Resident Individual Account Opening Form

Transcription

1 Resident Individual Account Opening Form BENEFITS OF INDUSIND BANK'S SAVINGS ACCOUNT Money Higher rate of intere on Savings Account balances. Get a Bank Account number of your choice. Reward points on Debit Card usage on ATM & all your shopping. Choose from a mix of 100, 500 and 1,000 rupee denominations from our ATMs. Get pictures of issued cheques with your bank atement. Speak to Phone Banking Executive directly.

2 DOCUMENTS REQUIRED Mandatory: ST 1 APPLICANT One Photograph (late) PAN Card or in absence thereof, declarations in Form No. 60 / 61 Any one document for proof of identity (refer li for acceptable documents) Any one document for address proof (refer li for acceptable documents) ND 2 APPLICANT One Photograph (late) PAN Card or in absence thereof, declarations in Form No. 60 / 61 Any one document for proof of identity (refer li for acceptable documents) Any one document for address proof (refer li for acceptable documents) Identity Proof *: PAN Card Passport Driving License Voter's/ Election Identity Card NREGA Job Card Others (for LOW Risk as per the KYC policy) Aadhar Card/ Letter Identity Card issued by Central/ State Govt./ PSU/ Scheduled Bank etc. (e.g.) Ration/ Pension Card, Pass Book etc.) Letter with photo issued by Gazetted Officer PAN Card Passport Driving License Voter's/ Election Identity Card NREGA Job Card Others (for LOW Risk as per the KYC policy) Aadhar Card/ Letter Identity Card issued by Central/ State Govt./ PSU/ Scheduled Bank etc. (e.g.) Ration/ Pension Card, Pass Book etc.) Letter with photo issued by Gazetted Officer 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 Others (for Low Risk and/ or PAN taken as ID proof) Identity Card issued by Central/ State Govt./ PSU/ Scheduled Bank etc. (e.g. Ration/ pension card, pass book etc.) Letter with photo issued by Gazetted Officer Any Other Document Ration Card with Photograph Others (for Low Risk and/ or PAN taken as ID proof) Identity Card issued by Central/ State Govt./ PSU/ Scheduled Bank etc. (e.g. Ration/ pension card, pass book etc.) Letter with photo issued by Gazetted Officer Any Other 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 Product Classic Privilege Privilege Plus# Maxima Diva (Women) Senior Maxima Select Exclusive # Privilege Plus available in specific locations Average Balance Requirement (`) C at A/B Branch 10,000 10,000 25,000 ** 50,000 ** 1,00,000 ** C at C Branch 2,500 5,000 10,000 ** Cheque Books (Pay at Par) 2 per 2 per 25,000 ** 5,00,000 2 per ` 30 per if balance maintained 25,000 ** 5,00,000 2 per ` 30 per if balance maintained * available only in few semi urban/rural locations ** Average quarterly balance Fixed deposit in lieu of balance (`) 50,000* 2,00,000** 20,00,000 50,00,000 * only for Cat. C ** 1 lakh for Cat. C Transaction at other bank ATM Limited Limited SMS Alerts (Balance) ` 30 per ` 30 per ` 30 per ` 30 per if balance maintained Cash Deposit Charged above free limit Charged above free limit NEFT/ RTGS Charged* Charged* + Monthly * Charges limit for branch upto transaction. ` 2 lakhs No or 5 times Charges balance of for net previous banking/ month. No mobile limit if banking balance not maintained Statement of account (Physical) Half yearly Half yearly Half yearly Quarterly Monthly Monthly Check on Cheque in atement Add On Family Accounts No No No 2 accounts 6 accounts 6 accounts Platinum Debit Card with 5x rewards ` 899 ` 499 ` 199 ` 299 ( for add on accounts) movie tickets* Quarterly 2 accounts ` 500/ for Platinum Plus card 1 per month Quarterly 2 accounts Platinum card 1 per quarter 3 per quarter * One on One free on use of debit card for purchase Discount on Locker rent 15% for fir year 25% for fir year 20% for fir year 50% for fir year 15% next years 100% for fir year 25% next years Discount on Loans Dedicated RM Doorep Service Page 1

3 Reference Code P2 Code Condo Code Tatkal Non Tatkal Walkin Use only BLACK ink pen for filling and signing. Please ensure all details are filled in Capital letters. Branch Code: Application Date: D D M M Y Y Y Y ACCOUNT OPENING FORM FOR RESIDENT INDIVIDUAL I/ We wish to open an Account at your Branch. Open My: Savings Account Current Account Product: Fixed Deposit Exclusive Maxima Comfort Select Privilege Easy (Basic) Others: Initial Deposit Details: Cash ` Cheque No. on Bank for ` [On Ind Bank Ltd. A/c (Account Title)] Debit my exiing A/c IMPORTANT: Cash should be paid only at the cash counter at the Branch and not to the executive accepting the form. for ` *I have been informed that I need to maintain an average balance of ` for the account type indicated above. Preferred Account Number: 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. Choice Criteria*: String Sum of Digits (Select 110 digits of the 12 digit account number) OR (Mention sum of digits you want as account number) I/ We hereby agree to the terms and condition of My Account My Number program and underand that the allocation of account numbers shall be done on be effort basis subject to the availability of the requeed number in the product mentioned above. Signature of 1 applicant APPLICANT INFORMATION (All fields with * are mandatory) Description 1 Applicant nd 2 Applicant Cu ID* (For exiing cuomers) Salutation* Mr. Mrs. Ms. Dr. Mr. Mrs. Ms. Dr. Fir Name* Middle Name La Name* DOB * D D M M Y Y Y Y D D M M Y Y Y Y Nationality* Mother s Maiden Name* Father s/ Husband s Name Others Please Specify Indian Others Please Specify Indian Others Please Specify Gender* Male Female Third Gender Male Female Others Please Specify Marital Status* Married Single Others Married Single Others 1 PAN $ Aadhaar Number* ID** Not Third Gender Not # Mobile Number Tel. No. Resi. Office Fax Relationship with 1 Holder Employee ID S T D S T D S T D Social Network Facebook Twitter Others S T D S T D S T D User Name/ ID/ Handle User Name/ ID/ Handle Agree to being contacted by Bank on social network No Facebook Twitter Others Agree to being contacted by Bank on social network No 1 If PAN is not available, please attach Form 60 along with reasons for not having PAN # The number provided will be regiered for SMS Alerts by default & Mobile Banking, if opted **You will receive your eatement on this ID $ Aadhar number mentioned will be linked to the account to avail Government subsidies/ payments. SAAOF Page 1

4 ADDRESS DETAILS OF 1 APPLICANT (Please provide neare landmark) Communication Address*: Office Residence Address Proof*: Proof Submitted Declared Address Address Line 1 Address Line 2 Neare Landmark City: State: Pin: In case proof of communication adress not submitted, permanent address details and its proof to be submitted Other Address 1: Office Residence Permanent Address Line 1 Address Line 2 Neare Landmark City: State: Pin: Other Address 2: Office Residence Permanent Address Line 1 Address Line 2 Neare Landmark City: State: Pin: *Mandatory. All communication will be sent to the communication address of the 1 Applicant. ADDRESS DETAILS OF 2nd APPLICANT (If different from 1 Applicant) Address Line 1 Address Line 2 Neare Landmark City: IN CASE OF FIXED DEPOSIT Amount ` Monthly Inalment for Recurring Deposit ` Tenor Days/ Months/ Years Date for monthly RD debit Mode: INTEREST PAYMENT DETAILS Monthly Credit my/ our account no. Remit by DD/PO (send to mailing address) Others SWEEP INSTRUCTIONS Quarterly Reinve I/ We would like to link my/ our Fixed Deposit being opened now/ exiing Fixed Deposit No. to my/ our Savings/ Current Account being opened now/ exiing 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 Office Residence Permanent State: Page 2 Renew on maturity DEPOSIT MATURITY INSTRUCTIONS Remit by DD/PO (Send to mailing address) Credit my A/C no. Others MODE OF OPERATION (Applicable for maturity/ closure payment as well) Single Either or Survivor** Any one or Survivor** Former or Survivor** Jointly Others (please specify) 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? No For bulk deposits, please refer to the deposit policy at our website for T&C on your fixed deposits. Debit Card Type*: Others Debit Card Type, 2nd holder*: Others Regular Domeic Card Gold Domeic Card Gold International Chip Card Name to be embossed on the card Regular Domeic Card Gold Domeic Card Gold International Chip Card Name to be embossed on the card *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 estatement SMS Alert Phone Banking* Net Banking Balance Alerts**: Do you require separate SMS ALERTS for Account balance to be sent to your mobile? No 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. If you are opening a No Frills Account and opt for Regular Debit/ ATM Card, an ATM Card will be issued by default. 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. Pin: ## Platinum International Chip Card ## Platinum International Chip Card

5 ADDITIONAL INFORMATION OF 1 APPLICANT (All fields with * are mandatory) EDU. QUALIFICATIONS: *OCCUPATION: Salaried Self Employed Self Employed Professionals Retired Housewife Student Others Please Specify IF SELF EMPLOYED PROFESSIONALS: Engineer CACS Lawyer Architect IT Consultant Others Doctor Please Specify *LINE OF BUSINESS/ INDUSTRY: Mfg. Real Eate Trader Bullion Stock Broker Agri Others Please Specify *NATURE OF ORGANISATION: Proprietary Partnership Unlied Co. Lied Co. MNCs PSU/ Govt. Sector Others Please Specify RESIDENCE: SelfOwned Rented Company Provided SOURCE OF FUNDS: Salary Business Invement Gift Professional Others Please Specify *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 PRODUCTS EXPECTED TO BE USED BY THE CUSTOMER: Drafts Po s CrossBorder Remittances Forward Contracts Travelers Cheque Declaration as per FATCA*: Are you Citizen of US/ Green Card Holder/ Have Income Taxable in USA No ADDITIONAL INFORMATION OF 2nd APPLICANT (All fields with * are mandatory) EDU. QUALIFICATIONS: *OCCUPATION: Salaried Self Employed Self Employed Professionals Retired Housewife Student Others Please Specify IF SELF EMPLOYED PROFESSIONALS: Engineer CACS Lawyer Architect IT Consultant Others Doctor Please Specify *LINE OF BUSINESS/ INDUSTRY: Mfg. Real Eate Trader Bullion Stock Broker Agri Others Please Specify *NATURE OF ORGANISATION: Proprietary Partnership Unlied Co. Lied Co. MNCs PSU/ Govt. Sector Others Please Specify RESIDENCE: SelfOwned Rented Company Provided SOURCE OF FUNDS: Salary Business Invement Gift Professional Others Please Specify *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 PRODUCTS EXPECTED TO BE USED BY THE CUSTOMER: Drafts Po s CrossBorder Remittances Forward Contracts Travelers Cheque Declaration as per FATCA*: Are you Citizen of US/ Green Card Holder/ Have Income Taxable in USA No NOMINATION FORM DA1 (Please choose one of the available options) I/ We hereby confirm that I/ We do not require any nomination facility. I/ We require nomination facility. Nomination under Section 45ZA of the Banking Regulation Act 1949, and rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of bank deposits. I/ We nominate the following person(s) to whom in the event of my/ our minor s death the amount of deposit in the account may be returned by Ind 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. Nature of Deposit & Diinguishing No. Details of Deposit Additional details, if any Name Address Nominee Relationship with Depositor, if any Age If nominee is a minor, his/ her date of birth **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. Witness(es) Required only if the depositor is giving thumb impression and not signature. *Signature/ Thumb impression of the depositor Name: Name: Signature***: Signature***: Address: Address: *Where deposit is made in the name of minor, the nomination mu 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 atteed by two witnesses. 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 Regiration ManagerCSOP Page 3 Branch Round Stamp/ Seal

6 DECLARATION RESIDENT INDIVIDUALS a) l/ We underand that the deposits are accepted in accordance with the directives laid down by the Reserve Bank of India from time to time. l/ We underand 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 Ind 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 Ind 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 cuomers 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, inruction received from one of the account holders to op operations will be deemed to be sufficient notice to the Bank to act upon such inructions. Further operations would be allowed only upon receipt of fresh inructions 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, Doorep Banking, Anywhere Banking, Net Banking, Mobile Banking & Utilities Pay Facilities. l/ 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 underand that the continuation of the account is at Ind Bank s sole discretion and in case Ind Bank is dissatisfied with the conduct of the account, Ind 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 Ind Bank s applicable rates for such services. (i) I/ We underand 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 underand 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/ atutory 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 reque 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 inructions 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 reques 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. For Comfort Account As per the arrangement my salary will be uploaded every month through your Bank. In case I cease to be an employee, by reason of my resignation, retirement, suspension or dismissal, I shall intimate in writing to your Bank. The Bank can convert my Comfort account to a regular savings account in case there are no salary credits in my account for 3 consecutive months. I undertake to complete KYC requirements, if and when called upon by the Bank for continuing operations in the account as a normal SB account. In case I fail to comply with Bank's requirements, you may suspend operations/ close the account. I/ We consent/ do not consent to receive information/ service updates and product updates etc. for Marketing purposes through Telephone/ Mobile/ SMS/ by the Bank/ its agents. I/ We confirm that I/ We have read and underood the above Declaration, and that the contact details provided on the form are correct. 1 Applicant Recent Passport Size Photograph (Sign Across) nd 2 Applicant Recent Passport Size Photograph (Sign Across) 1 Applicant Signature nd 2 Applicant Signature 1 Applicant Name D D M M Y Y Y Y nd 2 Applicant Name D D M M Y Y Y Y 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 Ind Bank again the claim of the above minor for any withdrawal/ transaction made in his/ her account. Signature of Guardian Page 4

7 FORM NO. 60 (In absence of PAN Card) 1. Full Name of Declarant: Fir Name Middle Name Surname Address: 2. Particulars of Transaction: Opening of Account 3. Amount of Transaction: ` (Rupees Only) 4. Are you Assessed to Tax: No 5. If yes, i) Details of Ward/ Circle. Range where the la 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 ated above is true to the be 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 Ind 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 la Months/ Years and confirm their identity, occupation and address. Signature Verified by ManagerCSOP Signature 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 p.m Name of the Corporate: Name of Authorised Signatory: Address: Date: Signature of Authorised Signatory 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: Date: Name, Signature & Stamp: OC/ Adjutant Secretary Zilla Sainik Board Page 5

8 FOR BANK USE ONLY SOL/ Branch Code: CUST ID: Account No.: Initial Funding Related Details: Txn no.:, Date: D D M M Y Y Y Y Value Date: D D M M Y Y Y Y Is this cuomer a PEP (Politically Exposed Person)? No Business Group: CMCapital and Commodity Market CICorporate and Initutional FIFinancal Initutions SMSmall and Medium Enterprises PSPublic Sector BBBusiness Banking RTRetail Channel Name: RM Name: RM ECN Corporate Code: (For Comfort Account) Value Date for Fixed Deposit: Date: My Account My Number Reference No. Cuomer Met in Person Declaration by Sourcing Executive I confirm having met the cuomer 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 Signature, ECN BillPay Reque Form To, The Branch Manager Branch I/We hereby reque you to regier the following billers under BillPay Services. Location: (In case of Biller location being different please specify the location along with Name of Biller) ManagerCSOP or Branch Manager Signature, SS No. or ECN & Branch Round Stamp Name of the Biller / Location Electricity Telephone Mobile Insurance Gas Donation Others *Biller Short Name (Upto 6 Characters) Identifier 1 Identifier 2 Identifier 3 Consumer No. Telephone No. Account No. Policy No. Consumer Ref. No. Name Cycle No. Cuomer A/c No. Mobile No. Client ID Account No. Address *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 Billing Unit No. Billing Unit No. Cuomer Name Premium Amount Cuomer Name Contribution Scheme Entire Bill AutoPay Pay Limit () Fir Account Holder Second Account Holder NACH Inructions UMRN Date Tick ( ) CREATE MODIFY CANCEL Sponsor Bank Code Utility Code I/We hereby authorize Name of Utility/ Biller/ Bank/ Company to debit (tick ) SB/ CA/ CC/ SBNRE/ SBNRO/ Other Bank a/c number with Bank Name of cuomers bank IFSC or MICR an amount of Rupees FREQUENCY Mthly Qtly HYrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount ` Reference 1 Reference 2 PERIOD From To Or Until Cancelled Phone No. ID Signature Primary Account holder Signature of Account holder Signature of Account holder 1. Name as in bank records 2. Name as in bank records 3. Name as in bank records This is to confirm that the declaration has been carefully read, underood & made by me/us Page 6