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Bank of India BOI
KYC FORM
CUSTOMER INFORMATION UPDATION
(FOR EXISTING AND NEW CUSTOMERS)
Name of Branch Date_/ __20
‘Account Number
Name of the customer
Customer IDICIF
Please affix your latest |
PassportSize |
Photograph with
signature across the
a ‘There is no change in my address photograph
b, | Iwish to change my address/contact detail as below a cae
Please V jate box below:
Se Existing Proposed ( fb is selected)
Address:
‘Mobile No! Phone No
E-mail ID
CKYC ID Number
(*Mandatory) -
Identity Proof (name &
number of document)
Residence Proof
“if CKYCR number is not provided by the customer, branch should check for the CKYCR number in
CBSICERSAI PORTAL,
I hereby declare that there is no change in existing status of my KYC Information which was
Provided at the time of opening the account / last KYC updation except my address details for
which | am providing my self-declared current address to the bank as under:
a. | had already submitted my Aadhaar number voluntarily to the bank for identification
purpose and had voluntarily given my consent to use Aadhaar details for authentication from
|IDAI, | further state that, my address available on Aadhaar is different from my current
Jddress for which | am giving my self-declared Current Address to the Bank.
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RE-KYC SOP 2023 b. | am providing my Self-Declared Current Address to the Bank along with copy of an OVD
with current address,
undertake the responsibility to declare and disclose immediately and in no case beyond 30 days
from the date of change, any changes that may take place in the information provided herein/or
otherwise, as well as in the documentary evidence provided by me or if any certification becomes
incorrect or undergoes a change. In case the above information is found to be false or untrue or
misleading or misrepresenting, | am aware that | may be held liable for it.
Date Signature/Thumb Impression of Customer
Place: Name
For Office Use only
1. Certified that KYC Documents of the Customer available with the Bank are as per current
‘Customer Due Diligence (CDD) Standards.
2. CKYCR Number of the customer is available in Bank records.
3. PAN details (if available) have been verified from database issuing authority.
4. Information submitted by the customer verified & KYC date entered in CBS.
Maker. Checker.
PF No. PF No...
KYC DOCUMENTS — OVD :- PASSPORT, DRIVING LICENSE, VOTER ID CARD, ADHAAR,
JOB CARD BY NREGA DULY SIGNED BY AN OFICER OF THE STATE GOVERNTMENT &
LETTER ISSUED BY NATIONAL POPULATION REGISTER
ACKNOWLEDGEMENT
‘We acknowledge the receipt of KYC documents for your
mF,
Date: Place:
(Name & Signature with Bank Seal)
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RE-KYC SOP 2023
