CUSTOMER COPY
OFFICE USE Please quote the reference no. for future reference.
We acknowledge receipt of nomination made by you in favour of :
Name of the nominee_______________________________________ Age: ____ years.
with respect to your A/c. nos. ______________________________________________
*Please staple the relevant documents here
along with the applicants latest visiting card. Acknowledgment date : D D M M Y Y Y Y
Name and Signature of Bank official:_______________________
(Please staple all documents in the space provided above)
FIXED DEPOSIT FORM
(To be filled by applicant only)
044
(Please fill the form in BLOCK LETTERS only-All fields marked " * " are MANDATORY) *Application Date
*PERSONAL DETAILS
APPL. PREFIX Full Name (Please leave one space between words for e.g.) A J A Y R A M M I S H R A
1st
2nd
3rd
1stAppl. Cust Id 2nd Appl. Cust Id 3rdAppl. Cust Id
*PAN No. (If not available please attach Form 60/61) FORM 60 / 61 ATTACHED *DATE OF BIRTH Category
1st Appl. Y N D D M M Y Y Y Y
NOMINATION: Yes No, I declare that I do not wish to make nomination in my deposit account.
*(Please fill the nomination details on the reverse)
FIXED DEPOSIT DETAILS The advice will be received at your mailing address within 7-8 working days of a/c opening. Customer registered for email statement will receive FD advice through email.
Amount : ps. Tenure : Months Days Rate of Interest: p. a.
INTEREST PAYMENT FREQUENCY PRINCIPAL / INTEREST PAYMENT MODE MATURITY INSTRUCTIONS
Re-Investment Transfer to Current / Saving Renew Principal and interest
Quarterly A/c. No. Renew Principal
Monthly Manager s cheque to Mailing address Do not Renew
I wish to avail Supersaver facility against the above mentioned deposit in the below mentioned A/c. No. OR Sweep-in facility
A/c. No. * TAT of account opening and activation of super saver /sweep-in facility is 3-4 working days
Senior Citizen Yes No
If Yes, attach a copy of document showing proof of age. ( Driving Licence/Passport Pan Card Senior Citizen ID Card)
* TDS DETAILS : Deduct TDS (If applicable) Yes No (*Please Submit the TDS waiver document as below)
Form 15G/H Income Tax exemption letter Waiver marked on Cust ID
PAYMENT DETAILS
Cash (To open an account with cash, the customer must deposit the cash, in person, only at the account branch)
Cheque No. dated D D M M Y Y
Bank, Branch.
Debit A/c No. Amount ps.
The cheque should be crossed A/c Payee and drawn payable to HDFC Bank Limited A/c. (Customer Name)
Account Operating Instructions #
In the event of the death of the depositor, premature liquidation of the term deposits will be allowed. Such premature
liquidation will not attract any penal charge.
##
Single Either/Any one or Survivor Jointly ## In the event of the death of one of the joint account holders, the right to the deposit proceeds does not automatically
devolve on the surviving joint deposit account holder, unless there is a survivorship clause.
Sign Here Sign Here Sign Here
I/We confirm that I/We have read and understood the above Declaration, and that the details provided on the form are correct. I/We also confirm that my/our account been opened by Bank
officer Mr./Ms. _________________________________________________ & I/We have signed in his/her presence.
Account Opening Rules: Tax Deduction at Source
In terms of Reserve Bank of India Directives, interest will be calculated at quarterly intervals on Term Deposits and paid
at the rate decided by the bank depending upon the period of deposits. In case of Monthly Deposit Scheme, the interest
TDS rates will be as applicable from time to time as per the Income Tax Act, 1961 and Income Tax rules. The current rates
will be calculated for the quarter and paid monthly at discounted value. applicable for TDS would be displayed by the Bank on its website. Currently, TDS is deducted when interest payable or
In case of premature withdrawal of the fixed deposit based on depositor s instructions or the instructions of all the joint reinvested per customer, per branch,exceeds Rs. 10,000/- in a Financial Year
depositors in the case of joint deposit, the bank has the right to recover interest already paid or the penalty, if any, from No deductions of tax shall be made for taxable interest in the case of an individual resident in India, if such individual furnishes to
the proceeds of the fixed deposit in accordance with prevailing regulations of the bank and the Reserve Bank of India. the Bank, a declaration in writing in the prescribed Form (Form 15G / Form 15 H as applicable) to the effect that the tax on his
The Deposits of the bank are insured with DICGC and in case of liquidation of the bank, DICGC is liable to pay each depositor estimated total income for the year in which such interest income is to be included in computing his total income will be Nil
through the liquidator, the amount of his deposit upto Rupees one lakh within two months from the date of claim list from the
Form No. 15G / 15H to be submitted in Duplicate. A fresh Form No. 15G / 15H to be submitted in each new financial year
liquidator.
In case of any complaint relating to features of any of the products, the Grievance Redressal Cell within the bank can be The bank shall not be liable for any consequences or loss arising due to delay or non submission of form 15G/form15H. To
approached for a resolution at customer_service@hdfcbank.com. enable us to serve you better kindly submit the form 15G/15H within the first week of the new financial year
HDFC Bank computes interest based on the actual number of days in a year. In case, the Deposit is spread over a leap As per Section 139A(5A) of the Income Tax Act, every person receiving any sum of income or amount from which tax has been
and a non-leap year, the interest is calculated based on the number of days i.e., 366 days in a leap year & 365 days in a deducted under the provisions of the Income Tax Act shall provide his PAN number to the person responsible for deducting such tax.
non leap year. In case the PAN number is not provided, the bank shall not be liable for the non availment of the credit of tax deducted at Source.
The Fixed Deposit advice will be dispatched to your recorded mailing address within 7-8 working days of account opening.
Penalty of 1% pa will be levied on premature closure of Fixed Deposits ( including sweep-in/partial closures). As per section 206AA introduced by Finance (No. 2) Act, 2009 wef 01.04.2010, every person who receives income
on which TDS is deductible shall furnish his PAN, failing which TDS shall be deducted at the rate of 20% in case of
Domestic deposits " Please further note that in the absence of PAN, Form 15G/H and other exemption certificates
will be invalid even if submitted & penal TDS will be applicable.
Note:- The above is subject to change as per directives of Finance Ministry Govt. of India.
Nomination
Nomination under Section 45 ZA of the Banking Regulation Act 1949 and Rule 2(1) of the Banking Companies (Nomination) Rule 1985 in
respect of Bank deposits I/We.
Name
Address
nominate the following person to whom in the event of my/our/minor s death the amount of deposit in the account, particulars whereof are
given below, may be returned by HDFC Bank Ltd., (Name of branch where account is held)
Deposit Nature of Deposit Account No.
Personal Details of Your Nominee
Name
Flat No. & Bldg. /
Company Name
Relationship with
Depositor,if any Age Date of Birth of Nominee
*As the nominee is a minor on this date, I/We appoint
Name
Address
Age 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 the nominee.
Personal Details of Your Witnesses *Thumb impression shall be attested by 2 Witnesses
Name 1) Name 2)
Address Address
Signature Signature
Place : Place :
Date : Date :
**Signature(s) / **Signature(s) / **Signature(s) /
***Thumb impression(s) of Depositor(s) ***Thumb impression(s) of Depositor(s) ***Thumb impression(s) of Depositor(s)
C314/V15.0/13.09.2011/P0330
For Bank use only Nomination serial no. AML already updated
FOR BANK USE ONLY A/C No. CUSTOMER ID NO.
Promo Code : Branch code where FD is to be opened
Product Code : LC CODE : LG CODE : MIS CODE :
VALUE DATE FUNDS PARKED CPU USE
P B SIGNATURE DATE ONLY DATE
DVU
2 9 9 0 0 0 0
APPROVED BY (BM) FCU
(Lien/Special deposit)
Funds Parked Branch Code SOURCING
BR CODE
