n _ ~wh$ {H$m Om gho$& H $nm _rmxr O_m H$mo 1 df 2 df H$s Ad{ Ho$ {be ~wh$ H$a _oao/ h_mao ~MV/ Mmby ImVm g. nm ßV eof am{e Z hmozo na, H $nm _oao/ h_mao ~MV/ Mmby ImVm g. go {Z{m A V[aV H$aHo$ AWdm _oao/ h_mao _rmxr O_m ImVm g. H$s y{zq m H$mo Vmo S H$a MoH$m H$m emoz H$a & Mode of Operation*/ n[ammbz {d{* Single/ EH$b Either or Survivor / XmoZmo _ go H$moB EH$ m CÎmaOrdr Any one or Survivor / H$moB EH$ AWdm CÎmaOrdr Others (please specify)/ AÝ (H $nm CëboI H$a ) Applicable only in case of 2 applicants/ Ho$db 2 AmdoXH$ dmbo _m_bo _ bmjy Applicable only in case there are more than 2 applicants/ Ho$db 2 go A{H$ AmdoXH$ dmbo _m_bm _ bmjy Page All Jointly / g^r g wšv ê$n go For NRE/FCNR (B) accounts, where Second Applicant is a Resident Close Relative (as defined in section 2 (77) of the Companies Act 2013)/ For accounts, where Second Applicant is a Resident Indian / EZAmaB /E\$grEZAma (~r) ImVm Ho$ {bo, {OZ_ Xÿgam AmdoXH$ EH$ {Zdmgr H$ar~r [aívoxma h (O gm {H$ H $nzr A{{Z_ 2013 H$s mam 2 (77) _ n[a^m{fv h )/EZAmaAmo ImVm Ho$ {bo, {OZ_ Xÿgam AmdoXH$ EH$ {Zdmgr ^mavr h For NRE/FCNR (B) accounts / EZAmaB /E\$grEZAma (~r) ImVm Ho$ {bo I hereby declare that the Second Applicant is a Resident Close Relative (as defined in section 2 (77) of the Companies Act 2013) / _ KmofUm H$aVm/H$aVr h±ÿ±ÿ {H$ Xÿgam AmdoXH$ EH$ {Zdmgr H$ar~r [aívoxma h (O gm {H$ H $nzr A{{Z_ 2013 H$s mam 2 (77) _ n[a^m{fv h ) For accounts / EZAmaAmo ImVm Ho$ {bo I hereby declare that the Second Applicant is a Resident Indian / _ KmofUm H$aVm/H$aVr h±ÿ {H$ Xÿgam AmdoXH$ EH$ {Zdmgr ^mavr h Relationship between the First and Second Applicants / Henues Deewj otmejs DeeJesokeÀ kesà yeer e cesb mebyeboe In case the joint applicant for an NRE/FCNR (B) accounts is a Resident Close Relative (as defined in section 2 (77) of the Companies Act 2013)/ the joint applicant for an account is a Resident Indian, the Mode Of Operation will be: / EZAmaB /E\$grEZAma (~r) ImVm Ho$ {bo, {OZ_ Xÿgam AmdoXH$ EH$ {Zdmgr H$ar~r [aívoxma h (O gm {H$ H $nzr A{{Z_ 2013 H$s mam 2 (77) _ n[a^m{fv h )/EZAmaAmo ImVm Ho$ {bo, {OZ_ Xÿgam AmdoXH$ EH$ {Zdmgr ^mavr h, Heefj eeueve efjeefoe nesiee: Former Or Survivor / Henuee DeLeJee GÊejpeerJeer Please Note: Resident applicant cannot operate the account or deposit any proceeds in his/her name into the account. Only the NR applicant will be the authorized signatory permitted to operate the account / keéàhe³ee veesì keàjsw: efvejeemeer DeeJesokeÀ Keelee Heefj eefuele venerr keàj mekeàlee ³ee Fme Keeles cesw DeHeves veece cesw Dee³e pecee venerr keàj mekeàlee/mekeàleer~ kesàjeue DeefveJeemeer eejleer³e DeeJesokeÀ Keeles cesw He eefoekeéàle nmle#ejkeàlee& nesiee Direct Banking (Accounts with Joint mode of operations not eligible) / S mBaoŠQ ~ qh$j (g wšv n[ammbz {d{ dmbo ImVo nmì Zht h ) S o{~Q / [Mn S o{~Q H$mS [dšbn Regular ao½wba Gold Chip JmoëS [Mn Platinum Chip ßb [QZ_ [Mn Signature Chip {g¾ma [Mn Others (Please mention Card Type) AÝm (H $nm H$mS Ho$ àh$ma ~VmE ) (For Domestic Use only) - Tick any one EZAmaAmo (Ho db Kaoby BñVo_mb Ho {be) - Documents Submitted/ àñvwv {H$E JE XñVmdoO ST 1 APPLICANT / nhbm AmdoXH$ Duly completed Account Opening form/s {d{dv ^am Jm/ ^ao JE ImVm ImobZo H$m/ Ho$ \$m_ One Recent Photograph/ EH$ ZdrZV_ \$moq moj«m\$ NRE/ Regular NRE/ Maxima NRE/ Select NRE/ Exclusive EZAmaB / EZAmaAmo ao½wba EZAmaB / EZAmaAmo _ pšg_m EZAmaB / EZAmaAmo [gbošq EZAmaB / EZAmaAmo EŠgŠëy{gd (For Domestic Use (For Domestic Use only) - Tick any one only) - Tick any one EZAmaB - EZAmaAmo (Ho db Kaoby BñVo_mb Ho {be) - EZAmaB - EZAmaAmo (Ho db Kaoby BñVo_mb Ho {be) - EZAmaB - ND 2 APPLICANT / Xygam AmdoXH$ Duly completed Account Opening form/s {d{dv ^am Jm/ ^ao JE ImVm ImobZo H$m/ Ho$ \$m_ One Recent Photograph/ EH$ ZdrZV_ \$moq moj«m\$ (For Domestic Use only) - Tick any one EZAmaAmo (Ho db Kaoby BñVo_mb Ho {be) - If you have applied for an IndusInd Bank Debit Card, please mention your name as you want it to be embossed on your card: {X AmnZo B S gb S ~ H S o{~Q H$mS Ho {be AmdoXZ {H m h Vmo H$mS na Ab H V H azo dmbo Zm_ H m CëboI H a & First Applicant/ nhbm AmdoXH$ Second Applicant/ Xygam AmdoXH$ EZAmaB - Net Banking/ ZoQ ~ qh$j E-Statement/ B -ñq oq _ Q SMS Alert/ EgE_Eg AbQ Phone Banking/ \$moz ~ qh$j For charges & fees, please refer to our Schedule of Charges. Terms and Conditions à^mam Ed ewëh$m Ho$ {be, H $nm h_mar à^ma AZwgyMr XoI & {Z~ Z Ed ev] bmjy hm Jr& {X CnwŠV {dh ën Zht apply. Debit Card will not be issued in case the appropriate checkbox is not ticked. MwZm OmVm h Vmo S o{~Q H$mS Omar Zht {H m OmEJm& A VaamîQ r _mo~mbb Z ~am na EgE_Eg AbQ H$s gw{dm SMS Alerts to International Mobile numbers available only in select countries. Ho$db MwqZXm Xoem _ hr Cnbã h & & Copy of Visa/ Resident Permit/ drom/ {Zdmg na{_q H$s à{v Address proof document (Pl. specify) nvo Ho$ à_mu H$m XñVmdoO (H $nm CëboI H$a ) Copy of CDC & Employment contract, in case of Mariners _ [azg Ho$ _m_bo _, grs rgr Ed {ZmoOZ H$m ÝQ ŠQ H$s à{v PAN Card copy/ Form 60/ n Z H$mS à{v/ \$m _ 60 OCCUPATION*: ìdgm*: IF SELF EMPLOED PROFESSIONALS*: [X ñd-{zmo{ov ìmdgm{h *: EDU QUALIFICATIONS*: e j{uh$ mo½vme *: Retired godm{zd Îm Doctor Sm ŠQa IT Consultant AmB Qr gbmhh ma House-wife J {hur Engineer B Or{Za AÝ : Student NmÌ CA-CS gre-greg AÝ : Page 4 & Copy of Visa/ Resident Permit/ drom/ {Zdmg na{_q H$s à{v Address proof document (Pl. specify) nvo Ho$ à_mu H$m XñVmdoO (H $nm CëboI H$a ) Copy of CDC & Employment contract, in case of Mariners _ [azg Ho$ _m_bo _, grs rgr Ed {ZmoOZ H$m ÝQ ŠQ H$s à{v PAN Card copy/ Form 60/ n Z H$mS à{v/ \$m _ 60 CUSTOMER PROFILE FORM KC CHECK LIST/ J«mhH$ àmo\$mbb \$m _ - Ho$dmB gr Om±M gymr ST 1 APPLICANT*/ nhbm AmdoXH$* Salaried dovz^mojr Self-Employed ñd-{zmo{ov Self-Employed Professionals ñd-{zmo{ov ìmdgm{h Please Specify H $nm CëboI H$a Lawyer Architect dh sb Am[H QoŠQ Please Specify / H $nm CëboI H$a ND 2 APPLICANT*/ Xygam AmdoXH$* Salaried dovz^mojr Retired godm{zd Îm Doctor Sm ŠQa IT Consultant AmB Qr gbmhh ma Self-Employed ñd-{zmo{ov House-wife J {hur Engineer B Or{Za AÝ : Student NmÌ CA-CS gre-greg Self-Employed Professionals ñd-{zmo{ov ìmdgm{h AÝ : Please Specify H $nm CëboI H$a Lawyer Architect dh sb Am[H QoŠQ Please Specify / H $nm CëboI H$a SOURCE OF FUNDS*: {Z{m Ho$ òmov*: MONTHL INCOME*: _m{gh$ Am*: LINE OF BUSINESS / INDUSTR (In case of salaried persons that of the employer)*: H$mamo~ma/CÚmoJ H$m àh$ma (dovz^mojr ìpšvm Ho$ _m_bo _ {ZmoŠVm H$m H$mamo~ma/CÚmoJ)*: NATURE OF ORGANISATION (In case of salaried persons that of the employer)*: g JR Z H$m ñdê$n (dovz^mojr ìpšvm Ho$ _m_bo _ {ZmoŠVm Ho$ g JR Z H$m ñdê$n)*: ARE OU A POLITICALL EXPOSED PERSON (PEP)?* Šm Amn amozr{vh$ {Oå_oXmar dmbo ìpšv (nrb nr) h?* J«mhH$ Ûmam BñVo_mb {H$E Om gh$zo dmbo Ano{jV CËnmX*: DECLARATION AS PER FATCA-CRS* \ Q H m-gramaeg H$ o AZwgma KmofUm* Salary dovz Professional Fee ìmdgm{h$ ewëh$ Upto 10,000 10,000 VH$ 25,001 to 50,000 25,001 g o 50,000 Above 1,00,000 1,00,000 g o A{H$ Mfg {d{z_m U Stock ñq m H$ AÝ Proprietary ñdm{_ëd Listed Co. gymr~õ H $nzr AÝ Business H$mamo~ma Real Estate [ab BñQ oQ Broker ~«moh$a AÝ : 10,001 to 25,000 10,001 g o 25,000 50,001 to 1,00,000 50,001 g o 1,00,000 Trader ìmnmar Agri H ${f Please Specify / H $nm CëboI H$a Partnership ^mjrxmar MNCs E_EZgrEg Investment Gift {Zdoe Cnhma Please Specify / H $nm CëboI H$a Please Specify / H $nm CëboI H$a Bullion ~w{bz Unlisted Co. J a-gymr~õ H $nzr PSU/ Govt Sector nregy/ gah$mar joì Upto 10,000 10,000 VH$ 25,001 to 50,000 25,001 go 50,000 Above 1,00,000 1,00,000 go A{H$ Mfg {d{z_m U Stock ñq m H$ AÝ Proprietary ñdm{_ëd Listed Co. gymr~õ H $nzr AÝ Real Estate [ab BñQ oQ Broker ~«moh$a es / hm± No / Zht es / hm± No / Zht Drafts POs Cross-Border Remittances S mâq nramo'g gr_m nma go àofu Forward Contracts dmxm g {dxm Traveler s Cheque mìr MoH$ Šm Amn ^mav Ho$ Abmdm {H$gr AÝ Xoe Ho$ H$aXmVm {Zdmgr h? es / hm± No / Zht If ES, please provide the following information. Please indicate all the countries in which you are a resident for tax purposes and the associated Tax Identification Number below {X hm±, Vmo H $nm {ZåZ{b{IV OmZH$mar X & H $nm CZ Xoem H$s OmZH$mar X, {OZHo$ Amn H$aXmVm {Zdmgr h Am a ZrMo g ~Õ Q Šg AmBS {Q {\$Ho$eZ Z ~a (H$a nhmmz g»m) ~Vm Country Xoe Q Šg AmBS {Q {\$Ho$eZ Z ~a (Q Šg AmBS {Q {\$Ho$eZ Z ~a Cnbã Z hmozo na, H $nm BgHo$ g_vwë H$m H$mar OmZH$mar X ) Identification Type (TIN or Others, please specify) nhmmz H$m àh$ma (Q rAmBEZ m AÝ, H $nm ñnï H$a ) Salary dovz Professional Fee ìmdgm{h$ ewëh$ Business H$mamo~ma AÝ : 10,001 to 25,000 10,001 go 25,000 50,001 to 1,00,000 50,001 go 1,00,000 Trader ìmnmar Agri H ${f Please Specify / H $nm CëboI H$a Partnership ^mjrxmar MNCs E_EZgrEg Investment Gift {Zdoe Cnhma Please Specify / H $nm CëboI H$a Please Specify / H $nm CëboI H$a Bullion ~w{bz Unlisted Co. J a-gymr~õ H $nzr PSU/ Govt Sector nregy/ gah$mar joì Drafts POs Cross-Border Remittances S mâq nramo'g gr_m nma go àofu Forward Contracts dmxm g {dxm Traveler s Cheque mìr MoH$ Šm Amn ^mav Ho$ Abmdm {H$gr AÝ Xoe Ho$ H$aXmVm {Zdmgr h? {X hm±, Vmo H $nm {ZåZ{b{IV OmZH$mar X & H $nm CZ Xoem H$s OmZH$mar X, {OZHo$ Amn H$aXmVm {Zdmgr h Am a ZrMo g ~Õ Q Šg AmBS {Q {\$Ho$eZ Z ~a (H$a nhmmz g»m) ~Vm Country Xoe Q Šg AmBS {Q {\$Ho$eZ Z ~a (Q Šg AmBS {Q {\$Ho$eZ Z ~a Cnbã Z hmozo na, H $nm BgHo$ g_vwë H$m H$mar OmZH$mar X ) es / hm± No/ Zht If ES, please provide the following information. Please indicate all the countries in which you are a resident for tax purposes and the associated Tax Identification Number below & Identification Type (TIN or Others, please specify) nhmmz H$m àh$ma (Q rAmBEZ m AÝ, H $nm ñnï H$a ) Details of Existing Loans with Other Banks AÝ ~ H$m go {be JE {dú_mz F$Um Ho$ {ddau Car Loan H$ma F$U Home Loan Amdmg F$U Consumer Loan Cn^moŠVm F$U Others AÝ Loan Amt./ F$U am{e EMI/ B E_AmB DECLARATIONS/ KmofUmE (Of the declarations that follow, sign one or more if applicable) / (ZrMo Xr JB KmofUmAm _ go bmjy hmozo na EH$ AWdm A{H$ KmofUmAm na hñvmja H$a ) Pe
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