M 326

This is a machine readable form. Please avoid overwriting while filling the application

Account Opening Form

CORPORATE ACCOUNTS
(OTHER THAN INDIVIDUALS)

To Branch address:
The Branch Manager, The Karur Vysya Bank Ltd.
Please open my /our CURRENT account at your Branch.

Please fill all the details in CAPITAL LETTERS and in BLACK INK only. Fields with * are MANDATORY.
FOR OFFICE USE ONLY
DATE D D M M Y Y Y Y CUSTOMER IC*

CUSTOMER ID ACCOUNT NO:

ACCOUNT OPTIONS:
CURRENT ACCOUNT: ORDINARY MULTICITY       (Specify category)     (Product No.________________________)

Constitution: Sole proprietor Partnership LLP HUF Private Ltd Company Public Ltd Company Society Trust NGO/NPO
Association / Club University Central Government State Government Quasi Govt Financial Inst Bank Statutory body
Activity: Agri Mfg Trade Finance Bank Transport Services Govt Real Estate Stock Broker
Jewels / Gems / Precious Metal dealer Money Services Others (specify) ________________________________________________________

DETAILS OF BUSINESS UNIT

Messers *NAME (leave space between words) Eg: KARUR VYSYA BANK LIMITED
*

REGISTRATION NO.: PAN NO.: FORM 60/61

Y N
OFFICE MOBILE NO.:* E-MAIL ID:

RES TEL S D C O D OFF TEL S D C O D

NO.: T E NO.: T E
DATE OF INCORPORATION* DATE OF COMMENCEMENT OF BUSINESS FAX NO.:
D D M M Y Y Y Y D D M M Y Y Y Y S D C O D
T E
SALES TAX REGN NO.: CST/CGST REGN NO.:
DATE OF REGISTRATION D D M M Y Y Y Y DATE OF REGISTRATION D D M M Y Y Y Y
IE CODE VAT REGN NO.:
DATE OF REGISTRATION D D M M Y Y Y Y DATE OF REGISTRATION D D M M Y Y Y Y

*MAILING ADDRESS: BUSINESS UNIT

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY

PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY
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INITIAL PAYMENT DETAILS
` ` IN WORDS

Cash (Please make cash remittance only at the branch. Please do not handover cash to unauthorized persons)

Names of proprietor/partners/persons (in case of companies/Trusts, etc.) Specimen Signature

authorized to operate the account (without seal)

1.

2.

3.

4.

5.

6.

OPERATING INSTRUCTIONS

Specific operating instructions___________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________

INTRODUCTION DETAILS:
Introduction by existing KVB Account Holder Introduction by existing Banker

NAME:

Customer ID

Account No.:

I confirm that I personally know the applicant/s detailed herein for more than 6 months
and confirm his/her/their identity and address.

______________________________________________

Signature of Introducer
FOR BANK USE:

Name, Code and Signature of the officer who verified the introducer’s signature.
SERVICES REQUIRED

1. E-MAIL STATEMENT YES NO 2. A/C STATEMENT FREQUENCY (CURRENT A/C) M Q HY Y

3. CONSENT TO COMMUNICATE NEW PRODUCTS / OFFERS (THROUGH E-MAIL, SMS, POST, TELEBANKING) : YES NO

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 ACCOUNT NO.:

DECLARATION : General: I/We have read the terms & condition of the Bank and pertaining to the Savings/current accounts and anywhere banking, tele-banking, internet
banking, and ATM cum Debit Card facility. I/We have understood the same and agree to abide by such/any other terms and conditions that may be in force from time to time.
I/We also agree to abide by the Bank’s’ Schedule of Charges as applicable from time to time for savings/current accounts as published in the bank’s web site/notice board.
I/ We also understand that the terms & conditions and the service charges are subject to change without any personal notice. The information furnished/declaration given
by me/us in this form is true and I/we shall be held responsible for any wrong/misleading information at all times. For the purpose of providing certain services, the Bank is/
may be required to engage the services of specialized and other service providers/agents. I/We authorize the Bank to furnish any information regarding my/our account to
these service providers/agents. I/We also understand that the continuation of the accounts is at the Bank’s sole discretion, and in case of dissatisfaction with the conduct of
the account, the Bank has right to close the account after giving suitable notice or withdraw some/all services/concessions granted to me/us.

Applicant No. 1 Applicant No. 2 Applicant No. 3 Applicant No. 4

Please paste colour photo Please paste colour photo Please paste colour photo Please paste colour photo
here. Please do not use pins, here. Please do not use pins, here. Please do not use pins, here. Please do not use pins,
staples or tape staples or tape staples or tape staples or tape

CUSTOMER ID CUSTOMER ID CUSTOMER ID CUSTOMER ID

NAME: NAME: NAME: NAME:

Signature (with seal) Signature (with seal) Signature (with seal) Signature (with seal)

(Use Black ink and Sign within the Box only)

(Incase of LTI) Witness No. 1 Witness No. 2
____________________________________________ _____________________________________________

KYC AND RISK PROFILE CERTIFICATION

APPLICANT PROOF TYPE NAME OF THE DOCUMENT NUMBER ISSUE DATE EXPIRY DATE
NO. D    D M M Y Y Y Y D    D M M Y Y Y Y
1. IDENTITY PROOF

ADDRESS PROOF

2. IDENTITY PROOF

ADDRESS PROOF

3. IDENTITY PROOF

ADDRESS PROOF

4. IDENTITY PROOF

ADDRESS PROOF

We have perused the Original Documents and as per KYC norms all are correct. Further to know about the customer we have
enquired locally and /or we personally visited the places of addresses given by the customer, to ascertain the correctness. All the
signatories have signed before me. I authorize opening of the account. Also we certify that according to the nature of Business/
activity, this account may be treated under the below selected risk category:

RISK LEVEL LOW MEDIUM HIGH Expected level of turnover:

(In a quarter) `
CANVASSED BY CODE NO.:

DATE:            SIGNATURE OF THE MANAGER   

Note: For additional account holders attach this same type of form. 3 of 12
DECLARATION:

I/We have read and understood the Terms and Conditions (a copy of which I/We am/are in possession of) governing the opening of an account with KVB and those relating to
various services including but not limited to (a) ATMs (b) Anywhere Banking Convenience Plus. (2) I/We accept and agree to be bound by the said terms and conditions including
those/limiting the Bank’s liability. (3) I/We understand that the Bank may, at its absolute discretion, discontinue any of the services completely or partly without any notice to me/us.
(4) I/We agree that the Bank may debit my account for service charges as applicable from time to time. (5) I/We confirm that I/We am/are residents of India. (6) I/We agree to notify
the Bank in future if I/We avail any credit facility from any other bank and I/We authorize you to inform the existence of our account with you to the lending banker. (7) I/We also abide
by the terms and conditions of the bank for off line transactions. (8) I/We shall be liable to you for any monies owing to you from time to time in case the account is overdrawn and /
debit balance is caused including your commission, interest and other incidental charges. (9) In the event of death or insolvency or withdrawal of any of us the survivor/s shall have
full control of any monies standing to my/our credit in our account with you and the survivor/s will have full powers to operate the account / close the account. (10) I/We request
and authorize you to honor all cheques and other orders drawn or bills of exchange accepted or notes made on our behalf, to debit such cheques to our account with you whether
such accounts be for the time being in credit or overdrawn. (11) I/We also request you to accept the endorsement signed by me/us on cheques /orders/bills or notes payable to us.
(12)The cheques/Bills presented by us in our account for collection are at our sole risk and responsibility and the bank may engage the services of courier/post office for sending
the instruments for collection and the bank is not liable for any loss or damages in case the instruments are lost in transit. (13) I/We accept the Bank's right to take steps to close
the account if frequent return of cheques for want of funds or any other undesirable feature is observed. (14) The floating rate of interest is subject to floating interest rate fixed by
the bank from time to time and notified by the bank and no separate intimation or notice will be given to the depositor. (15) Failure to maintain monthly/quarterly minimum average
balance in the SB/CA attracts penal charges.
Core Banking: (1) The Bank shall facilitate payment and collection of cheques through alI its branches while I/we shall have one account at the branch (for short “Home Branch”) Bank
shall also accept cash from me/us or my/our representatives and pay in cash against presentation of cheques drawn by me/us in favour of myself/ourselves or third party to the credit
or debit to my/our designated account with the Home Branch as per the appIicable Iimits for the account. The cash transaction will be on the same lines as is the case when deposits/
withdrawals take place at the home branch. (2) While the instruments for and on my/our behalf will be collected in local clearing, the credit in respect of the proceeds, thereunder will
be afforded at the home branch on and subject to realization at the respective centre(s)/branch(es). (3) The Bank will be entitled to debit by its home and any other branch(es) my/our
account at its base branch against the cheques presented at various branches of the Bank. (4) My/our written intimation of “stop payment” to the various branches of the Bank will
be at my/our risk and I/We agree to grant a lead time of at least 24 hours for intimation of such “stop payment” instruments to all its branches. In case of any erroneous information
which may emerge due to any communication error and if the “stop payment” is not carried out in good faith based on the said information, the Bank shall not be held responsible
for the said act. (5) I/We agree at any given time to maintain the average balance in my/our account as applicable for the account and informed to us by the Bank. In the event of my/
our failing to maintain the minimum balance and for conduct of the account not being satisfactory, the Bank will at its discretion be entitled to forthwith terminate the facility hereby
granted to me/us or to levy service charges as mutually agreed upon. (6) I/We agree to inform my/our existing bankers for the availment of any of the facilities hereby granted to me/us.
I/We also agree from time to time to furnish such information/details and the documents to the existing bankers and also to the Bank as is mandatory under the law in force from
time to time or as the Bank regards necessary and/or expedient under the banking practice/procedure or to maintain the comity and fair‑play between the Bank and the other bankers.
(7) The agreement herein contained shall not affect, prejudice or derogate from the Bank’s rights and privileges under the law including the right to claim setoff, general and the
bankers disposing or retaining lien or similar rights pertaining to my/our credit balance in the account with the Bank. (8) In the event of any malfunctioning and/or break‑down in the
working of the said network for the reasons beyond the control of the Bank, the benefits and the facilities hereby granted to me/us will stand suspended during such break‑down in
which case the Bank will not in any manner be liable and/or responsible to me/us for any damages / compensation and/or for any other consequences arising out of such suspension.
(9) I/We agree to hold the Bank indemnified in case the Bank suffers any loss in account of operation of the scheme for my/our benefit.
Terms & Conditions of EFT Executed in the RBI EFT SYSTEM (as per form FT‑2B)
I/We am/ are desirous of availing the Electronic Funds Transfer (EFT) through the RBI EFT System. In consideration of the bank agreeing to extend to me/us the said EFT facility, I/we
hereby agree to and undertake the following terms and conditions.
1. Definitions (a)“Customer” means the person named here‑in above who has executed this Agreement. (b) “Bank” means Karur Vysya Bank Ltd. (c) “EFT Facility” means the
Electronic Funds Transfer Facility through the RBI EFT Systems. (d) “Security Procedure” means a procedure established by agreement between the bank and the customer for
the purpose of verifying that the payment order or communication amending or canceling a payment order transmitted electronically is that of the customer or for detecting error
in the transmission for the content of the payment order or communication. A security procedure may require the use of algorithms or other codes, identifying words or numbers,
encryption callback procedures or similar security devices. (e) Words or expressions use in this Agreement, but not specifically defined herein shall have the respective meanings
assigned to them in the RBI EFT Regulations, 1996. 2. Scope of the Agreement (a) This Agreement shall govern payment order issued by the customer during the period of validity
of the Agreement. (b) This Agreement shall be in addition to and not in derogation of the RBI EFT Regulations, 1996. The customer has gone through and understood the RBI (EFT
System) Regulations, 1996 and agrees that the rights and obligations provided therein in so far as it relates to the originator shall be binding on him/it in regard to every payment
order issued by him /it for execution in the EFT System. (c) The customer understands and agrees that nothing in this Agreement shall be construed as creating any contractual or
other rights against the Reserve Bank or any participant in the EFT System, other than the bank. 3. Commencement and Termination (a) This Agreement shall come into force as
soon as a security procedure is established by mutual agreement between the bank and the customer. (b) The Agreement shall remain valid until it is replaced by another agreement
or terminated by either party or the account is closed whichever is earlier. (c) Either party to this Agreement may terminate this Agreement by giving one month's notice in writing
to the other party. Notwithstanding the termination of the Agreement the parties to the Agreement shall be bound by all transactions between them in regard to EFT Facility availed
of by the customer before the termination of the Agreement. 4. Security procedure (a) For the purpose of agreement for security procedure, the bank may offer one or more or a
new combination of one or more security device. (b) A security procedure once established by Agreement shall remain valid until it is changed by mutual agreement. 5. Rights and
obligations of customer (a) The customer shall be entitled, subject to other terms and conditions in the Regulations and this Agreement to issue payment orders for execution by the
bank. (b) Payment order shall be issued by the customer in the form annexed hereto, complete in all particulars. The customer shall be responsible for the accuracy of the particulars
given in the payment order issued by him and shall be liable to compensate the bank for any loss arising on account of any error in his payment order. (c) The customer shall be bound
by any payment order executed by the bank if the bank had executed the payment order in good faith and in compliance with the security procedure, Provided that the customer shall
not be bound by any payment order executed by the bank if he proves that the payment order was not issued by him and that it was caused either by negligence or a fraudulent act
of any employee of the bank. (d) The customer shall ensure availability of funds in his account properly applicable to the payment order before the execution of the payment order
by the bank. Where however, the bank executes the payment order without properly applicable funds being available in the customer's account the customer shall be bound to pay
to the bank the amount debited to his account for which on EFT was executed by the bank pursuant to his payment order, together with the charges including interest payable to the
bank. (e) The customer hereby authorises the bank to debit to his account any liability incurred by him to the bank for execution by the bank of any payment order issued by him.
(f) Customer agrees that the payment order shall become irrevocable when it is executed by bank. (g) Customer agrees that the bank is not bound by any notice of revocation
unless it is in compliance with the security procedure. (h) Customer agrees that he shall not be entitled to make my claim against my party in the RBI EFT System except the bank.
(i) Customer agrees that in the event of any delay in the completion of the Funds Transfer or any loss on account or error in the execution of the Funds Transfer pursuant to a payment
order, the bank's liability shall be limited to the extent of payment of interest at the Bank Rate for my period of delay in the case of delayed payment and refund of the amount together
with interest at the Bank Rate upto the date of refund, in the event of loss on account of error, negligence or fraud on the part of any employee of the Bank. (j) Customer agrees that
no special circumstances shall attach to my payment order executed under the EFT facility under this Agreement and under no circumstances customer shall be entitled to claim
any compensation in excess of that which is provided in clause (9) above, for any breach of contract or otherwise.
Rights and Obligations of the bank
1. The bank shall execute a payment order issued by the customer duly authenticated by him as defined by the security procedure, unless (a) the funds available in the account of the
customer are not adequate or properly applicable to comply with the payment order and the customer has not made any other arrangement to meet the payment obligation. (b) the
payment order is incomplete or it is not issued in the agreed form. (c) The payment order is attached with notice of any special circumstances. (d) The bank has reason to believe that
the payment order is issued to carry out an unlawful transaction. (e) The payment order cannot be executed under the RBI EFT System. 2. No payment order issued by the customer
shall be binding on the bank until the bank has accepted it. 3. The bank shall, upon execution of every payment order executed by it, be entitled to debit the designated account of the
customer, the amount of the funds transferred together with charges payable thereon, whether or not the account has sufficient balance.

SIGNATURE OF THE ACCOUNT HOLDER/S

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 ACCOUNT NO.:
Current Account / Credit facility with other bank
I/We declare that I / We do not enjoy credit facilities with other bank/s.
I/We enjoy credit facility / have current account with other banks, details of which are furnished below: (If credit facility is enjoyed with other bank,
NOC should be obtained and produced for opening the account).
Name of the Bank Account No. Facility Amount

SOLE PROPRIETORSHIP
I wish to inform that I __________________________________________________________am trading under the names and style of

M/s
and that I am the sole proprietor of the said concern. I shall be responsible for all transactions in my account with you and obligations incurred with you or arising from
the operation of my account, whether such obligations or transactions are in the course of business under the said trade name and style or otherwise. Notwithstanding
any change in the constitution of my concern or disposal of my proprietary interest in business in the said name and style of my business is not conducted for any reason,
I shall continue to be liable to discharge all my obligations to you at all times and undertake to intimate you about such changes and also reconstitute or close the accounts
as may be warranted.

Registration No. ________________________________ Place__________________________Date_____________

SIGNATURE OF THE DECLARANT (to be signed in individual capacity without stamp)

PARTNERSHIP LETTER
We request you to take notice that we are carrying on business in the name and style of M/s____________________________________________________________
(Regn: No._______________________at____________________________________) and further request that all transactions entered into with you by all or any one or
more of us and all obligations incurred by all or any one or more of us whether under the signature of the firm or subscribed by the individual signature of the person or
persons entering upon the transaction or incurring the obligation, with or without co-obligants may be regarded by you as entered into and incurred for an on behalf of all
of us jointly and severally and also the assets of the firm shall be liable for amount due to the bank. We also request you to take notice that every one of us is authorised
to draw, execute, endorse/accept and negotiate cheques, promissory notes, hundies, bills and other negotiable instruments on behalf of all of us and our firm and we also
request you take notice that our liability or liability of our firm to you as aforesaid shall not in any way be affected even if any third party joins in the transaction as co-obligant.
We further hereby intimate to you that as per the agreement between the Karur Vysya Bank Ltd. on the one part and ourselves on the other part, we are jointly or severally
liable to you in respect of all or any of the aforesaid transactions or obligations. The retiring partner shall be liable to issue notice to you regarding retirement in the manner
required under section 32 of the Partnership Act and such retiring partner/s shall be liable and continue to be liable to you for any act done by any of the partners until public
notice is given of the retirement as aforesaid. Further, in the matter of making payment towards the liability arising in the account or acknowledging the liabilities or any
part thereof as and when called upon by the bank to do so for the specific purpose saving limitation we declare that the payment or acknowledgement/s made or given by
only one of more of us shall be binding on all of us jointly and/ or severally and that the said payment/s and acknowledgement/s of debt and or payment/s shall be taken as
given and made as agent/s of the other partners. This letter shall operate and be effective notwithstanding any provision in our deed of partnership which may conflict with
any of the terms herein.
NAME SIGNATURE NAME SIGNATURE

NAME SIGNATURE NAME SIGNATURE

NAME SIGNATURE NAME SIGNATURE

PLACE_______________________________ DATE___________________________________
LETTER OF AUTHORITY
I/We hereby authorise you to honour all cheques/ drafts drawn on the above account and to accept and act upon receipt for money deposited with or owing by the Bank on
any account(s) at any time(s) kept in the above account with the Bank provided such cheques or drafts are signed by Mr/Mrs____________________________________
____________________________________________________ , whose specimen signature card is enclosed duly countersigned by me/us notwithstanding at such
cheques or drafts may create overdrawing or to increase it to any extent. Mr/Mrs_________________________________________________________ is also authorised
on my/our behalf to make, draw, accept, endorse and negotiate or otherwise sign any Hundies, Bills of Exchange and Promissory Notes or other Negotiable Instruments, to
operate or overdraw on the above account with your Bank, to enter into any derivative contracts on our behalf to receive payments of all money due to me/us, to acknowledge
debit(s) due from me/us, or to me/us, as to bind me/us all to pledge or hypothecate to the Bank any stocks or other form of securities belonging to me/us, any one or more
of us on my/our behalf to borrow either with or without security, to withdraw any stock or other securities pledged, to give valid receipt for such securities and stock and to
receive notices on my/our behalf, execute necessary documents relating to my/our business with your Bank including guarantees and to issue guarantees on my /our behalf
with or without security. This authority shall continue to be in force until I/We revoke it by a notice in writing delivered to you.
Yours faithfully
__________________________________________ ______________________________________ _________________________________
Signature of letter of Authority Holder Counter Signature by Account Holder
Enc: Specimen signature card duly countersigned (In case of partnership firm, all partners should sign).
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 HUF LETTER

We, the undersigned, for ourselves and_____________________________ as Manager/Kartha of the family, also guardian of*
__________________________________________________________________________________________ request you to take notice that we are members
of Hindu Undivided Family /firm. The Joint Family /Firm is carrying business under the name and style of
M/s ____________________________________________________________ The Hindu Undivided Family is engaged
in _______________________________________ activity/ occupation.
We, the undersigned, hereby authorise (Kartha/Manager) ____________________________________________ to operate upon the Bank account severally,
jointly and all transactions entered into and obligations incurred or to be hereafter incurred by them will be binding on all of us. Any acts done/ to be done to comply
with Bank’s rules which are in force or as amended from time to time in the matter of maintaining and conduct of such accounts will be binding on us.
*Here state the name of the children of each of the family members stating their parentage and state also the names of guardians by whom they are represented.
NAME SIGNATURE NAME SIGNATURE

NAME SIGNATURE NAME SIGNATURE

NAME SIGNATURE NAME SIGNATURE

DRAFT BOARD RESOLUTION TO BE SUBMITTED BY LIMITED COMPANIES

Certified copy of an extract from the minutes of the meeting of the Board of Directors of__________________________________________________________________
______________, duly convened and at which a proper quorum was present, held at __________________ on the __________ day of _________________ 20____.
“Resolved that a bank account for the Company be opened at The Karur Vysya Bank Ltd._________________________________Branch_______________________
City and that the bank is hereby authorised to honour cheques, bills of exchange, and promissory notes drawn, accepted or made on behalf of the company
by____________________________________________________________________________________________________________________________________
(Mention the name/s of authorized person/s to operate the account) sign and to act upon any instructions relating to the account, whether the same to be overdrawn or not
or relating to the transactions of the company.
Resolved further that the company do accept the terms and conditions as contained in the application/account opening form or any other terms and conditions as may be
notified by the Bank from time to time and also the terms and conditions relating to products and services offered by the bank through any other delivery channels such as
phone/email/internet/SMS.
Certified True Copy

________________________________________ _____________________________________
CHAIRMAN OF THE MEETING SECRETARY

LIMITED LIABILITY PARTNERSHIP

We are carrying on business in the name and style M/s ___________________________________Reg No. _________ With Registered office at _________________________
We request you to open a Current Account in our name. The said account would be opened and operated by the ‘Authorized Partner/s’ whose specimen signature/s has been
attested by the Designated Partner of the LLP, as per the Resolution passed in the meeting held on __ __ 20__, a duly attested copy of which is enclosed.

We undertake that all transactions entered and all obligations incurred by ‘Authorized Partner/s’, whether under the signature and seal of the LLP or under the individual
signature of the person or persons entering upon the transaction/incurring the obligation, shall be treated as entered/incurred for and on behalf of LLP and they shall be
binding on the LLP and the assets of the LLP shall be liable for amount due to the Bank. The ‘Authorized Partner/s’ shall be held liable to the extent of their contribution to
the LLP.

We also request you to take notice that the ‘Authorized Partner/s’ of our LLP are authorized to draw, execute, endorse/accept and negotiate; cheques, promissory notes,
hundies, bills, and other negotiable instruments on behalf of all of the LLP, and we also request you take notice that our liability to you as aforesaid shall not in any way be
affected even if any third party joins in the transactions as co-obligant.

Further, in the matter of making payment towards the liability arising in the account or acknowledging the liabilities as and when called upon by the bank to do so for the
specific purpose saving limitation; we declare that the payment or acknowledgement/s made or given by the ‘Authorized Partner/s’ or the Designated Partners shall be
binding on the LLP and that the said payment/s and acknowledgment/s of debt and or payment/s shall be taken as given and made as agent/s of the LLP.

This letter shall operate and be effective notwithstanding any provision in our Agreement of Limited Liability Partnership which may conflict with any of the terms herein.

_________________________ _________________________
Signature of Authorized Partner Signature of Designated Partner

Name: ……………….….….…….…. Name: …………………….….………. (DPIN NO.: )

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ACCOUNT NO.: Customer ID:
DETAILS OF PROPRIETOR/PARTNERS/DIRECTORS/TRUSTEES/KARTHA/OTHERS (APPLICABLE TO CLUBS AND SOCIETIES)
Mr/ Ms *NAME: INDIVIDUAL (IN THE ORDER OF FIRST, MIDDLE & LAST NAME) leave space between words. Eg. RAM GOPAL VARMA
*

*FATHER’S NAME

MOTHER’S NAME

SPOUSE NAME

AADHAAR ID: PAN NO.: FORM 60/61

Y N
DATE OF BIRTH* MARITAL STATUS NATIONALITY* RELIGION GENDER*
D D M M Y Y Y Y M UM M F
MOBILE NO.:* E-MAIL ID:

RES TEL S D C O D OFF TEL S D C O D

NO.: T E NO.: T E

*MAILING ADDRESS: JOINT APPLICANT / PROPRIETOR

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY

PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY

*PERSONAL INFORMATION OF JOINT HOLDER / PROPRIETOR

FAMILY MEMBERS DOB RELATIONSHIP OCCUPATION
1.
2.

3.

QUALIFICATION UNDERGRADUATE GRADUATE POST GRADUATE PROFESSIONAL ILLITERATE NO. OF DEPENDENTS

EMPLOYED WITH
STATE GOVT CENTRAL GOVT PUBLIC LTD PRIVATE LTD MNC OTHER ENTITY (specify_________________________________________________________)

NATURE OF BUSINESS MANUFACTURING TRADING SERVICES RETAILING AGRICULTURE MONEY SERVICES AGENCY
STOCK BROKER REAL ESTATE NGO/NPO JEWELS/GEMS/PRECIOUS METAL DEALER OTHERS (specify)______________________________________________

TYPE OF PROFESSION DOCTOR ENGINEER BANKER TEACHER LAWYER ARCHITECT CONSULTANT

IT PROFESSIONAL OTHERS (specify)_________________________________________________________
Annual Income SELF SPOUSE HOUSEHOLD
` ` `

ASSETS OWNED HOUSE CAR TWO WHEELER GOLD SILVER LAND

LOANS WITH OTHER BANKS
HOUSING BUSINESS CAR TWO WHEELER CREDIT CARD PERSONAL JEWEL PROFESSIONAL

OTHER INVESTMENTS DEPOSITS INSURANCE SHARES MF DEMAT

SIGNATURE OF THE ACCOUNT HOLDER/S

Note: For additional account holders attach this same type of form.
7 of 12
ACCOUNT NO.: Customer ID:
DETAILS OF PROPRIETOR/PARTNERS/DIRECTORS/TRUSTEES/KARTHA/OTHERS (APPLICABLE TO CLUBS AND SOCIETIES)
Mr/ Ms *NAME: INDIVIDUAL (IN THE ORDER OF FIRST, MIDDLE & LAST NAME) leave space between words. Eg. RAM GOPAL VARMA
*

*FATHER’S NAME

MOTHER’S NAME

SPOUSE NAME

AADHAAR ID: PAN NO.: FORM 60/61

Y N
DATE OF BIRTH* MARITAL STATUS NATIONALITY* RELIGION GENDER*
D D M M Y Y Y Y M UM M F
MOBILE NO.:* E-MAIL ID:

RES TEL S D C O D OFF TEL S D C O D

NO.: T E NO.: T E

*MAILING ADDRESS: JOINT APPLICANT / PROPRIETOR

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY

PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY

*PERSONAL INFORMATION OF JOINT HOLDER / PROPRIETOR

FAMILY MEMBERS DOB RELATIONSHIP OCCUPATION
1.
2.

3.

QUALIFICATION UNDERGRADUATE GRADUATE POST GRADUATE PROFESSIONAL ILLITERATE NO. OF DEPENDENTS

EMPLOYED WITH
STATE GOVT CENTRAL GOVT PUBLIC LTD PRIVATE LTD MNC OTHER ENTITY (specify_________________________________________________________)

NATURE OF BUSINESS MANUFACTURING TRADING SERVICES RETAILING AGRICULTURE MONEY SERVICES AGENCY
STOCK BROKER REAL ESTATE NGO/NPO JEWELS/GEMS/PRECIOUS METAL DEALER OTHERS (specify)______________________________________________

TYPE OF PROFESSION DOCTOR ENGINEER BANKER TEACHER LAWYER ARCHITECT CONSULTANT

IT PROFESSIONAL OTHERS (specify)_________________________________________________________
Annual Income SELF SPOUSE HOUSEHOLD
` ` `

ASSETS OWNED HOUSE CAR TWO WHEELER GOLD SILVER LAND

LOANS WITH OTHER BANKS
HOUSING BUSINESS CAR TWO WHEELER CREDIT CARD PERSONAL JEWEL PROFESSIONAL

OTHER INVESTMENTS DEPOSITS INSURANCE SHARES MF DEMAT

SIGNATURE OF THE ACCOUNT HOLDER/S

8 of 12
 Application for E-services
For Individuals / Corporate Photo
Please paste colour stamp
size photo here. Please
Please fill all the details in CAPITAL LETTERS and in BLACK INK only. do not use pins, staples
or tape

Branch Name: ________________________________Branch Code: __________Date_______________

ACCOUNT
CUSTOMER ID
NO
I/We wish to apply for the following E-Services with your bank. I/We furnish the details of my/our account for which the facility
shall be enabled.

FACILITY / SERVICES REQUIRED

ATM Card Debit Card Add on Card Alert (Mob / E-mail) Internet Banking Mobile Banking (M-pay)

Mr./Ms/ ACCOUNT NAME : (IN THE ORDER OF FIRST, MIDDLE & LAST NAME) leave space between words.
Messers

Fill up the rows applicable to the facility requested

1. ATM/DEBIT CARD
(Name to appear on the card)
PHOTO CARD YES NO ADD ON CARD : YES NO
2. ADD ON CARD DETAILS CUSTOMER ID
JOINT HOLDER NON CUSTOMER (Joint applicant Form to be attached)
ADD ON CARD (Name to appear on the card)
Customer ID Mobile Number / E-mail ID
3. ALERT: SMS / E-mail ID
Customer ID Mobile Number / E-mail ID
ALERT: SMS/ E-mail ID
Customer ID Mobile Number / E-mail ID
ALERT: SMS/ E-mail ID
SMS: TRANSACTION TYPE Debit Credit Balance E-MAIL: TRANSACTION TYPE Debit Credit Balance
AUTHORISED USER NAME – 1
(For Alert)
AUTHORISED USER NAME – 2
(For Alert)
AUTHORISED USER NAME – 3
(For Alert)
4. MOBILE BANKING – M-PAY (mobile number) 9 1
HANDSET MAKE – MODEL (Eg: NOKIA -3110C)
AUTHORISED USER NAME
(For Mobile banking - M-pay)

5. NET BANKING : Retail – Fin-Personal Fin-Personal and Third Party Non- Fin RSA TOKEN (Optional and charges are applicable)
Corporate – Fin Non-Fin (Maker is one who enters the transactions. Checker is the one who authorize the transaction.) RSA TOKEN mandatory.
AUTHORISED USER NAME E-MAIL ID (F/NF) Maker / Checker Limit (`)

I/we confirm that the mandate from the competent authority has been obtained for the corporate user(s) for operating our accounts and transaction
through internet banking services of KVB. The copy of the resolution is enclosed.

SIGNATURE OF THE ACCOUNT HOLDER/S 9 of 12

DECLARATION

Debit Card: I/We have read and understood the terms and conditions governing the usage of the Debit Card. I/We accept to be bound by the said terms and conditions and
to any changes made therein from time to time by the Bank, at its sole discretion without any notice to me/us. I/We confirm that I/we am/are the sole account holder or have
the required mandate to operate all the accounts linked to the Debit Card(s) singly. I/We understand that upon issue of a Debit Card to me/us, the existing ATM card linked
to my account will be deactivated I/we understand and undertake that the usage of the Debit Card shall be strictly in accordance with the Exchange Control Regulation and
in event of any failure to do so, I/we will be liable for action under the Foreign Exchange Management Act 1999 and the amendments thereof stipulated by the Reserve Bank
of India , or rules notified under the Act or any other Act governing such transactions. I/We accept full responsibility for my Debit Card and agree not to make any claims
against Karur Vysya Bank, in respect thereto. I/We agree that the cash deposited by me/us in the ATM will be credited by the Bank to the account after due verification and
if it is found in order within 24 hours from the next working day. I/We agree further that all complaints pertaining to all ATM transactions will be resolved by the Bank within
about 2 months.
Mobile Banking (Alert): I / We wish to apply for the SMS banking and subscribe for the Mobile alerts facility offered by KVB. I am herewith furnishing the details of my / our
account for which this facility shall be enabled. I/We have read and agree to abide by the terms and conditions governing KVB @ Mobile made available to me / us by THE
KARUR VYSYA BANK LTD. I / We am / are responsible for the registration of Mobile Banking at the Hand phone Number/s mentioned above. In the event of availing any
additional / specialized facility through Mobile Banking, I / We shall be fully responsible for the account being debited on instruction from the above mobile Number/s. I /We
have no objection to the fees, duties or any other charges which is associated with the service. In case of any mistake on my part or that of the mobile service provider in
respect of these services, I /We agree that the Bank will not be responsible and agree not to make any claim against the Bank.
Mobile Banking (M-pay): I hereby confirm that the following. I / We have read and agree to abide by the terms and conditions governing Mobile Banking services (KVB mPAY)
made available to me / us by THE KARUR VYSYA BANK LTD. (a copy of which I am in possession/displayed in the banks website,www.kvb.co.in) I am the sole account holder
or I have the required mandate for joint account to singly operate the account through mobile banking. I am solely responsible for all the transactions happening through my
mobile number. I will keep the application password / MPIN / any other form of security / authentication pin provided by the bank and maintain the confidentiality and secrecy.
In case of change in mobile number, I will uninstall/remove the mobile banking application installed in my mobile, for maintaining the confidentiality and secrecy. In case of
lost / theft of my mobile / SIM, I will immediately inform the bank to cease /suspend the mobile application facility. I am aware of the charges applicable for this service and
hereby authorize Karur Vysya Bank to debit my account(s) towards any service charges for availing mobile banking facility, as and when it is applicable. Charges as per my
tarrif plan may be levied by my mobile service provider. I declare that the above details mentioned in the application are true and correct to the best of my knowledge.
INTERNET BANKING: I/We have read and agree to abide by the terms and conditions governing KVB@NET Internet facility of THE KARUR VYSYA BANK LTD. provided to me/
us including those excluding/limiting the Bank’s liability and agree to any other changes to be made by the Bank from time to time and acknowledge that the Bank may
in its absolute discretion discontinue any of the services completely or partially without notice to me/us. I/We request you to provide access as requested above. I/We agree
that the Bank may debit my/our account for the service charges as applicable from time to time.
RSA security Token: I/We agree to receive RSA token which generates pass code for me/each individual authorized signatory(s) as given above for the purpose of transacting
my/our accounts through internet banking. I/we agree and authorize the bank to debit my/our primary account with the bank at the rate applicable from time to time for the
issuance of duplicate RSA token if any, for the specific facility (which is non refundable) to be issued to me/individually to each of the authorized signatory(s).) Issuance of RSA
token for retail users is optional and charges are as applicable from time to time. Issuance of RSA token is mandatory for corporate and is free of cost. RSA token is valid for
5 years from the date of issuance. I/we confirm that the mandate from the competent authority has been obtained for the corporate user(s)for operating our accounts and
transaction through the Internet banking services of KVB. The detail of the resolution and a copy is enclosed. In order to ensure safety of “Online” banking, I/we shall ensure
to observe the following precautions: a) I/We will visit the Internet Banking site directly. I/We will avoid accessing the site through a link from another site or an email and
verify the domain name displayed to avoid spoof websites. b) I/We will ignore any e-mail asking me/us the password or PIN and inform the Bank of the same immediately to
investigate the same. c) I/We understand that neither the Police nor the Bank will ever contact me/us to ask to reveal my/our online banking or payment card PINs, or my/
our password information. d) I/We will not use cyber cafes / shared PCs to access our Internet banking site.e) I/We will update our PC with latest antivirus and spy ware
software regularly. I/We will install security programmes to protect against hackers, virus attacks or malicious ‘Trojan Horse’ programmes. I/We understand that a suitable
firewall installed will protect my/our PC and its contents from outsiders on the Internet. f) I/We will disable the ‘File and Print Sharing’ feature on my/our operating system.
g) I/We will log off from the bank’s website in my/our PC when not in use. h) I/We agree not to store my/our ID/PIN in the Internet Explorer browser i) I/We agree to check
my/our account and transaction history regularly j) I/We will use the Bank’s websites to get help and guidance on how to stay online. I/We agree that the Bank is NOT
liable for any loss arising from my / our sharing or otherwise passing of my /our User Ids, passwords, cards, card numbers or PINs with anyone, NOR from their
consequent unauthorized use.I/We have read and agree to abide by the above additional terms and conditions governing KVB@NET, Internet Banking facility of THE KARUR
VYSYA BANK LTD. provided to me/us which shall constitute an agreement between me/us and the Bank. I/we have read and understood the rules governing the above channel
services and agree to abide by the same.

SIGNATURE OF THE AUTHORISED USER SIGNATURE OF ACCOUNT HOLDERS

Note: 1. For existing customers the details given in the above I certify that all the above information has been verified, updated
application should be same as in the customer master. appropriately and are correct. The above requested services
This should be strictly verified by the Manager/Officer can be enabled for the applicant.
before forwarding.
2. For new accounts, leave account number column as
blank.
3. Add on cards should be issued only to the spouse of the
account holder (If not a joint account holder). MANAGER / OFFICER DATE:

10 of 12
 LETTER OF MANDATE FOR E-SERVICES

I /We, am/are having account with No. _______________________________________________________________

with your bank.
I / we hereby agree the terms and conditions specified by the bank for KVB M-PAY / INTERNET BANKING / DEBIT CARD /
KVB-MOBILE ALERT.
I authorize the account holder/non-account holder Mr./Mrs./Ms _________________________________________ to
the bank for operating the above mentioned account(s) through KVB M-PAY / INTERNET BANKING / DEBIT CARD /
KVB-MOBILE ALERT.
I / We undertake to ratify and confirm all and whatever Mr./Mrs./Ms _________________________________ does or causes
to do through KVB M-PAY / INTERNET BANKING / DEBIT CARD / KVB-MOBILE ALERT services offered by KVB.
This authority shall continue to be in force, until I / any one of us revoke this mandate by a notice in writing delivered
to you.
I / We request you to provide access as requested above.

Name of Mandate/Authorized user Signature of Mandate / Authorized user

Signature of the Account Holders 3.

1. 4.

2. 5.

Verified by: Officer Authorized by: Branch Head

Date of Dispatch of Application: / / .

Note: Attach separate mandate for each E-service.

FOR ATM CELL USE ONLY

Date of Receipt of Application
Date of Data entry / Upload

Maker Name: Checker Name:

Name: Name:

Employee Code: Employee Code:

Signature: Signature:

Date: Date:
11 of 12
 THE KARUR VYSYA BANK LIMITED ______________________ BRANCH

DOCUMENTATION CHECK LIST

FOR SOLE PROPRIETORSHIP
1. Registration Certificate (in case of registered unit)
2. Certificate/license issued by the municipal authorities under shop & establishment Act.
3. Sales and Income tax returns.
4. CST/VAT certificate.
5. Certificate/registration document issued by the sales tax/professional tax authorities.
6. License issued by the Registering authority like certificate of practice issued by Institute of chartered accountants of India,
Institute of company secretaries of India, Indian Medical Council, Food and Drug Control authorities, etc.
7. Existing Bank statement from the current banker, for a minimum period of 6 months.
8. Registration / licensing document issued by the Central Government or State Government Authority / Department.
9. Importer Exporter Code (IEC) issued by the Office of Directorate General of Foreign Trade (DGFT) etc.,
(Any two of the above documents would suffice. These documents should be in the name of the proprietary concern.)

FOR PARTNERSHIP FIRMS

1. Registration Certificate, if the firm is registered.
2. Partnership Deed.
3. Power of Attorney granted to a partner of an employee of the firm to transact business on its behalf.
4. Attach Proof to identify and proof of address of the main partners and persons holding the PoA apart from the above.
5. Attach Proof of Legal name, telephone number of the firm and partners apart from the above.

FOR LIMITED LIABILITY PARTNERSHIP

1. Copy of the LLP agreement.
2. Copy of the Incorporation document and DPIN of the designated partners.
3. Copy of the certificate of Registration issued by the ROC concerned.
4. Copy of LLP-IN issued by the ROC.
5. Copy of the Resolution to open an account and list of authorized person/s with the specimen signatures to operate the
account duly attested by Designated Partners.
6. Copy of PAN allotment letter.

FOR COMPANIES
1. Certificate of incorporation and DIN.
2. Memorandum & Articles of Association.
3. Resolution of the Board of Directors to open an account and list of officials authorized to operate the account.
4. Identification of authorized signatories should be based on photographs and signature cards duly attested by the company.
5. Power of Attorney, if granted, to its managers, officers of employees to transact business on its behalf.
6. Copy of PAN allotment letter.
7. List of directors and copy of Form 32 (if directors are different from AOA).
8. Certified true copy of Certificate of commencement of business (public limited company).
9. Attach Proof of the name of the company, Principal place of business, mailing address of the company, Telephone/Fax number
apart from the above. (Telephone bill)

FOR TRUSTS/ASSOCIATION/CLUB/SOCIETY
1. Certificate of Registration, if registered.
2. Power of Attorney granted to transact business on its behalf, if any.
3. Any document listing out the names and addresses of the trustees, sellers, beneficiaries, and those holding power of Attorney,
and other key officials involved in the day to day management of the trust to the satisfaction of the bank.
4. Resolution of the managing body of the foundation.
5. Declaration of Trust/Bye Law of society/Bye-law of Association/Bye-law of club.
6. Attach the Proof of name and address of the founder, Manager/director and the beneficiaries, telephone/fax number,
Telephone bill, Utility bill apart from the above.

FOR HUF
1. The PAN card of the HUF/PAN Intimation letter/GIR No./Form 60/HUF Declaration and Identity and Address proof of the
Kartha.

Note: 1. All the persons related to the account and authorized to operate the account must provide separate identity and address
proof in conformity with the details furnished in the application form.
2. Original and photo copy are to be produced. Original will be returned after verification.
3. All signatures are to be obtained in the presence of bank’s Official.
12 of 12
 M 328
Account No.: Customer ID:
DETAILS of proprietor/partners/directors/trustees/kartha/others (applicable to clubs and societies)
Mr/Ms * *NAME: INDIVIDUAL (IN THE ORDER OF FIRST, MIDDLE & LASTNAME) leave space between words. Eg. RAM GOPAL VARMA

*FATHER’S NAME

MOTHER’S NAME

SPOUSE NAME

AADHAAR ID: PAN NO.: FORM 60/61

Y N
DATE OF BIRTH* MARITAL STATUS NATIONALITY* RELIGION GENDER*
D D M M Y Y Y Y M UM M F
MOBILE NO.:* EMAIL ID:

RES. TEL S D C O D OFF. TEL S D C O D

NO.: T E NO.: T E
*MAILING ADDRESS: JOINT APPLICANT/proprietor

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY
PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY
*PERSONAL INFORMATION OF JOINT holder/proprietor
FAMILY MEMBERS DOB RELATIONSHIP OCCUPATION
1.
2.

3.
QUALIFICATION UNDERGRADUATE GRADUATE POST GRADUATE PROFESSIONAL ILLITERATE NO. OF DEPENDENTS
EMPLOYED WITH
STATE GOVT CENTRAL GOVT PUBLIC LTD PRIVATE LTD MNC OTHER ENTITY (specify……………………………………)
NATURE OF BUSINESS MANUFACTURING TRADING SERVICES RETAILING AGRICULTURE MONEY SERVICES AGENCY
STOCK BROKER REAL ESTATE NGO/NPO JEWELS/GEMS/PRECIOUS METAL DEALER OTHERS (specify) _______________________________
TYPE OF PROFESSION DOCTOR ENGINEER BANKER TEACHER LAWYER ARCHITECT CONSULTANT
IT PROFESSIONAL OTHERS (specify) ______________________________________
Annual Income SELF SPOUSE HOUSEHOLD
` ` `

ASSETS OWNED HOUSE CAR TWO WHEELER GOLD SILVER LAND

LOANS WITH OTHER BANKS
HOUSING BUSINESS CAR TWO WHEELER CREDIT CARD PERSONAL JEWEL PROFESSIONAL
OTHER INVESTMENTS DEPOSITS INSURANCE SHARES MF DEMAT

SIGNATURE OF THE account holder/s

Note: For additional account holders attach this same type of form.
Account No.: Customer ID:
DETAILS of proprietor/partners/directors/trustees/kartha/others (applicable to clubs and societies)
Mr/Ms * *NAME: INDIVIDUAL (IN THE ORDER OF FIRST, MIDDLE & LASTNAME) leave space between words. Eg. RAM GOPAL VARMA

*FATHER’S NAME

MOTHER’S NAME

SPOUSE NAME

AADHAAR ID: PAN NO.: FORM 60/61

Y N
DATE OF BIRTH* MARITAL STATUS NATIONALITY* RELIGION GENDER*
D D M M Y Y Y Y M UM M F
MOBILE NO.:* EMAIL ID:

RES. TEL S D C O D OFF. TEL S D C O D

NO.: T E NO.: T E
*MAILING ADDRESS: JOINT APPLICANT/proprietor

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY
PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

CITY / TOWN
DISTRICT PINCODE
STATE COUNTRY
*PERSONAL INFORMATION OF JOINT holder/proprietor
FAMILY MEMBERS DOB RELATIONSHIP OCCUPATION
1.
2.

3.
QUALIFICATION UNDERGRADUATE GRADUATE POST GRADUATE PROFESSIONAL ILLITERATE NO. OF DEPENDENTS
EMPLOYED WITH
STATE GOVT CENTRAL GOVT PUBLIC LTD PRIVATE LTD MNC OTHER ENTITY (specify……………………………………)
NATURE OF BUSINESS MANUFACTURING TRADING SERVICES RETAILING AGRICULTURE MONEY SERVICES AGENCY
STOCK BROKER REAL ESTATE NGO/NPO JEWELS/GEMS/PRECIOUS METAL DEALER OTHERS (specify) _______________________________
TYPE OF PROFESSION DOCTOR ENGINEER BANKER TEACHER LAWYER ARCHITECT CONSULTANT
IT PROFESSIONAL OTHERS (specify) ______________________________________
Annual Income SELF SPOUSE HOUSEHOLD
` ` `
ASSETS OWNED HOUSE CAR TWO WHEELER GOLD SILVER LAND
LOANS WITH OTHER BANKS
HOUSING BUSINESS CAR TWO WHEELER CREDIT CARD PERSONAL JEWEL PROFESSIONAL
OTHER INVESTMENTS DEPOSITS INSURANCE SHARES MF DEMAT

SIGNATURE OF THE account holder/s

Form for Photo & Sign for Corporate Accounts M 330
ACCOUNT NO.:

DECLARATION : General: I/We have read the terms & condition of the Bank and pertaining to the Savings/current accounts and anywhere banking, tele-banking, internet
banking, and ATM cum Debit Card facility. I/We have understood the same and agree to abide by such/any other terms and conditions that may be in force from time to time.
I/We also agree to abide by the Bank’s’ Schedule of Charges as applicable from time to time for savings/current accounts as published in the bank’s web site/notice board.
I/ We also understand that the terms & conditions and the service charges are subject to change without any personal notice. The information furnished/declaration given
by me/us in this form is true and I/we shall be held responsible for any wrong/misleading information at all times. For the purpose of providing certain services, the Bank is/
may be required to engage the services of specialized and other service providers/agents. I/We authorize the Bank to furnish any information regarding my/our account to
these service providers/agents. I/We also understand that the continuation of the accounts is at the Bank’s sole discretion, and in case of dissatisfaction with the conduct of
the account, the Bank has right to close the account after giving suitable notice or withdraw some/all services/concessions granted to me/us.

Applicant No. 1 Applicant No. 2 Applicant No. 3 Applicant No. 4

Please paste colour photo Please paste colour photo Please paste colour photo Please paste colour photo
here. Please do not use pins, here. Please do not use pins, here. Please do not use pins, here. Please do not use pins,
staples or tape staples or tape staples or tape staples or tape

CUSTOMER ID CUSTOMER ID CUSTOMER ID CUSTOMER ID

NAME: NAME: NAME: NAME:

Signature (with seal) Signature (with seal) Signature (with seal) Signature (with seal)

(Use Black ink and Sign within the Box only)

(Incase of LTI) Witness No. 1 Witness No. 2
____________________________________________ _____________________________________________

KYC AND RISK PROFILE CERTIFICATION

APPLICANT PROOF TYPE NAME OF THE DOCUMENT NUMBER ISSUE DATE EXPIRY DATE
NO. D    D M M Y Y Y Y D    D M M Y Y Y Y
1. IDENTITY PROOF

ADDRESS PROOF

2. IDENTITY PROOF

ADDRESS PROOF

3. IDENTITY PROOF

ADDRESS PROOF

4. IDENTITY PROOF

ADDRESS PROOF

We have perused the Original Documents and as per KYC norms all are correct. Further to know about the customer we have
enquired locally and /or we personally visited the places of addresses given by the customer, to ascertain the correctness. All the
signatories have signed before me. I authorize opening of the account.

DATE:            SIGNATURE OF THE MANAGER   

Note: For additional account holders attach this same type of form.
DECLARATION:

I/We have read and understood the Terms and Conditions (a copy of which I/We am/are in possession of) governing the opening of an account with KVB and those relating to
various services including but not limited to (a) ATMs (b) Anywhere Banking Convenience Plus. (2) I/We accept and agree to be bound by the said terms and conditions including
those/limiting the Bank’s liability. (3) I/We understand that the Bank may, at its absolute discretion, discontinue any of the services completely or partly without any notice to me/us.
(4) I/We agree that the Bank may debit my account for service charges as applicable from time to time. (5) I/We confirm that I/We am/are residents of India. (6) I/We agree to notify
the Bank in future if I/We avail any credit facility from any other bank and I/We authorize you to inform the existence of our account with you to the lending banker. (7) I/We also abide
by the terms and conditions of the bank for off line transactions. (8) I/We shall be liable to you for any monies owing to you from time to time in case the account is overdrawn and /
debit balance is caused including your commission, interest and other incidental charges. (9) In the event of death or insolvency or withdrawal of any of us the survivor/s shall have
full control of any monies standing to my/our credit in our account with you and the survivor/s will have full powers to operate the account / close the account. (10) I/We request
and authorize you to honor all cheques and other orders drawn or bills of exchange accepted or notes made on our behalf, to debit such cheques to our account with you whether
such accounts be for the time being in credit or overdrawn. (11) I/We also request you to accept the endorsement signed by me/us on cheques /orders/bills or notes payable to us.
(12)The cheques/Bills presented by us in our account for collection are at our sole risk and responsibility and the bank may engage the services of courier/post office for sending
the instruments for collection and the bank is not liable for any loss or damages in case the instruments are lost in transit. (13) I/We accept the Bank's right to take steps to close
the account if frequent return of cheques for want of funds or any other undesirable feature is observed. (14) The floating rate of interest is subject to floating interest rate fixed by
the bank from time to time and notified by the bank and no separate intimation or notice will be given to the depositor. (15) Failure to maintain monthly/quarterly minimum average
balance in the SB/CA attracts penal charges.
Core Banking: (1) The Bank shall facilitate payment and collection of cheques through alI its branches while I/we shall have one account at the branch (for short “Home Branch”) Bank
shall also accept cash from me/us or my/our representatives and pay in cash against presentation of cheques drawn by me/us in favour of myself/ourselves or third party to the credit
or debit to my/our designated account with the Home Branch as per the appIicable Iimits for the account. The cash transaction will be on the same lines as is the case when deposits/
withdrawals take place at the home branch. (2) While the instruments for and on my/our behalf will be collected in local clearing, the credit in respect of the proceeds, thereunder will
be afforded at the home branch on and subject to realization at the respective centre(s)/branch(es). (3) The Bank will be entitled to debit by its home and any other branch(es) my/our
account at its base branch against the cheques presented at various branches of the Bank. (4) My/our written intimation of “stop payment” to the various branches of the Bank will
be at my/our risk and I/We agree to grant a lead time of at least 24 hours for intimation of such “stop payment” instruments to all its branches. In case of any erroneous information
which may emerge due to any communication error and if the “stop payment” is not carried out in good faith based on the said information, the Bank shall not be held responsible
for the said act. (5) I/We agree at any given time to maintain the average balance in my/our account as applicable for the account and informed to us by the Bank. In the event of my/
our failing to maintain the minimum balance and for conduct of the account not being satisfactory, the Bank will at its discretion be entitled to forthwith terminate the facility hereby
granted to me/us or to levy service charges as mutually agreed upon. (6) I/We agree to inform my/our existing bankers for the availment of any of the facilities hereby granted to me/us.
I/We also agree from time to time to furnish such information/details and the documents to the existing bankers and also to the Bank as is mandatory under the law in force from
time to time or as the Bank regards necessary and/or expedient under the banking practice/procedure or to maintain the comity and fair‑play between the Bank and the other bankers.
(7) The agreement herein contained shall not affect, prejudice or derogate from the Bank’s rights and privileges under the law including the right to claim setoff, general and the
bankers disposing or retaining lien or similar rights pertaining to my/our credit balance in the account with the Bank. (8) In the event of any malfunctioning and/or break‑down in the
working of the said network for the reasons beyond the control of the Bank, the benefits and the facilities hereby granted to me/us will stand suspended during such break‑down in
which case the Bank will not in any manner be liable and/or responsible to me/us for any damages / compensation and/or for any other consequences arising out of such suspension.
(9) I/We agree to hold the Bank indemnified in case the Bank suffers any loss in account of operation of the scheme for my/our benefit.
Terms & Conditions of EFT Executed in the RBI EFT SYSTEM (as per form FT‑2B)
I/We am/ are desirous of availing the Electronic Funds Transfer (EFT) through the RBI EFT System. In consideration of the bank agreeing to extend to me/us the said EFT facility, I/we
hereby agree to and undertake the following terms and conditions.
1. Definitions (a)“Customer” means the person named here‑in above who has executed this Agreement. (b) “Bank” means Karur Vysya Bank Ltd. (c) “EFT Facility” means the
Electronic Funds Transfer Facility through the RBI EFT Systems. (d) “Security Procedure” means a procedure established by agreement between the bank and the customer for
the purpose of verifying that the payment order or communication amending or canceling a payment order transmitted electronically is that of the customer or for detecting error
in the transmission for the content of the payment order or communication. A security procedure may require the use of algorithms or other codes, identifying words or numbers,
encryption callback procedures or similar security devices. (e) Words or expressions use in this Agreement, but not specifically defined herein shall have the respective meanings
assigned to them in the RBI EFT Regulations, 1996. 2. Scope of the Agreement (a) This Agreement shall govern payment order issued by the customer during the period of validity
of the Agreement. (b) This Agreement shall be in addition to and not in derogation of the RBI EFT Regulations, 1996. The customer has gone through and understood the RBI (EFT
System) Regulations, 1996 and agrees that the rights and obligations provided therein in so far as it relates to the originator shall be binding on him/it in regard to every payment
order issued by him /it for execution in the EFT System. (c) The customer understands and agrees that nothing in this Agreement shall be construed as creating any contractual or
other rights against the Reserve Bank or any participant in the EFT System, other than the bank. 3. Commencement and Termination (a) This Agreement shall come into force as
soon as a security procedure is established by mutual agreement between the bank and the customer. (b) The Agreement shall remain valid until it is replaced by another agreement
or terminated by either party or the account is closed whichever is earlier. (c) Either party to this Agreement may terminate this Agreement by giving one month's notice in writing
to the other party. Notwithstanding the termination of the Agreement the parties to the Agreement shall be bound by all transactions between them in regard to EFT Facility availed
of by the customer before the termination of the Agreement. 4. Security procedure (a) For the purpose of agreement for security procedure, the bank may offer one or more or a
new combination of one or more security device. (b) A security procedure once established by Agreement shall remain valid until it is changed by mutual agreement. 5. Rights and
obligations of customer (a) The customer shall be entitled, subject to other terms and conditions in the Regulations and this Agreement to issue payment orders for execution by the
bank. (b) Payment order shall be issued by the customer in the form annexed hereto, complete in all particulars. The customer shall be responsible for the accuracy of the particulars
given in the payment order issued by him and shall be liable to compensate the bank for any loss arising on account of any error in his payment order. (c) The customer shall be bound
by any payment order executed by the bank if the bank had executed the payment order in good faith and in compliance with the security procedure, Provided that the customer shall
not be bound by any payment order executed by the bank if he proves that the payment order was not issued by him and that it was caused either by negligence or a fraudulent act
of any employee of the bank. (d) The customer shall ensure availability of funds in his account properly applicable to the payment order before the execution of the payment order
by the bank. Where however, the bank executes the payment order without properly applicable funds being available in the customer's account the customer shall be bound to pay
to the bank the amount debited to his account for which on EFT was executed by the bank pursuant to his payment order, together with the charges including interest payable to the
bank. (e) The customer hereby authorises the bank to debit to his account any liability incurred by him to the bank for execution by the bank of any payment order issued by him.
(f) Customer agrees that the payment order shall become irrevocable when it is executed by bank. (g) Customer agrees that the bank is not bound by any notice of revocation
unless it is in compliance with the security procedure. (h) Customer agrees that he shall not be entitled to make my claim against my party in the RBI EFT System except the bank.
(i) Customer agrees that in the event of any delay in the completion of the Funds Transfer or any loss on account or error in the execution of the Funds Transfer pursuant to a payment
order, the bank's liability shall be limited to the extent of payment of interest at the Bank Rate for my period of delay in the case of delayed payment and refund of the amount together
with interest at the Bank Rate upto the date of refund, in the event of loss on account of error, negligence or fraud on the part of any employee of the Bank. (j) Customer agrees that
no special circumstances shall attach to my payment order executed under the EFT facility under this Agreement and under no circumstances customer shall be entitled to claim
any compensation in excess of that which is provided in clause (9) above, for any breach of contract or otherwise.
Rights and Obligations of the bank
1. The bank shall execute a payment order issued by the customer duly authenticated by him as defined by the security procedure, unless (a) the funds available in the account of the
customer are not adequate or properly applicable to comply with the payment order and the customer has not made any other arrangement to meet the payment obligation. (b) the
payment order is incomplete or it is not issued in the agreed form. (c) The payment order is attached with notice of any special circumstances. (d) The bank has reason to believe that
the payment order is issued to carry out an unlawful transaction. (e) The payment order cannot be executed under the RBI EFT System. 2. No payment order issued by the customer
shall be binding on the bank until the bank has accepted it. 3. The bank shall, upon execution of every payment order executed by it, be entitled to debit the designated account of the
customer, the amount of the funds transferred together with charges payable thereon, whether or not the account has sufficient balance.

SIGNATURE OF THE ACCOUNT HOLDER/S