2. Signature & Name of the Official (with S S.No. ) verifying the above signatures and photographs
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1 STTE BNK OF HYDERBD ccount Opening Form for Individuals The sst.general Manager/ CCOUNT NO. CIF No. Branch Manager Branch lease open a Current/Savings/Term Deposit/recurring Dep./c in the under mentioned name(s) in the books of the bank for credit of which I/We have deposited with you Rs.. ) Full Name in Block Letters 1) S/D/W/O 2) S/D/W/O B) N/GIR No.(in case of assessee) 1) 2 or FORM No.60/61 3) Unique Identification (UID) No C) urpose of Opening of ccount Specimen Signatures of /c Holder(s) 1. roof of hoto-identity obtained (any one) 1) assport 2) Voter ID Card 3) N Card 4) Govt/Defence ID Card 5) ID Card Issued by reputed employer 6) Driving Licence 7) Letter from recognized public authority/public servant confirming identity by attesting the photograph(s)of applicant/s Recent hotograph(s) of /c holder(s) 2. and 1. First applicant Second applicant 2. Signature & Name of the Official (with S S.No. ) verifying the above signatures and photographs D) Mode of Operation -- Singly ; Jointly-- E Or S / F or S / L or S. E)) ERIOD (for TERM/RECURRING DE.) months. F)Cheque Book Yes / No G) T M Card required Yes/No H) INTERNET Banking Facility Required Yes/No H1) Mobile Banking Service to be enabled on Mobile No H2) Further, I understand that I have the option to operate this account through my mobile hand set using MIN as per terms and conditions displayed on Bank's website I) (a) I/We nominate the undermentioned person as my/our nominee under section 45Z of the Banking Regulation ct 1949 and Rule 2 (1) of the Banking Companies(Nomination)Rules1985 to receive the amount of deposit. s mentioned below, which may be returned by State bank of Hyderabad. Branch in the event of my/our death. DEOSIT NTURE OF CCOUNT CCOUNT NUMBER DDITIONL DETILS (IF NY) NOMINEE NME DDRESS RELTIONSHI WITH THE DEOSITOR GE IF NOMINEE IS MINOR, DTE OF BIRTH (b) s the nominee is a minor on this date I/we appoint (name, address & age) to receive the amount of the deposit on behalf of the nominee. In the event of my/our minors death if the nominee still remains a minor at that time. SIGNTURE OF THE WITNESS SIGNTURE/T.I.OF THE DEOSITOR 1
2 c) I / We agree / do not agree to print/write the name of the nominee on ass Book/TDR dvice. J. Full address with Tel/Mobile/ /articulars. Current ddress of Communication DEOSITOR. ermanent ddress: 1st L I C N T H.No./Flat No. Street. Town/Village Dist State. in Tel.No. Mobile No. Id H.No./Flat No. Street Town/Village Dist State IN Tel.No Mobile No. E mail No. 2nd L I C N T H.No./Flat No. Street. Town/Village Dist State IN Tel.No. Mobile No. Id. roof of ermanent ddress obtained (any one) 1)Credit Card Statement. 2)Income/Wealth Tax ssessment Order 3) Electricity Bill 4)Telephone Bill 5)Bank ccount Statement 6)Letter from reputed employer 7) Letter from recognized public uthority. 8) ass ort, if the present address given in the application is same as in the ass ort. (Specified documents to be verified/obtained to ascertain the correctness of address) I/We agree to abide by the Bank's rules relating to the conduct of the above accounts/services/products. The information furnished in this application is correct to the best of my/our knowledge. I/We authorize the Bank/their representative to verify the details given herein. For STDR/TDR accounts, unless you receive a demand for payment or instructions to the contrary on or before the date of maturity, please renew the deposit for similar period(s) at the then prevailing rate of interest. Yours faithfully, (Signature/Thumb Impression of the Depositor(s) K. articulars of Introduction/Identification/ or B. ) If the applicant (s) is/are already a customer of the branch (and has/have been subject to full KYC procedure), please give account number SB/C. B) Name and address of introducer (in case of customers under simplified KYC Norms subject to specified conditions. hone/mobile No./ N No. Introducer's /c No. Operative since "I certify that I have known Mr./Mrs/Miss/ for the last years and confirm his/her/their occupation and address stated in his/her/their application to open the account" (Signature of introducer) (Verifying officer with SS NO. ) 3
3 STTE BNK OF HYDERBD BRNCH. CODE No. ERSONL CIF FORM (to be obtained for each applicant/authorized signatory separately) CIF No. CCOUNT NO. ccount Opened on MNDTORY 1) Full Name (First Name) ( Middle Name) ( last Name) 2) Father's/Husband's Name: 3) Full ddress 4) (a) Tel.No.Office Res: (b) Mobile No. (c) ID (d) Fax No. 5) Date of birth: 6) GENDER: 7) Occupation: (if self employed specify) 8) (a)monthly Income (b) nnual Turnover 9) Details of existing ccounts with other banks. 1) Bank (2) Branch (3)Nature of ccount. 10) Total (pproximate) Value of ssests OTIONL: 1) Educational Qualification: 2) Marital Status. 3) Nationality. 4) Domicile. 5) Category -GEN/SC/ST/OBC/Minority(Specify) (for statistical purpose only). 6) Name and ddress of employer 7) (a) Source of Income (b) nticipated level / nature of activity 8) Family Members: dults: Males Females ;Minors:Males Females 9) Mother's Maiden Name: (Signature /Thumb Impression of the Customer) 5
4 Note: - to be obtained separately from each account holder in case of joint ccount. DECLRTION *FORM NO.60 Form of declaration to be filled by a person who does not have either a N or GIR and who makes payment in cash in respect of transations specified in clause (a) to (k) of IT Rule 114B 1. Full name and address of declarant: 2. articulars of transaction: 3. mount of the transaction :Rs. 4. re you an Income Tax assessee? 5. If yes,(i) details of ward/circle where the last Return of income filed? (ii) Reasons for not having N/GIR: 6. Details of the document being produced in support of address in column (1): lease refer to ccount No. (Signatureof Declarant) I do hereby declare that what is stated above is true to the best of my knowledge and belief. (Signature of Declarant) *FORM NO.61 Form of declaration to be filled by a person who has agricultural income and is not in receipt of any other income chargeable to Income Tax in respect of transactions specified in clauses (a) to (k) of IT Rule 114B. 1. Full Name and address of declarant: 2. articulars of transaction: 3. Details of documents being produced in support of address in column (1): please refer to account No. I hereby declare that my source of income is from agriculture and I am not required to pay income-tax on any other income (if any). (Signature of Declarant) I do hereby declare that what is stated above is true to the best of my knowledge and belief. *Whichever is applicable. (Signature of Declarant) 7
5 FOR OFFICE USE 1. pplicant(s) interviewed and purpose ascertained by 2. Introducer (for simplified KYC a/c s)called at the branch & interviewed by 3 a) particulars of Identification/proof of address (copies of the documents obtained) b)roof of identity & address verified by 4. Letter of thanks sent to customer on & introducer on 5. Nomination form entered in register & its serial No 6. Threshold Limit (as per KYC norms) RS. (GB/ /56,dated ) 7. Risk categorization (as per KYC norms) Low/Medium/High. (to be revised according to developments in the account/social status) (GB/ /13,dated ) OEN THE CCOUNT CCOUNT NO. REJECT (GIVE RESONS) Customer Name: Branch Manager/uthorised Officer Officer Spl.ssistant ccount transferred to /Branch on ccount closed on Signature of Officer 9
6
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