Account No. (To be filled in by the Bank) Dear Customer, Welcome to Dena Bank We thank you for having chosen a relationship with us The documents required for opening an account are as under : 1. KYC Documents : Status Proof of Identity( Including VISA, if Indian Passport ) NRI Copy of the relevant pages of passport Copy of valid Visa/Work Permit PIO/OCI Copy of the relevant pages of passport Any one of the following: Copy of PIO Card Copy of OCI Card Address Proof Any one of the following for current Overseas Address (any one ) Copy of relevant pages of passport Electricity Bill Telephone Bill Original copy of latest bank statement of account overseas Additional Documents for customers not visiting our branch Cheque drawn on your overseas Bank account Cancelled/Paid Cheque of your overseas Bank account Copy of Proof of Income/Pay Slip/Tax return 1
Foreign Tourist Copy of relevant pages of Passport of parents or grand parents establishing them as Indian Origin Copy of Marriage Certificate establishing your spouse as Indian Origin Copy of the relevant pages of Passport Copy of valid Visa Copy of employee ID Card Copy of Labour Card Copy of Social Security Card Any other proof to the satisfaction of the bank Not applicable All the documents are required to be self attested. Duly attested by Notary Public / Indian Embassy or High Commission, if customer is not visiting branch for opening account. 2. Three passport size photographs 3. Initial Remittance ( Cheque or Draft ) should be drawn in favour of Dena Bank A/c.< Applicant s name>.amount can be remitted by SWIFT also. 4. In case of application for operation of the Account by Power of Attorney holder, submit the relevant Power of Attorney duly notarised. GUIDELINES FOR FILLING ACCOUNT OPENING FORM Account Opening Form is in two parts, first part, Account Opening Form & second part is Customer Profile. Separate Customer Profile to be filled in for each applicant & to be signed on each page by the individual applicant ( In case of new customers ) Please fill up in BLOCK letters only and use black ink for signature. Tick the appropriate boxes. Account opening form is to be signed by all applicants on each page. Your signature appearing on the KYC documents should match with the signature on the account opening form. Jointly held Account holders would not be given transaction rights for Internet Banking and ATM Card Facility. For minors, where proof of identity/address is not available, the same will be provided by Father/Mother/Natural Guardian. In case of illiterate customers, Left Thumb Impression (LTI) to be affixed and verified. Kindly authenticate corrections / alterations if any with full signature in the account opening form. 2
(To be Filled in and signed by all the Applicants) Dena Bank Branch : Date : I/we request you to open a bank account with you for which I / we furnish the following information: 1. Names of Account holders : SN Full Name Customer ID (to be filled in by the Bank) 1 2 3 4 Enclose separate Customer profile for each applicant 2. Type of Account (Please indicate by tick mark) : Nature of Deposit Type of Deposit* Currency Amount Tenure in case of Term Deposit (SDR/FDR) Foreign Currency (Non- Resident) Account (FCNR) SDR/FDR Non-Resident (External) CA/SB/SDR/FDR INR Account (NRE) Non-Resident CA/SB/SDR/FDR INR Ordinary Account (NRO) 3. Instruction for auto renewal : Auto Renewal Required : YES NO 4. Mode of Operation : If yes, number of times it is required. Whether for entire Proceeds / Principal only, for Rs. Tenure for which auto renewal is required Self Either of us or survivor(s) Any of us or survivor(s) Former or survivor All of us jointly or survivor(s) Any Other (specify) 3
5. Debit Card Please issue Debit Card. I/We have read the terms and conditions governing the use of Debit Card. Name of 1st Card Holder Name of 2nd Card Holder 6. Internet Banking Services I/We request you to provide me/us Dena Internet Banking facility. I/We have gone through the Internet Banking facility Terms & conditions which are displayed on http://www.denabank.com and http://www.denabank.org.in and agree to abide by them. Facilities to be provided to, Name 7. Mobile Banking required : Yes / No (a) Please issue me/ dispatch a cheque book/ Pass Book (in case of NRE / NRO account). (b) Please credit interest to my NRE / NRO Account No. / or remit interest by SWIFT/D.D. at my/our Indian / overseas address / Bank account No..with..after deducting remitting charges, as may be applicable from time to time. (c) Please credit proceeds on maturity to my/our Account No. with. DECLARATION and UNDERTAKING : 1. I/we confirm that all the information given in this application form is true, correct, complete and up-to-date in all respect and I/We have not withheld any information. I/We shall be held responsible for the same at all times if it is found incorrect. 2. I/we confirm having read and understood the Rules and Regulations of the Bank including Bank's tariff regarding the conduct of the account/deposits and pertaining to the Mobile banking, ATM, Debit Cards, Internet Banking and Electronic Banking facilities (collectively called the said banking facilities) and agree to be bound and abide by them / any other rules that may be in force from time to time 3. I / We, accept and agree to be bound by the said terms and conditions stated above including those which are limiting the Banks liability. 4. I / We, understand that the bank may at its absolute discretion amend or discontinue any of the services completely or partially without any notice to me/us. I/We agree that the bank may debit my account for service charges as applicable from time to time. 5. I / We also declare that the authorizations and declarations given by me/us to the Bank herein are out of my/our free will with full knowledge and awareness. 6. I / We hereby declare that the information furnished above and also in the enclosed Customer Profile Form is true and correct to the best of my/our knowledge. 7. I / We authorize the Bank/their representatives to verify the details given in these forms for due diligence. 8. The Bank may on receipt of written application from Shri/Smt. the former/the latter/the first name, the second 4
name etc of us or Either or Survivor of us, Any one or Survivors of Survivor of us, may in its absolute discretion and subject to such terms and conditions as the Bank may stipulate, (a) grant a loan/advance against the security of the term deposit receipt to be issued in our joint names or (b) make premature payment of the proceeds of the deposit to the former / the latter/the first named of us/either the second or survivor of us etc. named of us/any one of us or survivor/s of us. 9. I/We undertake to operate and use the account/deposit as well as the said banking facilities strictly in accordance with the Exchange Control Regulation as laid down by the Reserve Bank of India from time to time. 10. Declaration under section 10(5) of FEMA 1999 : I/We declare that all foreign exchange transactions as are being entrusted and may be entrusted by me/us to the Bank from time to time do not / will not involve and are not / will not be designed for the purpose of any contravention or evasion of the provisions of the aforesaid Act or of any rule, regulations, notification, direction or order made there under. I/We also hereby agree and undertake to give such information/documents as will reasonably satisfy you about the transaction in terms of above regulation. I/We also undertake that if I/we refuse to comply with any such requirement or make untenable complaint there against, the Bank shall be within its right to refuse in writing or otherwise to undertake the transaction and shall, if it has reason to believe that any contravention / evasion is contemplated by me/us, report the matter to Reserve Bank of India. 11. Nomination Nomination required Yes No If yes, please fill in Form DA-1 1 st Applicant 2 nd Applicant 3 rd Applicant Customer ID Name of the Applicant/s Account operating instruction Photo Sign across photo Sign across photo Sign across photo Signature/s 5
Form DA-1 Nomination under section 45 ZA 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 to whom, in the event of my/our/minor's death, the amount of deposit, particulars whereof, are given below, may be paid. Nature of A/c Distinguishing No. Deposit Additional details, if any Nominee Name Address Relationship Age with depositor, if any If nominee is a minor, his/her date of birth As the nominee is a minor on this date, I/We appoint Mr. / Mrs. / Ms.. (Name, address and age) to receive the amount of deposit on behalf of the nominee in the event of my/our/minor's death during the minority of the nominee. Place. Date.. Signature(s) / thumb impression (s) of depositor (s) Place. Date.. Name (s), Signature (s), and Address (es) of witness (es) x-x-x-x-x-x-x--x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x (FOR BANKS INTERNAL PURPOSE ONLY) Account opened by : (Name) Signature Account Authorised By : (Name) Signature PA No. ATM CUM DEBIT CARD NO. Date of Issue Signature of Officer PA No. 6