Know Your Customer (KYC) Application Form

Please fill the information in BLOCK Letters and  in appropriate places

The information is sought under Prevention of Money Laundering Act, 2002, the rules notified thereunder and Reserve Bank of India (Know Your Customer (KYC))
Directions, 2016. For existing Customer, the information furnished herein will supersede the information available in the records of HDFC.
1. Customer Details (as appearing in your supporting identification document)
CKYC Identifier HDFC Customer No.
(Skip if not alloted) (If KYC is already complied) Gender Date of Birth (Mandatory)
(Prefix) (First Name) (Middle Name) (Last Name) M/F/T
Name
Guardian's Name
(in case of Minor)
Guardian's Customer No.
(in case of Minor)
Maiden Name (if any)
Father/Spouse Paste latest passport size
Name photograph with signature
Mother Name (DO NOT STAPLE)
Permanent
Address IGNORE if already
Line 1 submitted earlier

Line 2

Line 3
City Pin Code
State/U.T. Country
Correspondence Address  Please tick if same as Permanent Address
Line 1

Line 2

Line 3
City Pin Code
State/U.T. Country
City of Birth Country of Birth
PAN No. Nationality Citizenship
(Mandatory)

Annual Income:  Below ` 2 Lacs  ` 2 Lacs < ` 5 Lacs  ` 5 Lacs < ` 10 Lacs  ` 10 Lacs < ` 25 Lacs  ` 25 Lacs < ` 50 Lacs  ` 50 Lacs < ` 1 Crore  ` 1 Crore & above
Occupation: Service [  Private Sector  Public Sector  Govt. Sector ] Others [  Professional  Self Employed  Retired  Housewife  Student ]  Business  Not Categorised
Qualification: ______________________ Nature of Business: __________________________ Marital Status:  Unmarried  Married  Others
Please tick () If the following is additionally applicable to you  Politically Exposed Person (PEP)  Relative of PEP
2. (A) Proof of Identity & Permanent Address (Please attach self-attested copy of any one of the following Officially Valid Documents (OVD) and carry original document for verification.)
Proof of Identity Proof of Address
Proof of possession of Aadhaar number X X X X X X X X
(Please redact/blackout first 8 digits of Aadhaar Number) Expiry Date
Passport No.
Driving Licence No.
Voter ID Card No.
2. (B) Correspondence Address : Please submit self-attested copy of any Utility bills (Electricity, Gas, Telephone, Post-paid Mobile, etc) which is not more than 2 months old or any other document acceptable to HDFC.
3. CONTACT DETAILS: (All communication will be sent to Mobile number/Email-ID provided.)
Mobile Email ID

I am interested to know more about other products offered by HDFC Ltd. and its group companies.  Yes  No
DECLARATION
I certify that the information provided above is in accordance with section 285BA of the Income Tax Act, 1961 read with Rules 114F to 114H of the Income Tax Rules, 1962. I have not withheld any material information that may affect the assessment/categorization of the account as
a Reportable account or otherwise. I permit/authorise HDFC Ltd. to collect, store, communicate and process information relating to the Account and all transactions therein, by HDFC Ltd. and any of its affiliates wherever situated including sharing, transfer and disclosure between
them and to the authorities in and/or outside India of any confidential information for compliance with any law or regulation whether domestic or foreign. It shall be my responsibility to educate myself and to comply at all times with all relevant laws relating to reporting under section
285BA of the Act read with the Rules thereunder.
I hereby submit voluntarily at my own discretion, the proof of possession of Aadhaar to HDFC Ltd. for the purpose of establishing my identity/address. I voluntarily give my consent for verification of my Aadhaar (wherever submitted) to establish its genuineness through such
acceptable manner as stipulated by UIDAI in connection with customer identification and acceptance for HDFC Ltd. The consent and purpose of collecting Aadhaar has been explained to me in local language. HDFC Ltd. has informed me that my Aadhaar submitted herewith shall
not be used for any purpose other than mentioned above, or as per requirements of law. HDFC Ltd. has informed me that this consent and my Aadhaar will be stored with HDFC Ltd.
I hereby authorise HDFC Ltd. to search, download and store my KYC details from CERSAI Registry for the purpose of KYC compliance. I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you any
changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable
for it. I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
I hereby give my consent to HDFC Ltd.
Signature :
Place : Date :

Attestation/For Office Use Only

Scan Sr. No. Application Type New Update
Documents Received Certified Copies
KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Emp. Name : HOUSING DEVELOPMENT FINANCE
Name :
CORPORATION LIMITED
Emp. Code :
Designation : Institution stamp
Emp. Branch :
Date :
Employee signature
5/2021/